HomeMy WebLinkAboutSub-Contractor Agreement( 1
PERMIT # ISSUE DATE
i
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
St. Lucie County Contractor Certifica
State of Florida Certification pNumber
/D®c06 16
am any aifie/Individual
+pe of Tra e)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Number:
Sub -contractor for
(Primary Contractor)
or Prdperty Tax ID #)
have agreed to be the
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise jthe 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 SIGN A RES ARE REQUIRED
Business Name: .. �dOIS' ap U1,4
Address:
City/State/Zip: /L(,GC.Ic31i %�S 3
Phone: % 2J,S 661 b email:
S PRINT N E DAT
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 20N
BY 1 Jr4l.� . WHO IS PERSONALLY KNOWN OR HAS
PRODUCED A ` AS IDENTIFICATION.
(STAMP)
Dt-- 1. B. J�U, 7
S AT F TAR LIC PRI T NAA9 OF IOTARY PUBLIC
P!�r"
SLCPDS: 12/16/2013
r ^� AUDREY 3. HUMPHREY
'5 MY COMMISSION # EE 061159 la
aQ€ EXPIRES: March 6, 2015
g�q:� Bonded Thru Notary Public Underwriters
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification umber:
State of Florida Certification Number (If apRlicable):
10629
COMFORT CONTROL SERVICES
ER13014969
have agreed to be the
(Company Name/Individual Name)
ELECTRICAL I Sub -contractor for POOLS BY VITALI
(Type of Trade) ,
For the project located at
(Primary Contractor)
McCARTY RD / 2333-234-0002-000-2
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. (Foirm: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Na4ne of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone:
co.,nr,ay- Clo,JMoRU Icc:S.
1501 SW BILTMORE STREET
PORT ST LUCIE, FL 34983
772-785-9010 email: LEAH.CCS@GMAIL.COM
WAYNE ZIMMERMAN
SIGNATURE LPRINT NAME DATE
STATE OF FLORIDA, COUNTY OF ST. LUCIE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS `� DAY OF ✓n b� , 20 ILA
BY �lJ A�+,n�z+ ✓���''�I WHO IS PERSONALLY KNOWN X OR HAS
PRO UCED AS IDENTIFICATION.
(STAMP)
C'�i!'IAT � TiTT T ATAT 1 Tom) TiTTi i!1 PRINT NAME F NOTARY PUBLIC
SLCPDS: 08/06/2014
efh R M Notary PState of Florida
� . Tracey ascola
My Commission EE 193340
ovw° Expires 04/2612016