HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTr a.
I
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance DivisionBUILDING PERMIT
`SC
q
SUB -CONTRACTOR AGREEMENT
CC/tht,
have agreed to be
(Company Name/Individual Name) V
the Q G� r� r_rw Sub -contractor for t 4r� c� c CcrnSi f(tiy�L�av�
(Type of Trade) (Primary Contractor)
For the project located at
or Property TV ID #)
125-701- 0031 - 00016-
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.
,,e0r0RACTOR SIGNATURE (Qualifier)
ate.
PRINT NAME
C.ISoSl2?
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST.1-ve l
l
The foregoing instruments'signed before me this 3 day of
OCITOB9'� .20_d by 6&]] al.Pak;I"WSKII P/t-T.
who is personally known _or has produced a
SUBCONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. 1A"1.2
The foregoing instrument was signed before me thiA31 day of
crc.-( !P,w 201`I, bbyy Cktvtt? 5 =
who is personally Mown V or has produced a
cutifieation. entification.
t
STAMP STAMP
Si atu a lotaj amre of Notaryis
ry_n.. —
<.. LASHANNpINGRAM-PMMING
MY COMMISSION#GG27snen
Print Name of Ndtarq;7rub1 PIKES: December"20, 2022 Mint Name of Notary Public
' Bonded MT
Notary public Unden nteas
A�� - .'4"' �'' DAVID JURKIEINICZ
MY COMMISSION # FF998909
��$;¢.' EXPIRES June OS, 2020
wo>•lave-otsa FlarksNotary$arvica.com
Revised I1/162016
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Tr,c4su&6 C.opsr %Zoor)!:gT,
(Company Name/Individual Name)
the 7_06r"n/L
('type of Trade)
Ll-C_
have agreed to be
Sub -contractor for GRa,✓P V Cog/STrt �1 L f1 ar�
(Primary Contractor)
For the project located at i 2Ga0 1-1,olLi ouyL _P_19(GE S .r a . I# tJyZS•- 7o I - 6o31 - 000/S
(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.
,eON CTOR SIGNATURE (Qualifier) -
y�
PRINT NAB'-'-i-'T-IE
CCzC. 15o5127
COUNTY CERTIFICATION NUMBER
State of Florida, County of S•r • LV cl S
2 Ro
The foregoing instrument was signed before me,this ✓ day of
Oc-T01362. 2019,by J50C Qt.t»oltdw51t.1, pros.
who is personally known _or has produced a
as iore afNotaidentification.
STAMP
ig tryPnb
Print Nn
•:'ip�°� LASMHNAINGRAMrftAHMING
` • " JAY COMMISSION # GG 275060
EXPIRES: LDecembeT20, 2022 '• :,�` 1 +oF.; •• Bonded Tlw Notary Public Undenvd,ers
Revised 11/10016
SUB-CObWRACT7, IGN RE (Qualifier)
.r, a Cfji
mE
r
('C(° /33o6s3
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5A
The foregoing instrument was signed before me this 9 dayof -.�.,_
DD Aljt �?
6r-lder .20_, by , O�/gn r7 /"16 one,/
who is personally known _Xor has produced
as identification.
�J
I /I ? STAMP
Signs ,,e ofNotaryPublic /
•/OfA
Print Name of Notary Public
a moo.
rye; JOSHUA REDHEAD
ri o's Notary Public -State of Florida
' c Commission # GG 311365
My Commission Expires
Merch 13, 2023