HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT1-T-
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name) IV 1
the 2Gj r� f _r i Sub -contractor for &a-,x a-e-
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tds(ID #)
R ve_ oyy2S- 701 - OD31- 00015-
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.
CG C� f 56s- 127
COUNTY CERTIFICATION NUMBER
State iif Florida, County of ST • Lor 16'
7 R?
The foregoing -instrument
gwas signed before me this 3 day of .EACr
oc-70BG)c 20 (y, by ( g,Q 4 0LoOkDr6YII Pita -
who is personally known _or has produced a
afV
entificanon, f1f1��``1 j�
_d V�'JNYYV' Kl J6u-rc STAMP
LASHAHNAINGRAM•RAHMING
iblicAPINES: December20, 2022
Bonded Thm Notary public Unde ,
Revised 11/162016
Z SU NTRACTOR SIGNATURE (Qualifier)
�•FF�n.i� I�PPrvt+rN�
PRINT NAME r'7• " i91'
2r 1(f, L'
COUNTY CERTIFICATION NUMBER
State of Florida, County of ✓T. IAr.w-e
The foregoing instrument was signed before me this 10-3— day of
=,vraoberr V 2Bt`l,bbyy Ckn✓te5
who is personally or has produced a
entification.
t
STAMP
ature of Notary ie
7AC)\� �U�C\Li e W CG L
Wint Name of Notary Public
��r DAVID JURICIEINICZ
MY COMMISSION # FF99B909
-'7ah„ •• EXPIRES June OB, 2020
(007139&p15a FbnCeNota,y3arvtca.cwa
ri
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ti,c4surx CoAsT 72ooi=)r/LT� have agreed to be
(Company Name/Individual Name) /� /^ 1
the 7_06r, nl [j Sub -contractor for VI2,oaIDb o dSrn uC?f oe�J
(Type of Trade) (Primary Contractor)
For the project located at i Z(v0 0
1yL'9IP&6' j3tu4a. 0 IFy25_- 701 — 0031 — 000
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.
N CTOR SIGNATURE (Qualifier) SUB CT SIGN E(Qualifiier)
/.
r ,•L,ll(W� �49A iCOW$�1 y'{.'�'",-'Sy Y'st z�4•`.."r_fd1J
PRINT NAME NAME - - - �-
t r-.
CC,c— i,5o5127 C'CC. /13065-3
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida, County of ST • Lvci 5 State of Florida, County of J >A G✓cfe
Ro
- The foregoing instrument was signedeg6 before me this 3 day or The foiag instrument was signed before me this day of
O CTo862 za l9 by 6W40t.VAX6W5K.I, PR+s• �E P1 .. ,20_a by A/fan rT
~ who is personally known _or has produced a who is personally known _Xor has produced a
as identifications as identification.
��k1,4,� STAMP STAMP
ig lure of Notary Pub Signs eof Notary Public / /
Print Na IASFIANNAINGRAM-RAHMING Print Name of Notary Public
•�x�*�'••
MY COMMISSION # GG 275060
a EXPIRES: December'20, 2022
Bonded Thin Nolary Pubcc UMehAgars J O SH UA REDHEAD
e
$,Notary Public -State of Florida
2. Commission* GG 311365
Revised 11/162016 =„°.�c My Commission Expires
March 13, 2023