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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT RECEi,.,-D MAY 2210 SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number:g7 3 q0 State of Florida Certification Number (If applicable): P-01 05 671 have agreed to be the (Company Name/Individual Name) n k/ j� C_ Sub -contractor for, rQ b np-- l ��i� ucb� (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 -7 -2Q -E5- y 3,l SU?N_A PRINT NAME n STATE OF FLORIDA, COUNTY OF 6" a ( ( boil /N 0 OrT l., DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 1% DAY OF 2016 BY —D'X pq 1'e— l sha W V 21/ WHO IS PERSONALLY KNOWN PRODUCED 20 AS IDENTIFICATION. SIGNATURE OF NOTAR4 PUBL SLCPDS: 08/06/2014 PRINT NAME 014 NOTARY PUBLIC OR HAS (STAMP) TENAYA GRAY NOTARY PUBLIC STATE OF FLORIDA Comm* FF133183 Ewires 8/16=18 s PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Co mpllianee Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 2`73(a,(Q State of Florida Certification Number (If applicable): r& IW L} S 7 Name/Individual Name) !?I���,1NG- Sub -contractor for (Type of Trade) For the project located at (Primary Contractor) (Project Street Address or Property Tax ID #) have agreed to be the 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: 4/ 1QS f� S F�%n✓/tiiJALL, 0-0 AggA c. amku Address: City/State/Zip: �i`�.V(Q✓�-(� �/� 7 Phone: 772. — zV— Z3 6 email: _Q yyQ�ll �Im" b, 4 VA�j b;11..IIZ4. //&-- E�mo 5// 9/ = SIGNA URE RANT NAME DATE STATE OF FLORIDA, COUNTY OF. ,-/, Vgtj THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF , 20r� I kJ BY V WHO IS PERSONALLY KNOWN OR HAS PRODUCED /7 _ AS IDENTIFICATION. / Sr - (STAMP) PRINT NAME OF NOTARY P BLIC �s�;•. OF N TAR LIC ���: •,� ON, BRANDI L MURRAY G/ MY COMMISSION#FF042427 ''� o" EXPIRj:S January 29, 2017 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division RECEr 1, r • BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: lq (O t State of Florida Certification Number (if applicable): rc coc 30 (Company Name/individual Name) L.E.CIP4 Col, I Sub -contractor for (Type of Trade) For the project located at /ABC (Primary Contractor) (Project Street Address or Property Tax ID #) have agreed to be the 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) �, '► a r. E :�: Z i�l� �%F Business Name: Address: City/State/Zip: r—,_ PUM-AC 71WG, IAC Pho 77r- 3?©-57755_ email: DCV-RtA1C f AkT--ivy. ,AU6EJ_MA-AllU S GNAT PRINTNAME l STATE OF FLORIDA, COUNTY OF ,r1/iy��� DATE THE FOREGOING INSTRUME WAS SIGNED BEFORE ME THIS DAY OF 20 BY WHO IS PERSONALLY KNOWN�OR HAS PRODU D SIGNATURE OF NOT Y PUBLIC SLCPDS: 08/06/2014 AS IDENTIFICATION. Dorise C: Virglio PRINT NAME OF NOTARY PUBLIC ,001OP�SE C. V/VAX SSI er22, FAA • � dim; s- #FF048192 : T, PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division - BUILDING PERMIT SUB -CONTRACTOR AGREEMENT REcEl St. Lucie County Contractor Certification Number: 5-� 17-Is- � *D MAY 2 State of Florida Certification Number (if applicable): L have agreed to be the Compa y Nade/Individual Name) , Sub -contractor for Spar e. l �� ��h t (P n'n__ (Type of Trade) /(Primary Contractor) For the project located at ,5 l/e ��s (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,� O p p /'9 C Address: &7 1 City/State/Zi �� `` lf- '_ r.77� �/ � eF2� Phone: %%Z • YCP�o (1d cl1 :) email:— 4 K a-✓ ��l �s�� �. 4� �yt 1 (/Ulu I -71f 5- ��� ��� S SIGNA URE PRINt NAME DATE STATE OF FLORIDA, COUNTY OF ��fi - Z_z�_ (-L 1� 15 THE FOREGOING INSTIRUMENT WAS SIGNED BEFORE ME THIS -)—DAY OF Z , 20 BY W ,l �T WHO IS PERSONALLY KNOWN I OR HAS PRODUC D SIGN TURE O NOTA Y UBLIC SLCPDS: 08/06/2014 AS IDENTIFICATION. (STAMP) )Lo— PRINT NAME OF NOTARY PUBLIC a`\\���P\�J•DELGqO�//�����i ///,Wk;1 UBiiii%l