HomeMy WebLinkAboutSub-Contractor AgreementPl;,,A — T�TG & DEVELOPMENT SEhP, S
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SUR-CONTRACTOR AGREEMENT
St, Lucie County Contractor Certification Number:
State of Florida Certification Nx)mber (if applicable): 214— J >
'~-- have agreed to be the
(Company Nwne&&vidual Name)
6 VAL- sub -contractor for ice.ud�v
(Type of Trade) (PrimaryContractor)TN
for the project located at Id .d1�Cr/
(project Street Address or operty 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 wilding and Zoning Department.of St. Lucic County by ring a
' f - Change of Sub -contractor notice. (Form: SLCCI)v (No. 004--00)
�USIXESS QUA W R (Name ofthe individual shown, on tho Connector's License)
NOTARiZEA SIGNATURES A]RE REQUIRED
Business Name:
Address:
civstate/Zip: C i O) ,—i
Phone: Z G q email:
a3st.n l<2c,(a��1. 60,yn
b` 1- —12
TGNATCJI PRINT 1gAW DATE
STATE OF FLORMA, COUNTY OF - 0
THE FOREGOING INSTRUMENT W4S SIGNED BEFORE = TIM _2 DAY OF O� 4.20 A 5
i a
k r I O IS PERSONALLY KNOWN �. OR RAs PROmcm
A$ NTIFICATION. _
. Z \ S
SIG OP' NET Y PUBLIC
,-,, : rRINT NAM OF NOTARY r LIC
OMCE USE ONLY:
DATE
PI A11'mrvNG & DEVELOPMENT SERV�rKS
11, _ ling & Code Compliance Dmsi,a
WILDING IPERWr
SUB -CONTRACTOR AGREEWNT
St Lucie County Contractor Certification Nuimber:
We ofporida Cepcation Numuber Of appUcolc):
have agmed to be the
(Company SamOln—Svidug Name)
sub-cornracW for
(Type of Trade) jV6ary Contractor)
for the project located at /��, � � > OC45F ,D e
(PMeat Street Address or ProverW Tax ID
�7,
It is understood that, if there is. any change of status regarding our participation with the above mentioned
project, Twill immediately advise the Building and Zoning Department of St, Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. Ot> OO)
13USIi1V.ESS QUALD-UR (Noma oFtbe Iridividnai shown on the Contractor's License)
NOTARMD SIGNATURES ARE REQiT =D f
Business Name: Accuplff-rc LF—C--MICO COH �f C-rlA[4, I-V C.
Address:
City/State/Zip:
941
/OAT -�% I—uCtF � Ft— 3i 9,5-a
77a- 370—.57SY. email: pei�,P4JCY 92, NC�
1JG1''I40
3/ 6—
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME UN ,�„ DAY OF 2C
BY r VSO IS PERSONALLY XNOWk_ OR HAS PRODUCED _
As E M' CAATION. r Dorise C. Virgilio
,
SIGXATURE0FNOTAXYxftL1C ,-.:ii : PXMT NAM OF NOTARY PUBLIC
OFFICE
15a-a- 0-511
.��`�04�\SSS10,9G�/O
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o S 6FF 048192
PLAN";',NG & DEVELOPIVRNT- SER TS
I.___ ,ding & Code Compliance ]Divi-_.
BURMING pERWT
SUI-CONTRACT011 AGRMNINT
.>
St Lucie County Contractor Certification Number:
State of Florida Certification Number C'
(If appiica6le):
have agreed to be the
(Compapy Name/Tiadi',Mwl Name)
sub -contractor for
(Type of Trade) Contractor)
for the project located, at
(Projoin Struet Address or properly Tax TD
�7--Wlv�
R �7
It is understood that, if there is any change of status wgarding our participation with the above, mentioned
project, I will :immediately advise the Building and Zoning Department of St. Lucie County by f&g a.
Change of Sub -contractor notice. (Dorm: SLCCDV (No- ow-oo)
WSMSS QUALUTII1R (Nanne ethe Individual shown bn the Contractor's License)
NOTARIZED SIGNATURESARX, REQUMED
Business Name: Ca
Address: dV. .SQ E—' _
Phone: <!ZaS:-7 ) ONSktsvc��1�,G •Coin
$IG ATUn PXR- Tr NAIViE DATE
STA OF l?Xr0 4COUNTY OF '-hh
TITS FORE\ GQI�G Y1�TSTXtUN[Ii,N'r WAS SIGNED BEFORE ME TIYIS. DAY.01? , ZO S
$Y Ko lt\ c WHO IS jLsoNAI ,I,xsmn i ✓ OR RAS PRODUCED
AS TDE Ty (STAIV2)
Notary Public State of Florida
LIC$TGNATMr 01NOTARYXAC y P
y�. ss%n
OF Expires10/12/2016
O + sICE USE ONIX:
PERMrr# ISSUE DATE
16.6--k--�3� ki
yr` ST. LUCIE COUNTY PUBLIC WORDS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: I � b
State of Florida Certification Number (if applicable): C �_ C U 5, 7 s a
�.ou I In",
) u�V k' 1l,UYr,_ 1 C have agreed to be the
(Company Name/Individual Name)
�1� C sub -contractor for
(Type of T a e) (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 personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL GNATA URES ARE REQUIRED
IG6 PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
r__
email:
OFFICE USE ONLY:
PERMIT #
1- o,�_ ^ co