HomeMy WebLinkAboutSubcontractor Agreement PERMIT# I 1 Q 1 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
i
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number:
State of Florida Certification Number(if applicable): E42 /306 � 95 9
pmz� / / I� Aaaz' hit4 have agreed to'be the
A:=ual Name) Sub-contractor for v &nAw4c, )
of Trade
(Type ) (Primary Contractor
For the project located at y
(Project Str t Address or Property Tax ED#)
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 Cou
&LV� .QED
Change of Sub-contractor notice. (Form: SLCCDV(No.004-00)
FEB 17 2017
BUSINESS-QUALIFIER -(Name of the Individual shown on the Contractor's License) PERMITTING
St. Lucie County, FL
NOTARIZED SIGNATURES ARE REQUIRED
•
Business Name:
nn •
ddress-
City/State/Zip: -
hone: 7 email: /1'I i!'� ��IlI08 Q.L�.b`�`1`�s�.rQ •G�Oih
r�t;�h�1 ;� rs i
I TURE PRINT NAME DA E
STATE OF FLORIDA,COUNTY OF �-
E FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS��DAY OF
�/
BY t " �i1(�� d P_V-"d�_ WHO IS PERSONALLY KNOWN V/ OR HAS
PRODUCED AS IDENTIFICATION.
DA%(MWkNWND PRUE
NOTARY PUBLIC
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC STATE OF FLORIDA
SLCPDS: 08/06/2014 , x FF192675
Expires 1/26/2019
PERMIT# i , a -UoZ l^ ISSUE DATE
___ PLANNING & DEVELOPMENT SERVICES
711
Tt -�' ' Building & Code Compliance Division
- BUILDING PERMIT
RECEIVED
SUB-CONTRACTOR AGREEMENT FEB 17 2017
PERMITTING
St. Lucie County, FL
JL,-,-4 Ah i l k n f UL have agreed to be
(Company Name/Individual Name)
the N f LonA41oil,ne Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at NO-4 J i21 1-rs NA
(Project Street Address or Property Tax ID#)
I 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) S[;y --CONTRA O 9 (Qualifier)
6' ( � (,C�LlMS J G►Me J j,�fcltt�,i�
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of
T e foregoing instrument was signed before me this day of The foregoing instrument was ed before me this day of
0P y I 20�b
I
iho is personally known or has produced a who is personally known_or has roduced a
as identification. aid tification.
I
STAMP STAMP
ig ture of Not Public S' a re of Notary Public
Tint Name o Nota Public Print Name of Notary Public
,
I
ANG7#FF
Notary Publ e LASHAHNA
Commiss4730% My Comm.EFlorida7,20i9 ma's Notary Public State of Flon_:.
Revis 1%Yc�t�plbp�� Bondedthrou through Assn "r :Q°My Comm.Expires Dec 2
g � 4 �•, o;` Commission#FF 17749
Bonded through National Notary Assn.