HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # 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): : I co��t q--<
have agreed to be the
Company Name/Individual Name) (]
c,,rrv6 Sub -contractor for
(Type of Trade) I (Primary Contractor)
For the project located at C7�� S� �C�a"'�� r
(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 1
Business Name: I Cwt S
Address:
City/S ip:
h P o �:";
_
SIGNATURE
lIcJ- ` —v `f (a �\ email:
PRINT NAME
/_zS _K�K-
DATE
STATE OF FLORIDA, COUNTY OF CL V _t z
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF , 20
BY I `�M �-'^ WHO IS PERSON LY KNOWN OR HAS
PRODUCED -;> L AS IDENTIFICATION.
ow�/ J /" f 421b2x, (STAMP)
SIGNXTURt bF NOTARY PUBLIC PRINT AME OF NOTARY PUBLIC
SLCPDS: 12/16/2013�
NANCY MIMS ARMSTRONG
Y PUB b" E059652
N#E
MY COMMISSIO 2015
=•:
""�'•'�` EXPIRES January 30,
QF,` Service.com
7.3 FloridaNotary
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: n n ' / /
State of Florida Certification Number (If applicable): (nA(!40_ �h7 % Y r
have agreed to be the
(C ppny Name/Individual Name) U
f Sub -contractor for o►� U( �'t.c.n
(Type of Trade) (Primary Contractor)
For the project located at /NZ- cS Dav-) —7-)r- Z.67
(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 SIGNA
Business Name:
Address:
City/State/Zip:
Phone:
ARE REQUIRED
email:
s
Af
y
SIGNATURE PRINT NAME
STATE OF FLORIDA, COUNTY OF
THEFOREGOINGINSTRUMENT WAS SIGNED BEFORE ME THIS 5- DAY
BY VA r1 WHO IS PERS(
PRODUCED C�'D L AS IDENTIFICATION.
SIGNA E F NOTARY PUBLIC =o4rnrv� •., NANCY MIF iMP.OPd�C
SLCPDS: 12/16/2013 a e MY COMMISSION # FE059652 1
EXPIRES JanuarV 30, 2015 I
(407)396-C153 Floddallo!-!yS
DATE
20
,Y KNOWN V OR HAS
(STAMP)
PERMIT# 1501-0318 ISSUE DATE
PLANNING & DE .ELOPMENT.SERVICES
Building & Code Compliance Division
BUILDING PERMIT
:SUB -CONTRACTOR' AGREEM ENT' RECEIVED
St. Lucie County .Contractor -Certification Number:,
25284
State of Florida Certification Number (1f applkable): EC # 1:300637Q 9 2015
Law's Electrical Service .In,c. s RPnlnI►�c
is '�f�e to kthe
(company Narne/Individual Name)
ELECTRICAL Sub -contractor for THOIVIAS .GRUNDEL
(Type of Trade) (Primary Contractor),
10725 S OCEAN DR 209
For the project located at,
(Project Street; Address or Property Tax ID 9).
It is understo6d that, if there is any change o€status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County`by'fil ng a
Change of -Sub-contractor notice. (Form:. SLCCDv'(No..004-00)
BUSINESS QUALIFIER (Name of the Individual shown, on'the. Contractor's -License)'
NOTARIZES SIGNA.'J[ URES ARE.. REQiJ1RF, D.
1
Business Name: l-. w S E) Pt k�.; i r✓r; �. +� _4 U In tt
Address: 5158'Nw Pdmm ST
City/State/Zip: Pt St' -Lucie FI 34983
Phone: 772 37b 4357' email.: lohnlaw5158Qao1.Corn;
1 /28/15
SIGNATURE PRINT NAME DATE
STATE OFTLORIDA, COUNTY.OF
28
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE,ME THIS DAY OF JAN , 2015_
BY --� Q T� I'`'
t _ WHO
BY KNOWN xXXX OR HAS
PRODUCED AS IDENTIFICATION.
„n (STAMP)
�rti�ir NA1 13 v m -e .rQ,_
SI NATURE OF"NOTARY PUBLIC PRINT NAM OF. NOTARY
KATFiR11NBUMBERA
SLCPDS: 08/06/2014 NOTARYAMiC
STATE OF FLORIDA
.. t'.onx * FFW133
Expires 3A M18
I
r SAFE HARBOR HOMES,LLC Fax:863-658-2218
�L
Feb 3 2015 10:02am P003/006
PLANNING & DEVELOPMENT .SERVICES
Building & Code' Compliance DIViSfon
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT .
St. -Lucie County Contractor Certification Number:
State of Florida Certification-Numbet (If applicable):
- I A
Sub -contractor far'
agreed to be the
' For tho project located -at _� Cn• ";-5' ' • ��� �{ r' (�
(Project Sfreet Address or Property Tax)D'#;I)
It is understood that, if there is any change of status regarding our participation with the. above mentioned
project, I wil immediately -advise the. BWlding and Zoning Department of St: Lucie County.by filing a
Change of Sub -contractor notice. (Form: S'LCCDV (No. 004-00)
$'Z%SINE►g►S QUALIFIER • (Name of -the Individual shown on the Contractor's License)
NOTAR)(7,EY1 SIGNATURES ARE ]!tEQUIItED '
Address:
City.. Statemip: ?j
Phone' ._ email
S TURE. ov
PRINT.NAME : DATE L(
STATE OF FLOPIDA,'COUNTY OF
THE FOREGOING INSTRUMENT WAS: SIGNED BE ORE NZ THIS � DAY OF 20 .By : ii' C.,t�L WHO IS• PERSON Y KNOWN OR HAS
PRODUCED .L.DC. AS IDENTIFICATION.
(STAMP)
SIGN X.P.UBLICPRINTNAME OFSLCPDSa 0$/0tFl�
014OTAVb1Ge .'NANCY MIMS ARMSTRONG
MY CDMM)3SION # EEOSDO52
EXPIRES,JenuM 30,•2095
' . (d07) 988.0153 FloridONo 9®nr)wsam