HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 2c6d2
State of Florida Certification Number (If applicable): E CA —OP00 I LO_G
V i xazlo,� k:�AeS Lc, have agreed to be the
( ompany Name/Individual Name)
r6kic Sub -contractor for Q e,
4un-'s
(Type of Trade) (Primary Cont actor)
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:
Address:
City/State/Zip: L
Phone: 1�2-^^ �3 email: S Gal' �['YN
MC
S TURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF bacik—THE
FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS ' —DAY OF , 20
BY !�AGA� WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS: 08/06/2014
oM"r'��'ei''. BRENDA MARTINEZ
• . : Notary Public - State of Florida
�Nf9! arc My Comm. Expires May 31, 2015
,'QPFFI�a:` Commission # EE 98807
OR
W
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 (lfapplicable): I H 1025264
QUALITY HOMES/DWIGHT DOUGLAS
have agreed to be the
(Company Name/Individual Name)
PLUMBING Sub-contractorfor DWIGHT DOUGLAS
(Type of Trade)
(Primary Contractor)
For theproject located at Lail N US HWY LOT 117, FT PIERCE
(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:
LAKELAND, FL 33810
863-608-2670
email: nancyarmstrong6l@gmaii.com
DWIGHT DOUGLAS
GNAT PRINT NAME
STATE OF FLORIDA, COUNTY OF POLK
11 /20/2014
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 08 DAY OF DECEMBER , 2014
BY DWIGHT DOUGLAS
PRODUCED FLDL
a�,, ma"-'e, -
SIGNATU OF NOTARY PUBL
SLCPDS: 08/06/2014
WHO IS PERSONALLY KNOWN X OR HAS
AS IDENTIFICATION.
NANCY MIMS ARMSTRONG (STAMP)
PRINT NAME OF NOTARY PUBLIC
NANCY MIMS ARMSTRONG
T�
t MY COMMISSION 4 EE059652
�'.OF . •o'`" EXPiRES January 30, 2015
��
407 308 0153 �IarltlallotaryService.com