HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT------------
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name)
QT
(Type
For the project located at
BUILDING PERM11 RECEIVED 7
SUB-CgFRA TONNED AGRE MENT
( BY SEP 10 -S'9
St. Lucie County ST. Lucle county, Fdrmiocl.,g
have agreed to be
Sub -contractor for Jc ' J t2ry l l j h ltA^
(Prnnary Contractor) W
I G K N Q2 i,.i L
Address or Property Tax I D #)
It is understood that, if there is any -change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
COUNTYCER7 IFON N
[e of Florida,lCounty
T foregoing ins umen/ttywas sig before,a is day of
20 I7, by
Who I per many k wnTTT"`, or has produced a
M
RACHELANNVOSSENary Public -Slate of Floridaommission a GG 189932Comm. Expires Apr 16.2022Revised 11ouen National Notary Assn.
�5
s Uti//50C T TOR NNAA/TURE(Qualaier)
PRINT NAME �
COUNTY CERTIFICATION NUMBER
State of Florida, County of. L/ !-e-
The foregoing instrumen�tRwas signed before me this A2 day of
who is personally known,�Lor has produced a
as identification.
STAMP (/,y/�'�-'f STAMP
Signature or Notary Public
4�c 4r 17Zeri /'a
Print Name of Notary ruche
:o'yr �Wc Notary public State o! Florida
Victor G Alterizio
K � My Commission GG 274292
�ora� Expires 2ll05/2022
PERMIT# ISSUE DATE
i,
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
A
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
REC
EIVED
SEP 10 1419
ST• Lucie Gaunty, eermltting
a
have agreed to be
(Type of Trade) (Primary Contractor)
' t
For the project located atG�Lriwo j� �( �)'e
• (Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
r__WNTRkC_T0f1 STGNATURE (Qualifier)
PRINT NAME
COUNTY CE_RT WICATON MB
'i
State of Florida, County
e� I
nn
The.foreeoine instrument was sien before me As q1tdi
STAMP
RACHEL ANN VOSSEN
Notary Public -State of Florida
Commission r GG 189932
My Comm. Expires Apr 16. 2022
personally lutuwn
of Notary Public
••"""'�Q.
;'.+•\
RACHEL ANN VOSSEN
Notary Public -Slate of Florida
�yr,',•yt
' '` ;.
'Commission rGG'.89932
NtyC mmm. Expires Apr ;b. i022
""'"Bonded through National Notary Assn.
STAMP