HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES REC_ �� �,
ED
Building & Code Compliance Division'
BUILDING PERMITMAR 14 2016
SUB -CONTRACTOR AGREEMENT PERMIT 1NG
St. Lucie County, FL
St. Lucie County Contractor Certification Number: 71
State of Florida Certification Number (If applicable): Ek od 10
have agreed to be the
(Company Name/Individual Name)
Electrician Sub -contractor for Cooke Construction, Inc.
(Type of Trade)
(Primary Contractor)
For the project located at 61 Nettles Blvd, Jensen Beach, FL 34957
(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, 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)
i
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: ELCG!T41(2
Address: )00 AO.,1C- / 003
City/State/Zip: 36`
Phone: 7 i 2 33 email: ewe v--g b0t,^c �� ,,%, no wi
SIG A PRINT NAME DATE
STAT OF FLORIDA, COUNTY OF .� % 1.Oc i r
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 1WRQ,( , 20/09,
BY /t/F 4'7�4,R&_ WHO IS PERSONALLY KNOWN 11 OR HAS
PRODUCED
A4�e,a d�
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
Av/i) C !),Gdii
PRINT NAME O N(1TARV P1M G 1
DAVID CARL DEWITT 1
MY COMMISSION #FF189203
+'oFno` EXPIRES January 17, 2019
(407) 398-0153 FloridallotaryService.com t
(STAMP)
PERMIT # ISSUE DATE
=� PLANNING & DEVELOPMENT SERVICES P EIVE
6 ?�: Building & Code Compliance Division
MAR 14 2016
PERMIT fINC
BUII.DING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County, FL
St. Lucie County Contractor Certification Number:
i
State of Florida Certification Number (If applicable):
28754
CFC1428915
FOR HIM PLUMBING/ Dale Hammond
have agreed to be the
(Company Name/Individual Name)
Plumbing Sub -contractor for Cooke Construction, Inc.
(Type of Trade) (Primary Contractor)
For the project located at 61 Nettles Blvd, Jensen Beach, FL 34957
(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, 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:
For. Him Plumbing, LLC
Address: P.O. Box 1355
City/State/Zip: Jensen Beach, FL 34957
Phone: 1_11� email
SIGNATURE -PRINT NAMEDATE
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF _/-' / iOYCA , 20�
BY y�Gt��' 17Gt M/%0/�IGC WHO IS PERSONALLY KNOWN OR HAS
PRODUCED �r �• V� r s n c e AS IDENTIFICATION.
(;_d l - //0 / Gf �i/C/� �• / /(J14� (STAMP)
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS: 08/06/2014
PATRICIA BS
MY9B592
E20t9rt: