HomeMy WebLinkAboutSubcontractor Agreement` . 0512412013 08:23 EN
PeRMIT1t I88UM DATE
.... , �.,, •,,,..:,,:... PLANNING & DEVELOPMENT SERVICES
E Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SU&CONPRAC'TOR AGREEMENT
IDIq
the
('Type of Trade);
For the project located at
Sub -contractor ;for
Contractor)
have agreed to be
I '
It is understood that,; if there is any change of statue regarding our participation with the above mentioned
project, the Duildisig and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contz notice.
CONTRACTOR 510NATIJIM (Quolilier)
7, - �-,
VIUNTNAW
COUNTY CERMCA?i0N N is '� coUN7 Y 0$k: rFICA770N Sw;/
State of Flvrlda� County
e1C�',:_fesr� � Stitt of Florida. County o L� i
The foregoing lustrun►ent Was00ea n Tame ftV d e foragomg lottrurrwne xar sl ed 6e re e fbi4o_ day at
jQ by
who is peraoually IM13WR t 1has producctO a
as idtati won. / /1 /�-1
* *i
Revised 11ti51 alp:�
SHERRI FEHLMAN
Commission # GG 18T160
Expires March 14, 2022
BondedThm &40tW48ero00
81� a of Nofsry hUc
Print Name or No" Public
ot*R; P�e4 SHERRI FEH4MAN
Cumrnlsslon # 00 187160'
Expires March 14, 2022
9�OFF`OQ� bonded TNu Budgel Notary Services
- filing of a Change of
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(C m ny Name/Indiyidual Name)
the Sub -contractor for Z Q
(Type of Trade) (Primary Contractor)
i
For the project located at
F LNl1/JI
(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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
SUB ONT CT SIGNATURE (Qualifier)
kgs 6'� % < (-,d /''la '��J
PRINT NAME
notice.
CONTRACTOR SIGNATURE (Qualifier)
1&8 &,2-7-
PRINT NAME
e� 9?
COUNTY CERTIFICATION U1%1` ER
State of Florida, County
COUNTY CERTIFICATION bI�C��
State of Florida, County o T/ ,
The foregoing instrument was Aned before me this �60 dayof Thhee foregoing instrument was signed before me this ��day of
L.►( , 2t�, by
wh sonally known has produced a who is personally known r has produced a
T� � TT�-
p
Print Name of Notary Public
otv aue��c ; SHERRI FEHLMAN
�
Commission # GG 187160
j oe Expires March 14, 2022
C9rFOF fIOP Bonded ThM&XkJeiN*4
v I
Revised 11/16/2016
rSigture
i n.
STA STAMP'I
Not Public
Print Name of Notary Public
SHERRI FEHLMAH
COmmission # GG 187160
Expires
N9 of F�OQ\Oe 022
Bondod Thm Bodp March 2 �ys0r'1M
PLANNING & DEVELOPMENT SERVICES DIVISION
L N�52_1 T1151 BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
B I ING PERMIT
S u B C
TRACTOR SUMMARY
A) will be using the following sub -contractors for the
(Com5any/Individual Name)
project located 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 ediately 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
Zi' P 4 W,! �- W_ 36 � M"A,&
A.
HVAC/
Mechanical
Roofing
Gas
Wotbamm
ERMIT ISSUE DATE:
UMBER: