HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SEWS ICES
17Iding & Code Compliance Div_,— "M
-- - BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number af a licable
have agreed to be the
N
1�- sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at
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 ofthe Individual shown on the Contractor's License)
• I
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: J. A. T A V O R P N II N G
Address: 302 MELTON; DRIVE
City/State/Zip: F T ,PIERCE FJL,�. 3 4 9 8 2
Phone: 9// L 4 0 0. 4 U 4U Y am(, CO M
email:
V.J III � �•
SIGNATURE P NAME DATE
,�
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS iSIGNED'BEFORE ME THIS 66 DAY OF L20�_
rr
WHO IS. PERSONALLY KNOWN 1v OR HAS PRODUCED
MEDMICATI � (STAMP)
SIGNATURE OF NOTARY PUBLIC j i:.,; �; PRINT NAME OF NOTARY PUBLIC
OFFICE USE ONLY:
KAREN S'. NIELSEN
Commission # FF 115637
My Commission Expires
June 12, 2018
15oa) 13
PRODUCED 0 AS IDENTIFICATION.
4
SIGNATURE OF NO RY PUBLIC PRINT NAME OF NOTARY PUBL
SLCPDS: 08/06/2014
_T
PERMIT# lso _d�s� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEI t,TD SEP
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
have agreed to be the
(Company Name/Individual Name)
4 See- Ire- C Sub -contractor for
(Type of Trade) (Primary Contractor))
For the project located at �� �, �l�G�s�.,TH /Z
(Project Street Ad -dress 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: 11ZMA J 17 K
Address: f2wo 7Z- •,7 &emr Dx
City/State/Zip: 1---r. Pf�ze X�A- 3�1i�/45
Phone:
email:
SI ATURE PRINT NAME
STATE OF FLORIDA, COUNTY OF S T , 1- U C vlk
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS _a) DAY OF S p�' 92045
BY.� f \ q 1!4 `d c k WHO IS PERSONALLY KNOWN
tOQ��\\c s�eGa5�16 P �'
No�Gomm(Sl\No�a`S�
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gti
Y"
PERMIT# A5-03 — Q-2S/ 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):
RFclFl.
have agreed to be the
(Company Name/Individual Name)
Qc,J.,4b24 Sub -contractor for
(Type of Tr ) (Primary Contractor)
For the project located -at
t Street Address or Property Tax ID #)
r-z4- 3g?,115-
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 a
Business Name: / eUK
Address: L", &wktf PR_
City/State/Zip: 3141q5'
Phone: email:
1_07, /I!LK
ATURE 'PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF Uc`\�,
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THISaS DAY OF S-'?- , 206--
BY ( �T \ Ir. WHO IS PERSONALLY KNOWN OR HAS
J
PRODUCED 1, AS IDENTIFICATION.
,.�aV P�� , Nolary m Expires �e 85876,
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBL • » .; My commission
-. # ,oc Com ou9hNaional"10
SLCPDS: 08/06/2014 BondedThr y y
PLANNING & DEVELOPMENT SEWDICES
1 _ding & Code Compliance Di
IV! .v_, n
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ot �°-t-1 QF
State of Florida Certification Number (if applicable): I to
�I Qcicwe �� land Sort Pic have agreed to be the
(Company Name/Individual Name)
A I C and dee't", sub -contractor for
(Type of Trade (Primary Contractor)
for the project located at
(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 l
Q (Name ofthe Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: 610awefl a#14 $any Al c
Address: 3,-4 S4 L,Pcte laAe
City/State/Zip: Piewg ! R _ l hill
Phone: -Ir4-2— y61-1000 email:
S'.;GN2ZM PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF '. L LA_ C', iF,
THE FOREGOING INSTRUMENT WAS', SIGNED BEFORE ME THIS DAY OFQX(L4'I 20 ) s-
�
BY PrdL-B It CICI WE_l I WHO IS PERSONALLY KNOWN V OR HAS PRODUCED
ICA ,
SIGN URE OF N ARY PUBLIC
OFFICE USE ONLY:
11 j (STAMP)
PRINT NAME OF NOTARY P I����«. �•� AilONDA J. VINCENT
$� Notary PIraNC - 816te.01 Rodda
MY Comet. EXI f e Avg 28.2015
p r CoMFIdIS 0 i EE 91596
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