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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE PLANNING & DEVELOPMEI9T SERVICES Building & Code Compliance Division BINDING PERMIT SUB -CONTRACTOR AGREEMENT St Lucie County Contractor Certification Number: 2 (, —? % State of Florida Certification Number (if applicable): CA / 3 O 1�4 % ©S� A-W M ` 13,„ c have agreed to be the (Company NameMi ividual Name) _ �1errG�r Sub-contractorfor�S/ Sly/^(��,hiL�- (T)rpe of Trade) (Primary Contractor) For the project located at p . U/-'— r (Project Street Address orPropeny Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, Iwill immediately advise the Building and Zoning Department of St. ]Lucie County by filing a Change o£ Sub -contractor notice_ (Form. SLCCDV (No. 004-00) BUSMSS QUALI + + R (Name of the individual shown on the Contractor's License) •_ r?, i•7�.-7 4 "'�4f .�.5 ,4. f '1" ? {Z ti31;' TT''c :G n:t ��' i .Business .Name: Aw. e +`C Address: 4L-(0 Le5s(.<r LJn Ciw/State/Zip: Q r .e �Z2 Lf 5 2� Phone: Sq S— a email: 12 W vi i n C Ca S�r - S �cz�, WAS S - PST NAME TA TE OF FLORIDA, COUNTY OF THEFOREGOING INSTRUMENT WAS SIGNED BEFORE AM TMS (Q DAY OF PRODUCED Z Ji � DATE IS PERSONALLY AS IDENTIFICATION. C � /a+ S (SYl U • O %QUA / �Cf3� S16NATURE OF NOTARY PUBLIC I"I$I 'VENT_-*AlYIE OF NOTARY PUBLIC SLCP DS: 08/00/2014 (STAMP) �►A'r'" a•, JASON M RAULERSON =�4 " uS Notary Public - State of Florida Commission # FF 965546 J����tcg' My Comm. Expires Feb 28, 2020 M PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): 0..V (2- 0 5- 0 5- I L A A--t � - 0---, i _p4y L' L. have agreed to be the Company Name/Individual Name) Sub -contractor forte _5/�=Czi2S (Type of Trade) (Primary Contractor) For the project located at 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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: (2:,1 1O 6Z L A P L_._ L- C-- Address: City/State/Zip: r � Phone: email: �(� fA��' (P (� of �W ep c• A C,�) "t a C c &A T l / W., Z�_/ " L - �7q SIG A PRIN NAME' nn --'.gvkDATE STATE OF FLORIDA, COUNTY OF �7�. THE FOREGOING INSTRUMENT WAS SIG ED BEFORE ME THIS � DAY OF Q, 201 BY WHO IS PERSONALLY KNOWN OR HAS PRODUCE ' AS IDENTIFICATION. (STAMP) SIGNATURE OF NOTARY PUBLIC PRINT 1`' ME OF NOTARY PUBLIC SLCPDS: 12/16/2013 "" �� KAREN LAVERa244&34 ,r°1'� Commission # -s= Expires Octobe�'•`T-yFin010 �9 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St.. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): /9C / 6:A 7 9 cc fir W-,--C- Name/Individual N have agreed to be the &/j /q C Sub -contractor for /_ Z ADO Z (Type of Trade) (Primary Contractor) For the project located at _ j / ( '.� = � j„�� �4ii :/�,� % /6/e�d (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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: City/State/Zip: Phone: �ZY. I K7 E 2- -7 ?2 email: �SIGNATVAE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF J2011 0/7k— 9/"� THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS`2-01 DAY OF , 20 ell 41 BY WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. (STAMP) SIGN T OF NOTARY PUBLIC PRINT NA_ORNOTARY FUIiLYC SLCPDS: 12/16/2013 ^'tv% KAREN IAVERACK Isg. Commission # FF 244834 ?'; �Exxpires October 4, 2019 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number:-%,,'/j��� %`.�, y � State of Florida Certification Number (If applicabley WW7J� l c�7 .- -0') , , , n have agreed to be the (Company Name/Individual Name) Qp0 1 A_)6 Sub -contractor for 1,A5 S'I✓� ' 1 2 s (Type of Trade) (Primary Contractor) For the project located at-S�/�,I�'¢� A__ ham% �Jg4C!!� (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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: yo&: &1&6� Address: I—ACCOA-0f1i ST—r THE FOREGOING INSTR PRODUCED AS IDENTIFICATION. SIGNATURE OF NOTARY PUBLIC PRINT -NAME OF NOTARY PUBLIC SLCPDS: 12/16/2013 KML41 LAVMCK CfflM6 ion # FF 244W i, EXOWOdoWUNI ,!201. G01Y7 24 OR HAS (STAMP)