HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor. Certification Numbe
State, of Florida Certification Number (If applicabte;
have agreed to be.the
(Company Name/Individual Name)
Sub -contractor for���
(Type of Trade) \(Primary Contractor)
For the project located at N
(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 of the Individual shown on the Contractor's.License) .
NOTARIZED SIGNATURES.ARE REQUIRED
Business Name:
Address: �o SQ) QL -!RcA
City/State/Zip:-3 yq a
Phone: ���- c�- �03'��1�� email:
SIGNATURE 0 PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY -OF h �, 20�
By, `So�i .0LA. WHO'IS PERSONALLY.KNOWN ✓ OR HAS
PRODUCED AS IDENTIFICATION.
(STAMP). . .
NTER
SIGNATURE OF NOTARY PUBLIC PRINT NAME F,: ;.._RY Pt;te of Florida
SLCPDS: 08/06/201
E , '78
,,otiP'�"r"n'`•: STELLA M HUNTER
°�,�, �.,•;
r�• s �- Notary Public - State of Florida ""�• "'4=" "�' "'�" `�
-•.
* •= My Comm. Expires Jan 23. 2015
•ark.
«oP�,. Commission # EE 31278
"'••��•`•� Bonded Through National Notary Assn.
PERMIT # ISSUE DATE
PLANNING.& DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicabte):
have agreed to be the .
(Company Name/Individual Name) Q
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 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 SIGNATURES ARE REQUIRED
Business Name: \\\V,\ (-N
Address:'�—_--,\ij�-
City/State/Zip:
Phone: email:
NATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS (10 DAY OF CJbber , 20_g
BY WHO IS PERSONALLY.KNOWN . Qz� OR HAS
P90DUCED AS IDENTIFICATION.
&(4w/ (STAMP)
IGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS: 08/06/2014
�►�'
Notary Public Stae of Florida
Roxanne Oester
My CanFF 095448
w 0i
Expires 08/27/201.
PERMIT # ISSUE DATE
PLANNING -& DEVELOPMENT SERVICES
Building & Code Compliance Division .
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor. Certification Number:
State of Florida Certification Number (If applicable):
have agreed to be .the
(Company .Name/Indivi 1 Name)
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 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 SIGNATURES. ARE REQUIRED
Business Name:�gd`,�.�
Address: M&\ N.
City/State/Zip:L.
Phone: email:
V
SiGNATUItE PRINT NAME DATE
STATE OF FLORIDA,. COUNTY OF : w c-\
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF iU , 20\1
BY V�QL�ZS ��c�C� WHO IS PERSONALLY. KNOWN L--OR HAS
PRODUCEDAS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
PRINT NAME OF NOTARY PUBLIC
~STELLA
•`aY
M HUNTER
« ?
e of Florida
',otary PubliLa
My Comm. En:23, 2015CommissE.31278
Bonded Throug: Notary Assn.
(STAMP).