HomeMy WebLinkAboutSubcontractor Agreement 1
- - PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
• Building and Code Regulations Division
BUILDING PERMIT
(� SUB-CONTRACTOR SUMMARY
VQD�S � 'SZ will be using the following sub-contractors for the
(Company/Individual Name)
.�-��,A�,,� � Imo,,,�-n
project located at �.��O ►�"" ` � 'fit ' U'�C6 ,y.
(Street address or Property Tax ID#)
It is understood that if there is any change of status regarding the participation of any of the sub-contractors
listed below,I will immediately advise the Building and Zoning Department of St.Lucie County.
St.Lucie County/
Trade Name of Company/Contractor State of Florida
License Number
Electrical
Plumbing
HVAC/ of
Mechanical
Roofing
Gas
OFFICE USE ONLY:;
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014
PERMIT# � ��� ���� ISSUE DATE
-- ----- PLANNING & DEVELOPMENT SERVICES
N , '� - Building & Code Compliance Division
CITED
- --- -- — - -- - BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT MAR 0 7 2017
PERMITTING
St. Lucie County, FL
�• tJt-c�, AC." have agreed to be
(Company Name/Individual Name)
the q't�u o1 Sub-contractor for Akky.,gyp ') c+-x Ls
(Type of Trade) (Primary Contractor)
For the project located at _MD 10 1afwvou D �4 PjQ6�, , Ti , 3\4qq C 1
(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
�1 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.
CONTRACTOR SIGNATURE(Qualifier) SUB- T OR S GNA URE(Qualifier)
_01 (/1�X_�y
PRINT NAME U PRINT NAME
99 9sy
COUNTY CERTIFICATION NUMBER ),o COUNTY CERTIFICATION NUMBER
State of Florida,County of State State of Florida,County of
The foregoing. strument was signed before(me1th!i-ss day of The foregoing instrument
was signed before me this b day of
20�by ` ` f Ig�.��?� � 20JJ by- ' YD
who is personally known /,,or has produced a who is personally known--4or has produced a
as ikation. n as ide tification.
7 K \I\(�
YY STAMP k,rq
STAMP
Signa re f Notary Nblic Signature of Notary ublic
C_C4� Kl
Print Name of Notary tublic Print Name of Notai ublic
Cc*Emelette WOODY
NOTARY PUBLIC CrWa EMMOU MaDC*Y
STATE OF FLORIDA NOTARY PUBLIC
Comm#FF99Wi STATE OF FLORIDA
Revised 6EVW"50020 B 120
PERMIT# ISSUE DATE
- PLANNING & DEVELOPMENT SERVICES
s
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
r
C_ have agreed to be
(Company Name/Individual Name)
the ) A&V , n,' Sub-contractor for 14 Io 16 4_�k
(Type of Trade) (Primary Contractor)
For the project located at.-7__'5_Q( '7W—IN4,9-k I A/1 ®r 1 V`-P y Z y 6d 3 m(3
(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.
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME J PRINT NAME
e') r-D q
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATIO NUMBER
State of Florida,County of –; " vr 9/_C State of Florida,County of
The foregoing instrument was sign 1 before me this day of The foregoing instrument was signed before me this day of
20/,!' by lqil✓ F 20_X byl—�,
who is personally known�or has produced a who is sonally known or has produced a
as' tification. /, \ as i entif ation.
` STAMP V – STAMP
Signature of Notty
Public Si a���rre Notary Public
cx�c" b
kk*6L6q
Print NameN tart Public / Print Name of Not4 Public
MaCOW
OM
c4a19 EM NOTARYmFLWC
AWk NOTARY PUBUC STATE OF FLORIDA
STATE OF FLOWDA :Comm#
e�mi!FF99�`