HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT St. CUC� CCUnty
f C-eL rn c have agreed to be
(Company Name/Individual Name)
the Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
can -my/ E
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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of S , n�
The
�foregoing instrument was signed before me this � day of
f
\a
who is personally known _or has produced a
as identification.
`I I \Q►pp�.5')( STAMP
SigMtrulbof NotaryPublic
r..Y "°�
• g'-''m� ;ASIiAHNAINGRAM.RAMMING
Print Name of Notary' gdklit, yly COMM15S1 2072
EXPIRES'.Decernber20,
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Banded Thm Notary public Underwdters
Revised 11/162016
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S CONTRACTOR SIGNATURE (Qualifier)
k/ 17' ,o P; F�ii I �c bu
PRINT NAME
COUNTY CERTIFICATION NUMBER i
State of Florida, County of ST• Ll)(1Q
The foregoing instrument was signed before me this 26 day of
SpAW ,201a,by l)ai f D.�r;d�l
who is personally known _or has produced a .[)(' • t-1 C
as identification.
SignaturdoTNotary Public ,yua'r P46 Notary Public State ofMark da
r Mona Leon
m�a Lebv� MyCommission GG230d33
o Expires W2012022
Print Name of Notary Public
PERMIT #F I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the Sub -contractor for D(L t/M,1 _rI~L
(Type of Trade) (Primary Contractor)
For the project located at
9 6OO Ocer,_ t_2 td
(Project Street Address or Property Tax ID #)
kr'�— '�6r
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.
CONTRA O ICN(ualiner)
PRINT NAME
R3.�406 36a0
COUNTY CERTIFICATION NUMBER
State of Florida, County of S0. Q,
The for instrument was signed before me thiiss, I day of
Os� 20_S by k �{Lr Mdi 1 • `1 t
who is personally known _or has produced
as identification.
U MOY�,dW�pJrl�y STAMP
Signatureof Notary Public
Print Name of Notary Public
LA 140�GM5p80
MY cou Sisslo mbet20,2022
�(p1RE. NpubicU
Revised 11/162016
tw
SUB-CONTRAwJSIGNATURE (Qualifier)
11215E GIB S
PRINT NAME
C1z1tr_1k08K6a-
COUNTY CERTIFICATION NUMBER
State of Florida, County ofa- ULcie. The foregoing instrument was signed before me
this 11 dayof
IJCYI .20j, n
by W I Vi s FtJ�Ia >
'who is personally known Xor has produced a
as identification. ^
Signature of of Notary
Ti Lacy awaiko
Print Name of Nothry Public
TRACY CARVALHO
MY COMMISSION # FF968785
EXPIRES March 22.2020
Boll T]s-0'S1 rknYNourySmke.ovr
STAMP