The URL can be used to link to this page

Home My WebLink AboutSub-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 Nj�mBber (If applicable): �:( I0p,149 2.r (Company NamV/Individual Name) Sub -contractor for (Type of Trade) For the project located at __161 have agreed to be the (Primary Contractor) ject 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 SIGNATURE`S ARE REQ D Business Name: 1 t�fY\t. 5 16 I J t Address: — / ,,�yl® lei � City/State/Zi : Q C[ O �l . 3 �� 2 Phone: - 15-1^ 6 iS9 email: Aon-,as granriz,( SIGNATURE NAME STATE OF FLORIDA COUNTY O DATE THE FOREGOING INS UMENT WAS SIGNED BEFORE ME THIS DAY OF 20� BY r W40, WHO IS PERSONALLY KNOWN OR HAS AS IDENTIFICATION. (STAMP) SIG-ITATURErF NO; 1RY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS• 12/16/2013 ;=o4ci NANCY MIMS ARMSTRONG m°" MY COMMISSION # EE059652 -'��eF6 ��`, EXPIRES January 30, 2015 (407) 3 ,8.0153 FlohdallotaryService.com 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): `f -6-`NS have agreed to be the (Company,ame_/Individual Name) J Sub -contractor for (Type of Trade) _ (Primary Contractor) For the project located at - Nt (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 SIGNATU S AREREQUIRED Business Name: Address: L4 (0 (0 L00, City/State/Zip: Phone: i c7 � SIGNATURE T NAME DATE STATE OF FLORIDA COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 920 BY { J'VI 1 ,D K ct r� In WHO IS PERSONALLY KNOWN OR HAS AS IDENTIFICATION. (STAMP) E OF NOTARY PUBLIC 104Y .*X., NANCY MIME ARMSTRONG i• o_ : MY COMMISSION # EE059652 pOFF EXPIRES January 30, 2015 (407) 398-0153 FloridallolaryServicexom ISSUE DATE PUNNING & DEVELOPWNT SFRVICES rw Building & Code Compliance Division I 1.- 4, 311 BUI1D M, PERMff �L'B-MVMAMR AGREE ME-PiT tx% 1401 aw L have agreed to be the Sub-con=tor for GrUNI P (Primary Contractor) Flu the M *-Cl I ix-sted at It 4 Undm-k\od that, if them is anN,change Of status regarding our participation with the above mentioned prqjocm I will im6'W i3tleh.' advise the Building and Zoning Department of St. Lucie County by filing a C,ham2,e ofStit,,-.ontracfor noticv-, (Feem SLCCDV (No. 004-00) BUSINESS QUALMER (Fame of the Individual shown On the Contrmor's Limw) ausims LLC— L Addrvm C44""'WozP� F1*0C entail: ILI L SIGNATUqK PRINT NAMk DATE STATE OFF.LORIDA. COUNTY OF Ojai- C, 4dQt , E THIS DAY 0 4:L 'OING IN C :: 2q-1-Y TtILT&�K �,�l L PERSONAL i J�C N By WHO IS PERSONAL MOWN—____.�OkIIAS CED AS IDENTIFICATION. M4 (STAMP) 0 0 NOTARY TRY PUBLIC PRllVTNAM OF NOTARY PUBLIC S 4 LCPDS: 12/16/2013 NANCY MIMS ARMSTRONQ MY COMMISSION 0 EE089652 Ni'ROF EXPIRES January 36, 20% 1401, 11B*015, PLA- —`-ING & DEVELOPMENT SEr-'-ICES ."ilding & Code Compliance Di',...on 1y63, 6�1iy BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: A S- L-( State/of Florida Certification Number of applicable): zo I Lt U A/ C_ have agreed to be the (Company Name/Individual Name) E_( -PGr{'� < G I sub -contractor for (Type of Trade) (Primary Contractor) for the project located at -7 6 / Al c 6(Tf R/ ze, (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: /� <�✓ S �r �c '�< �/�/ r ��C G c /'�/C Address: City/State/Zip: ,r L tY p� o�' .S'/d r�� Phone: email: J 8I9ATURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS . DAY OF BY AS IDENTIFICATION. WHO IS PERSONALLY KNOWN OR HAS PRODUCED SIGNATURE OF NOTARY PUBLIC OFFICE USE ONLY: PRINT NAME OF NOTARY PUBLIC 20 (STAMP)