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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE a -M1 ' _�._... PLANI�JING & DEVELOPMENT SERVICES Building & Code Compliance Division ,COUNTY\ • BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida,Certification Number (Irapplicabie): t1 l _ 0-4. (C ompany Name/lndividual Name) have agreed to be the t e¢ Sub -contractor for, A 4, PolnIS it) LA (Type of Trade) (Primary Contractor) For the project located at ! lh (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. �G &U, �_G Address: Q p`j�� City/State/Zip: W , Q •` ` 1 Phone: Is - to 1.� DATE STATE OF FLORIDA, COUNTY OF POUP4 1 �y` G THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS L7"' DAY OF ZO BY' IHagrice W. D-a.— WHO IS PEPSONALLV KNOWN V OR HAS AS IDENTIFICATION. 1\ Jennifer A. Sawyer AME OF NOTApty Pinar. 6/20I3 �'01 Pub. Notary Public State of Florida r° Jennifer Sawyer a My Commission DD975986 Expires 06/05/2014 OF - �. SST Notary Public State of Floric M Jennifer Sawyer W ? My Commission DD975986 Expires 06/06/2014 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 25959 State of Florida Certification Number (if applicable): CPC 14 5 7 9 0 2 A & G CONCRETE (Company Name/Individual Name) PLUMBING (Type of Trade) have agreed to be the Sub -contractor for A & G CONCRETE POOLS, INC. (Primary Contractor) For the project located at 400 IV AIA (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: A & G CONCRETE POOLS, INC. Address: City/State/Zip: Phone: 410 SAEGER AVENUE FORT PIERCE, FL 34982 7 email: T. LEONARD ,3.11-1 q ffiGNAIVRE P1RIN/T' 'NAME DATE STATE OF FLORIDA, COUNTY OF THE FO GOING INSTRUMENT WAS SIGNED BEFORE ME THIS 10"DAY OF I "WkJ__\ , 20 14 BY Am�e.O L.0 WHO S PE AP1L LY KNOWN OR HAS PR UCED AS IDENTIFICATION. TRACEYw. McGHEE (STAMP) NOTARY PUBLIC S1rGN`,kfUR& Of NOTARY PUBLIC PRINT C Cam * EE12D736 SLCPDS: 12/16/2013 W Expires 8/10/2015