HomeMy WebLinkAboutSub-Contractor AgreementPERIEWkI'.'7DINOV 2 0 2015
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 28371
State of Florida Certification Number (Nappficable):
Pools by Greg, Inc. / Terry Wix
(Company Name/Individual Name)
Plumbing
(Type of Trade)
For the project located at
CPC1458338
have agreed to be the
Sub-contractorfor Pools by Greg, Inc.
(Primary Contractor)
(Project Street Address or Property Tax ID 4)
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. 0o4 oo)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone:
8886 S Federal Hwy
Port St Lucie, FL 34952
772-337-9713
Terry Wix
SIGNATURE PRINT NAME
email: office@poolsbygreginc.com
DATE
STATE OF FLORIDA, COUNTY OF '17- &I-r—'a //� I `t i /
THE FOREGOING INSTRUMENT' WAS SIGNED BEFORE ME TMS YDAY OF O %r 920
BY �2R i vv X WHO IS PERSONALLY ]KNOWN OR HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION
PRINT NAME OF NOTARY PUBLIC
P ��P NY
oar �e��., MARIc E. KNOWLES
r: Notary Public - State of Florida
My Comm. Expires Dec 16, 2016
",rFOFF�o`` Commission # FF 125001
��unua.
(STAMP)
-�2o;�ayP�„��� MARIc E. KNOWLES
.. s Notary Public - State of Florida
My Comm. Expires Dec 16, 2016
Commission # FF 125001
RECEI`.' _D NOV 2 0 2015
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUII.DING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 1 984
ep
State of Florida Certification Number Cifapplicme):
Payuk Electric/ Robert Payuk
(Company Name/Individual Name)
Electrical Contractor
(Type of Trade)
EC13b01275
have agreed to be the
Sub-contractorfor Pools by Greg, Inc.
For the project located at 3 .30? 9 ,t/W r
(Project Street Address or
(Primary Contractor)
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 SIG.NA'TURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone:
2501 SE Calusa Ave
Port St Lucie, FL 34952
772-337-4197 email: bobtomiz@bellsouth.net
Robert Payuk
PE // PRINT NA/ME OF FLORIDA, COUNTY OF
DATE
1
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 6 DAY OF NOV 201 `5
BY ' `6V)e r t {1' C WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS ]IDENTIFICATION.
�l � - C • !� Yl o ccJl �P 5
PRINT NAME OF NOTARY PUBLIC
(STAMP)
-
_°� MARI,- E. KNOWLES
Notary Public - State of Florida
My Comm. Expires Dec 16, 2016
Commission # FF 125001