HomeMy WebLinkAboutSub-Contractor Agreementr�
PERW # ISSUE DATE
PLANNING & IDEVE]G®PN,Eri'T SERVICES
Building: & Code' Compliance Division
OCT 17 9016
BUILDING PERiYlIT
SUB -CONTRACTOR AGREEWIENT PER M ITTi NG
St. Lucie County. Contractor Certification Number St. Lucie County, r-L
State of Florida Certifteafiot) Number (Uappucablo): EC13Q04128
AC Quality Electric have agreed to bathe
(Company Nameadividual Name)
Slecttical Contractor Sub -contractor for CaiAtiantie Homes
(Type ofTrade) y
�(Primary Contractor)
For the pmject.locatedat5b59 NW RadeliffeA Way
(Project Street Address or Property Tar ID. r0
It is Understood that,if there is any change -of status regarding our. participation with the above mentioned
project, I will iminediately advise the Building and Zoning Departonent•of St. Lucie County by filing a
Change of.Sub-contractor notice. (Form: SLCCDV (No, 9.04-06)
BUSINESS QUALIFIER (Narne of the Todividual shown on the Contractor's License)
NOTARIZEDSIGhrA,TURE~S•ARF,REQUIRr-,D ,I
Business Name: A C QVek F'
Address: 2307 NW 115 Ave
Cityfstate 4: Coral Springs, FL 33065
Phone: 5614003836 ema�1 Rhynes@acqualityetectdc corn
a04 It 5�� Gary R. Evans 9/8/2016
SIGNATUM PRINT NAME DATE
STATE OF FLORWA, COUNTY of Broward
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME, THIS 8 DAY OF September 2016
By G Ok r.1 E V o w- > VViIO IS PERSONALLY KM1OWi X OR IIAS.
PRODUCED AS IDENITFICATiON.
Alan Capps W,IALAN CAPPS
p1 n end
SIGNATURE OF NOTARY -PUBLIC
PRINT NAME Or, NOTARY PUBLIY
C Notar Public - State of Florida
.
SLCPDS: oaiob/ZQIa CommissionFF 198934
i ,FOFFI°Po,� My Comm. Expires Feb 12, 2019
,�
" � � Bonded through National Notary Assn.
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: cpc1458019
State of Florida Certification Number (If applicable):
Fountain Blue Pool Service Inc.
(Company Name/Individual Name)
Plumbing
(Type of Trade)
cpc1458019
OCT 17 2016
PER,MITTi11I(;
St. Lucie Coro+, c
have agreed to be the
sub -contractor for Fountain Blue Pool Service Inc.
(Primary Contractor)
For the project located at 3050 NW Radcliffe Way
(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: '.r/WG /�oa
Address: P-n l VtSr�4 �K�.%b/
City/State/Zip: Wfs7— Foft.n Ft !9!3g11
Phone: S`7p�- / 4, ') - Q-2 !f email: CONSTRUCTION2@FOUNTAINBLUEPOOLS.COM
9.r Td�
iq •,mod!
—SIGNADR& PRINT NANJ&
q� AT
STATE OF FLO DA, COUNTY OF -7an4m
rg�
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THISJ�.r/ f DAY OF �F i ! , 20_L
BY `� �� � d / /(�=�J �" WHO IS PERS"W0101POWN OR HAS
eo��°� 5� VIGG/q�%o�
PRODUCE AS IDENTIFIC�gsIONj�A�• ��
�oQm��ber 23, ao N
't •, a (STAMP)
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PRINT NAME OF NOT ARU�LI( Q
SIGNATURE O TARY L g'Lo'•.
SLCPDS: 08/06/ 14 B rIC
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