HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
(Cn)c
nyName/Individual;Name)�
e , Sub -contractor for
(Type of Trade)
(Primary Contractor)
For the project located at.t-
(Project t_r2St-Addte4or Property Tax ID #)
have agreed to be the
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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 QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address: Jr
City/State/Zip:
Phone: -�r mail: ear
,cam
_ 67e0ac.-Llam4ne 6�3,
NrA arP.RI > * A•T
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 20
By WHO IS PERSONALLY KNOWN OR HAS
< n
P CED AS IDENTIFICATION.
(STAMP)
SIGNATURE OVOWARY PUBLIC INT NAME OF NOTAR PUBLIC
SLCPDS: 08/06/2014
=gti� Py AUDREYB.HUMPHREY
MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
Bonded Thru Notary Public Underwriters
•
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
have agreed to be the
I
(Campany Namividual ame)
Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at Ads/ c,_Q& �
(Project Stregt dress r 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 QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address: � % , C
City/State/Zip: &aell I
Phone: %J " 4k,— emailyedqgpQi»1m,(f, 2wy&W,,,,, er r
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N$I P T: A. �DA� E
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTTRRUMENT WAS SIGNED BEFORE ME THIS _ DAY OF , 20
BY J U WHO IS PERSONALLY KNOWN OR HAS
R UCED� AS IDENTIFICATION.
7 1 A STAMP)
)e&4 �&.
SIGNATURE O NOTARY PUBLIC PRINT NAME OF OTA Y PUBLIC I I V _ '�-1'
SLCPDS: 08/06/2014
AUDFiEY B. HUMPHREY
COMMISSION # FF 174772
EXPIRES: March 6,
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•
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
have agreed to be the
(pany Name/Indivi3ua ame
C
Sub -contractor for
I a e �� (Primary Contrac or) 114
For the project located at `r!��� Q�i�l l_ �v �S _
(Proje t tree Addre Property Tax ID #) 3'14
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 QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address: I , + /
City/State/Zip: S
Phone: email:
v �� � Vm `O r►'1
STATE OF FLORIDA, COUNTY OF k,4
``
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF , 20 f
2
BY/+�=PB ,JE4e j P_ n M P, WHO IS PERSONALLY KNOWN OR HAS
PRODUCED _� (� �io' AS IDENTIFICATION.
1L
SIGNATURE O NOTARY PUBLIC PRINT NAME OFNARY PUBLIC `
SLCPDS: O8/06/2014
�;'; =HUMPHREy'MY COMMIS'-��.a= EXPIRES'�;8--r. `r bonded 7hnt No