HomeMy WebLinkAboutSubcontractor Agreement r �
PERMIT# i ISSUE DATE
�,5 PLANNING & DEVELOPMENT SERVICES
``�� Building& Code Compliance Division
a BUILDING PERMIT
l SUS-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number: ® �
,i Q
State ofFIorida Certification Numlier(tfapplicable): '� y
ti Q'uokI L "i_ f' have agreed to be the
(Cam anyName/IndivdsalName) �
JC*C I C� i Sub-contractor for O. o
(Type of Trade) (Primary Contractor)
1
' For the project located at NVV ?Prt-ai F�� 417
(Project Street Address or Property Tax ID#)
It is understood that,if there i s any change of status regarding our participation with the above mentioned
project,I will immediately advise the Building and Zoning Department of St.Lucie Comity by filing a
i
Change of Sub-contractor notice.(Form: SLCCDV(No-004-00)
BUSINESS QUALIFIER (Name ofthe Individual shown on the Contractor's License)
i I NOTARIZED SIGNATURES ARE REQUMEDnn
if
Business Name: ��- 'U (� `
Address: NAI
City/State/Zip: i7i1 G 1,
Phone: email:
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SIGNAVJPS PRINT NAME DA E
i' STATE OF FLORIDA,COUNT OF
i THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF .J ,20
, I
BY WHO IS PERSONALLY KNOWN_ OR HAS
PRODUCED I AS IDENTIFICATION.
CCb}DACEY
SIGNATUREEOOFF NOTARY PUBLI PRINT NAME OF NOTARY7 PUBL C , �,
o �- Notary Public-State of Florida
zz"
Jun 23,2016
SLCPDS-12/16/2013 t ;My Comm.Expires
Commission# EE 196789
otary Assn.
Bonded Through National IN
it
I
PERMIT# ISSUE DATE
_ PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
r
i
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number: CpC1 4rJ8O1 9
State of Florida Certification Number(If applicable): CpC1 458019
Fountain Blue Pool Service Inc. have agreed to be the
(Company Name/Individual Name)
Plumbing Sub-contractor for Fountain Blue Pool Service Inc.
(Type of Trade) (Primary Contractor)
For the proj ect located at ;OQ N%,N 1KqttAA%(%NO k4
(Project Street Address or Property Tax 113#)
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)
j
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
v�
Business Name: ` pO��C�0`t\`a jV, \0A`b
Address: \�'�3\ yNg< `
City/State/Zip: �y4,S� 7R Pt\,Yys ��rX
Phone: ��� ���� Lp-`�\ CONSTRUCTION2@FOUNTAINBLUEPOOLS.COM
email:
SIGNATURE PRINT AME DATE
STATE OF FL RIDA,COUNTY OF �L,"°'I ,ftG ^-
THE FOREGO NG INSTRUMENT WAS SIGNED BEFORE ME THIS I�DAY OF JlJ7V ,20 1 /
BY '�-`�t Y' CL �� WHO IS PERSONALLY KNOWN OR HAS
�iy4ytaB9B9iBG
PROD ED �,��° V.Vir�g ,
, F��VTIFICATION.
sloiv
Aber 23, "% d (STAMP)
�o�N•o*�
SIGNATURE PUBLIC �I1�TT A} F NQT2§2Y PUBLIC
#FF 020834 °o
SLCPDS:08/ /2014 %moo so ' o