HomeMy WebLinkAboutSubcontractor agreementsPLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
- SUB CONTRA
_��`�c I I G -will be using the following sub-contraetors for the -
_1b
(Company/Individual N me)
- - ---- -- ..-�rojectlocated at
(Street address or Property Tax ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St Lucie County.
Trade
_
Name of Company/Contractor
St: Lucie County/
State of Florida
License Number
Electrical
Plumbing
HVAC/
Mechanical
Roofing
C Qf
- Gas
Y:
PERMIT NUMBER: ISSUE DATE:
�''i��- ��L�
PL Vilding
ING & DEVELOPMENT SE VICES
& Code Compliance Dion
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
(Company Name/Individual Name)
elt C I j U-GL sub -contractor for
(Type of Trade)
have agreed to be the
(Primary Contractor)
for the project located at ) � . � iUe+4 lc S A I uc , aw z �en 6ec.c L F1
(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 ofthe Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address: IJ h- / NQT'tle C InI U&I .J-fej%to f-3QaeMI rt_
City/State/Zip: S G k Gc u Ste")
Phone: % 7 ,� �3 — 6�a email: S U_ i=m �_4/�1 ► • C' O /✓►
ICA_ a ao1_1�
SIG TURE PRItTINAME DATLf
STATE OF FLORIDA, COUNTY OF /!
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 6 DAY OF , 20-&—
BYvi,i&N((J WHO IS PERSONALLY KNOWN _ OR HAS PRODUCED
IDENTIFIC IO (STAMP)
I
IGNATU OF N ARY P LIC PRINT OF NOTARY PUBLIC
OFFICE USE ONLY:
PERMIT #
AUDREYO.HUMPHREY
MY COMMISSION N EE 061159
EXPIRES: March 5, 2015
Bonded TM NAVY i ubl4t IJndel�` a
PL Auilding
NING & DEVELOPMENT SE VICES
& Code Compliance lion
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
G
Name/Individual Name)
sub -contractor for
(Type mde)
for the project located at
la 6 -) /Vey )e c 12L
(Project Street Address or Property Tax ID
have agreed to be the
(Primary Contractor)
rL `1iS;�
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)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone:
77a-3w-969-a
,(t 1, (_L rn
a dC)r s.
I ATURE PRM NAW DA E
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS. & DAY Wlk - , 20_
"O IS PERSONALLY KNOWN _ OR HAS PRODUCED
STAMP)
A "61,ENTIFIC r tv
GNAT E NOT RY P LIC ;;li PRINT OF NOTARY PUBLIt
AUDREy8g. HUMPHREY
MY COMMISSION # EE o1159
EXPIRES: March 6,
Bonded Thru Notary Public U_� ltery
OFFICE USE ONLY:
PERMIT# ISSUE DATE