HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SFRVICES
iuildYng Code Compliance ISion
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
JC
(Company Name ividuai Name.
sub -contractor for
(Type of Trade)
for the project located at 52 CP_ l_ Gwr
(Project
have agreed to be the
(Primary Contractor)
s or Property Tax ID #)
3
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)
$USINESS QUALIFIER (Name ofthe Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone:
�?-9-2_ J32-o - 13.. �
GNATUiZE P T N DATE
STATE OF FLORIDA, COUNTY OF
T.HEEFFOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF 20 �S
B _, I')') rn J1I , WHO IS PERSONALLY KNOWN _ OR HAS PRODUCED ` �(JC•
AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC
OFFICE USE ONLY:
: PRINT NAME OF NOTARY PUBLIC
(STAMP)
��Y�:,. Q` PLANNING & DEVELOPMENT SERVICES
;Building & Code Compliance vision
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number-(Ifapplicable):
have agreed to be the
Gi sub -contractor for
(Type of Trade)/ �y (Primary Contractor)
for the project located at��--
(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.. UALDIER i t ,,.
(Name ofthe Individual shown on the Contractors: License)
NOTARIZED SIGNATURES ARE REQUIRED -
.-Business Name:
Address:
City/State/Zip:
Phone:
q-q-2 2-o 13 SAS--
POZATURE PRINT
DATE
STATE OF FLORIDA, COUNTY OF,4,�_,�2
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS AS DAY OF 20 /J `
BY J h e_ hi 3 - WHO IS PERSONALLY KNOWN _ OR HAS PRODUCED- / a ('
AS ED ^) IFICATION (STAMP)
1,J/ InS
SIG O OTAR Y PUBLIC �-',,i PRINT NAME OFrTOTARY PUBLIC
AUDREYB.HUMPHREY
i= MY COMMISSION # FF 174772
7 EXPIRES: AINII 6, .2019
OFFICE USE ONLY: 8f';t Banded t',,v 1o;ayPuN-,undenwters
E DATE
PLANNING & DEVELOPMENT SERVICES
Building_ & Code Com liance , ►ision
s �
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number of applicable):
d_ I:::_ M /'
Name/In ' 'dual�lame)
sub -contractor for
(Type of Trade)
for the project located at
5,;2 ce, C
(Project Street
have agreed to be the
(Primary Contractor)
s or Property Tax ID #)
41
It is understood that, if there is any change of status regarding, our participation with the above mentioned
project, I willimmediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
$TJSINESS.QUALIFIER .. (Name of the Individual shownyon the Contractor's License)w�
NOTARIZED'SIGNATURES ARE REQUIRED
..B.usiness.Name: _. .
Address:
City/State/Zip:
Phone: -37q-0
AATURE PRINT DATE
STATE OF FLORIDA, COUNTY OF .
THEE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THLS DAY OF' ZO �j
nA WHO IS PERSONALLY KNOWN _ OR HAS PRODUCED IA..
AS NT CATI (STAMP)
SIGNATURE NOTARY PUBLIC ,`'Ji4M3_U1_RNOTAY PUBLIC. l
OFFICE USE ONLY:
PLANNING & DEVELOPMENT SERVICES
93uilding & Code Compliance *sion
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St Lucie County Contractor Certification Number:
State of Florida Certification Number (Wapplicable):
A A T—
sub-contractor for
(Type of Trade)
for the project located at
5 a, C P Ceez_ ,
(Project Street
have agreed to be the
(Primary Contractor)
;s. or Property Tax ID #)
FLYA
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. oo4_oo),
BUSINESS QUALIFIER Kime_,ofthe, Individual sho
wn on,the Conti.actor's-License) -
NOTARIZED SIGNATURES: ARE REQUIRED
Address:
City/State/Zip:
Phone:
RAT)
Fu
NATURE
PRINT Nhlffi DATE
STATE OF FLOREDA, COUNTY OrZ4
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME TEO[S. AS'-DAy OF,
AJ A 20 4i
BY WHO is
PERSONALLY ]KNOWN 04 HAS PRODUCED
—NAME<�E qAL
� FNOTARYPUBLIC
SIGNATURE NOTARY PUBLIC P . 6 "
OFFICE USE ONLY-
11 PERMIT-4
AUI)r,� iREY
q
MY COON.. FF 174772
EXP!,'-f,b: March 6,2019
F Banded ,uwyPML^"Underwwften;
,