HomeMy WebLinkAboutSub-Contractor AgreementPLANNA6& DEVELOPMENT SERVIO
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of
f� Florida Certification Number (If applicable):
(Company, Na'me/loividdal Name)
I1361022$
have agreed to be the
'ka'Asub-contractor for tal-t 066/m/.a.",
(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 (Name ofthe Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: aii4-L p iV('o o 15'TG'�M S � %'�1 A L l�jl �c
Address:
City/State/Zip: �
'
Phone: �%?2'�i"10 ' ��39 email:, f)
SIGNATURE PRINT NAMEE DATE
STATE OF FLORIDA, COUNTY OF _ f wit"
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF , 20I/
BY &AdQ U P,614L, WHO IS PERSONALLY KNOWN* -OR HAS PRODUCED
A IDENTIFwit
IO .
&012
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY P'
398-0153
OFFICE USE ONLY:
(STAMP)
GINA M PITTMAN
MY COMMISSION #FF036282
EXPIRES July 15, 2017
= � i
RECEIVED SEP 19''
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ( ��
State of Florida Certification Number (ifappiicable):
�S 7-t2r� ►r have agreed to be the
(Company Name/Individual Name)
\�, C. sub -contractor for �J, 14. _.;tr C
(Type of Trade) (Primary Contractor)
for the project located at wK 4/
(Project Street Addressor Property Ta D #)
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 personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
UALIFIER (Name of the Individual shown on the Contractor's License)
Eva;,. `.
e rs !?_ / 8 ' l 3
SIGl� TUBE PRINT NAME DATE
Business Name: 1"70 1 C
Address: Le ( e_ _ !(�/
City/State/Zip: 30 /7 m ✓1 32ccG L .3 / a CO
Phone: email: <aco1
OFFICE USE ONLY:
PERMIT # ISSUE DATE
VTD SEP 1�1i
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
..; ' BUIILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
s x SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:��
State of Florida Certification Number (If applicable):
4E have agreed to be the
(Company Name/Individual Name)
S sub -contractor for 4)
(Typ4 of Trade) (Primary Contractor)
for the project located at 6
(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 personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
/!...i/ 2& �rii. /��L
: PRINT l DATE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
PERMIT* ISSUE DATE
t3ot-oaa� .
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DMSION
BUILDING PERMIT
SUB-CONTRACTORAGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (ifappiicabie):
�• 1� �,�e.C��\ C �� C'. have agreed to be the
(Company Name/Individual Name)
E le c,Vit\ C o_ 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 personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
Business Name:
Address:
City/State/Zip:
Phone:
QUALIFIER (Name of the Individual shown on the Contractor's License)
TUf&ES ARE .REQUIRED
TE: im %14, �f IZZI
PRINT NAME DATE
0
OFFICE CIE USE ONLY:
PERMIT# ISSUE DATE
I El
F
3-Lya 3f1SSi — �f LiWLl3d
:ouo-qd
5_ --�C`T_ �s 70 vop :ssaippv
:O=Mssauisng
lJ
alvcl Mw-t t INT&I
(osuoolq s,xopvguo7 oip uo uA'ioljs lellpinxpul OIR jo aule�, 'Halglrlvfl?) ssamisfiff
(00-too 'QN:
nCDOZs :urzo3) aol�ou aolo,exluoD jo a�ugo n �urlg SlImosxad Sq r4unoD o nq -IS jo
luou4avdo(l BU-M Z pur 2Tzlplmg oTl, os, SjojtjpQu=j %A r rjoofoid pouolluolu onoqu
oqj qjjm uoTjedzoivpd xno 3uT9az sna'a1s jo o2wep ,dun sT oiogl jz Tetll poojsxapun. st iI
(# cli xsy Swdord jo mippd w4S roCoad)
- �I palnaol Toafotd aql' xaj
(.roloexiuoZ) dxstuuJ _ (3prj.Ljo a"
(ow.g pnpinipu ur &T /.usdwoD)
oTlj oq of pooat zmeq
:(atgm,jdd 31) ngivnX uonvognToOuppoIdjo OMS
:-,aq=N uoproggioD xolowoo 4uno:) aPn'l 'IS
.Llwwjf a OivaQt`ma
�( ��77rr��g�����M�(4�ISL7AIG��sYYtorl�®(I�,�.`�r�g�"��tt(���77Offa,T��{7HSS5�r1pp0r 3 vey9mr (fy,'� �7.�[l��7T�7q.�
Julj L1�/it. HV&d([ �, HDIAU `aS �.8�1@1.i11VUO .L& -HU ' 9.L'Q,9.1�1Ci 1" rlJ
----P-LAN-NiNG-&-DF,-VIELOPAHNT-StRWCta-DEPA-RTMI?qy"''CZZ..,,_,.
__B_UOLD]NG- &C DE -REGULATIONS -DIVISION
BUILDING PERMIT -
-gUWC-ON-T-R-A-C--T-OR-AGREF-MYE7--- -
Contr-
---St.-Ludw awly actor C dn-Number.
0,
(Company Nam@IndividualName)
AA1JQ
have agreed to be the
(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 personally filing a Change of Contractor notice. (Form. SLCCDV
No. 004-00)
Individual shown -on the_Contractor s Lioenw)__
BUSINESS QUAL IN ER- (Name of the
ORIGD;AL SIGNATURES ARE REQUIRED
PRINT NAWA
D 000.
Business Name:
A
Address:
City/State/Zip:
Phone: email: Z4
nWW1FrW TTQW. t11%TF.V!