HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: P) �5 6--)
State of Florida Certification Number (If applicabie):
have agreed to be the
(Company Name/Individual Name)
Sub -contractor for�n�e
(Type of Trade) (Primary Contractor)
For the project located at Z_Le
(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: oC\.. \13� (ZQ Q1•.�
City/State/Zip: `f—`L , Q C� L� Ri L J"�%a
Phone: email:
S NATUR PRINTNAME DATE
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS \ DAY OF Qp IT , 201&
BY .]d3�.`� 11 c� a h, WHO IS PERSONALLY KNOWN OR HAS
PRODUCED AS IDENTIFICATION.
(STAMP)
PRINT NAME OF NOTARY PUBirI��PH° PLeii STELIA M.
SIGNATURE OF NOTARY PUBLIC = Notary public - S eNcj Fiat da
a
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SLCPDS: 08/06/2014 4 `a�•; Commission # Ft 1ao552
�� �•. My Comm. Expires Jan 23, 2019
Bonded through Nationa� l Notary ftn
PERMIT # ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (lf applicable): Q_\ Q_ � aL
have agreed to be the
r (Company Name/Individual Name) lzt4
\j%,ne, 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: JQ \y. \\A� S Wrc� �S�M-mac•
Address:e-
City/State/Zip: 9-
Phone: �L\-c6�J1-���� email:
_Au-K fti 0- uieaj % ^ - jq-/-14
S GNATURE PRINT NAME OF DATE
STATE OF FLORIDA, COUNTY OF M p r f / el
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS i DAY OF 140 riL. , 20J_
By e• WHO IS PERSONALLY KNOWN +1--' OR HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
PRINT NAME OF NOTARY PUBLIC
p•4'ara���,,•
a
STELLA M HUNILR
+° •`�•;
NoPublic -State of Flo+i�;,
_• . z
. •;
Commission # FF 18055!
+'
My Comm. Expires Jan 23, ?0;
Bonded through National Notary Assn.
(STAMP)
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): ��� -\%,\
RS �»ZR
(Company Name/h4yidujil Name)
(Type of Trade)
have agreed to be the
Sub -contractor for��� )t\ N1_),�
(Primary Contractor)
For the project located ZS-NS �•Q�g
(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:
Phone:
0
6Douc 1 Its pin c.>✓ � • � - � b
MGNAY16RE kRINTINXME DATE
STATE OF FLORIDA, COUNTY OF S± L , X,
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF � '�pr'ti`.- , 20
BY \ nub t. —Zzx Y eCV_5�_ WHO IS PERSONALLY KNOWN BUR HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
(STAMP)
OF NOTARY U$,I,
1P LBO
STELLA M. HUNTER
Notary Public - State of Florida
=• : : •
Commission # FF 180552
My Comm. Expires Jan 23, 2019
Bonded through National Notary Assn.