HomeMy WebLinkAboutSub-Contractor AgreementNov 18 2014 09:28AM Bip DiPietro= ric T,r, _,,1-772-365-0202 _ page —
PERM rr# /�/� i —` ISSUE [AIM
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUS -CONTRACTOR AGREEMENT
St, Lucie County Contractor Certification Number:
State of Florida Certification Number (rapptiaAte):�—
A n 0/43Qf`Ny 6'leel &,c,
I (Company Name/Indhidual Name)
(Type OfTreda)
For the project located at 41
41
have agreed to be the
Sub-coaftactor for Sc.a7,r 1 0,3tS BUST L.L
(P,rimary Contractor)
Address or Pmperr<y Tax ID fit)
3Y1jy,J,
It is understood that, if there is any change of status regarding our participation with the above fhentioncd
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. Wi-00)
BUSINESS QUAI,rRrl{ R (Name of the Individual shown on the Contractor's Lioenm)
NOTARIZED SIGNATURES ARE REQUIRED ®ct�1c, Inc •
Business Name. B' offletre �1
Address: P., adsnal
Citp/3ta amp: f ero g Sc .
Phone: J email:n ci fn,1 If C h4If, Can.
T"I
A PRINT NAME DATE
STATE OFFLOMM.A,COUNTY OF IVIArC��• .ro.� I
TIC FOREGOING INSTRUMMNT WAS SIGNED BRF�7OREME TIUS l ( DAY OF O,ve*v�-bar , 20,i 4
WHO IS PERSONALLY KNOWN ✓" OR HAS
OIIUCED AS IDENTIFICATION.
`r (STAMP)
NATURE OF NOTAR PIIBLiC PRINT! r NAME OF NC N
�.�•�;!; TRACI E. HATCH
9LCPDS: lZ/ibr1013 =�; ; Notary Public - State of Florida
•; My Comm. Expires Feb 10, 2017
�.;?�,�oFtl`�a;•� Commission * EE 872940
''������••' Bonded Through National Notary Assn.