HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT,41•
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Sc
BUILDING PERMIT S &NV'
SUB -CONTRACTOR AGREEMENT t `UNG OUntf
SeIt-•IA�r IEj- itc- C0w.PA1Lq have agreed to be
(Company Name/Individual Name) V 1
the rte Sub -contractor for (2tt'4n ck-t✓ CtrhS'i fltic�`L�ov�
(Type of Trade) (Primary Contractor)
For the project located at K4 (900 F{ al bcywt lc-i !�!t �
(Project Street Address or Property T ID #)
n ve #yy257-701 - 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.
2e—Z�47r'-5 -
..eoroRACTOR SIGNATURE (Qualifier) ,.
(��('Vo�wsK 1`T:
PRINT NAME <<' '+.•�
GG(�, 1Ss 2?
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST • LUUo
7 pD
The foregoing instrument was signed before me this 3 day of
0 c.T043g`e' 20a�, by 6i E4 to CO.oICG"V 1 t p
who is personally known or has produced a
LASHAHNAINGRAM-RAHMING
MY COMMISSION#GG 27506n
Print Name of Notar. Y4TubIicXPIRES: December'20, 2022
` 8onded Thm No
tary Public Undelmliter.
Revised 11/16/2016
'SU NTRACTOR SIGNATURE (Qualifier)
IV
PRINT NAME
2r�1�,�
COUNTY CERTIFICATION NUMBER
• State of Florida, County of SOT, Wxt4
fnr^-nt� The foregoing instrument was signed before me this 0— day of
G<:,adltP/r , 20 L, b5 y CK"
who is personally known Vbyor has produced a
' entificatian.
r
STAMP
' ature of Notary
is
�y\Cr1
�V�•C\Gi-2WCGZ
Wint Name of Notary
Public
:�"�"'"`Sh_ DAbID JURKIEINICZ
yMY COMMISSION # FF998909
�3e.e;, • • EXPIRES June O5, 2020
(007)398-e153 porlaallola
sYSarvica.eom
STAMP
t_
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTORAGREEMENT
T1�/asum6 CoAsr %Zooic)Hh, LI-C--
have agreed to be
(Company NameAndividual Name) the F-o01C/n/6l Sub -contractor for GT2,0 ✓ps C&"ST.w un o1�
(Type of Trade) (Primary Contractor)
For the project located at %2G00 HApti6We 1�t1�G6 SLva
(Project Street Address or Properly Tax IL
t1y2S7— 701 — 0031 — Dogs -
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.
6N CTOR SSIIGNATURE (Qualifier)
• #� ��/)Z.Kti {,- J t..J7A_ICOW $LI �R6 i°-."i� >
C(,L 1505127
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST'Lvct6
• Ro
The foregoing instrument was signed before me this 3 day of
I;lur� .-
r. oc.TozGe- 2ol? by 6264 0-_pnY6wsy_i r Prss.
t_
who is personally known or has produced a
as dentification.
%ig'
IASTAMP
tore of Notary P¢h
Print Na
LASHAHNA INGRAM•RAHMING
My CGMMISSION#GG 275060
._+d EXPIRES: December*20,2022
+iF......:
I ••. oFr,2:• ponded ThN Notary Public UiMerxdters
Revised I I/16/2016
ece /33065:3
COUNTY CERTIFICATION NUMBER
State of Florida, County of SF Zve/C
The foregoing instrument was signed before me this !; day of
e
.20 d J. �iG /0--/
as e �. by ni/on
who is personally known Jcor has produced a
as identification.
A /, STAMP
Sig na - e of Notary Public
PrintName of Notary Public
JOSHUA REDHEAD
ai �=Notary Public -State of Florida
Commission # GG 311365
My Commission Expires
ro- March 13, 2023
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