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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CON RACTOR AGREEMENT St. Lucie County Contractor Certification Number. ?-d 70 State of Florida Certification Number (If applicable): C-Fe D l/3 b'2 6, have agreed to be the (Company Name/Individual lame) f Sub -contractor for (Type of T e) (Primary Contractor) For the project located at &-7 1.t Ae rvt Q r. 2,0 (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:e��i�� Address: q/L 5« c �.� �icic City/State/Zip: FIE a _t'r ' e _ -" l— �'qfyj' Phone: 'i % -" Ssis�'�l L'a 1 email: q" 6.4e'.'1Aed6a,&4 ..te7f SIGfi PRoe IGAME DATE_!�'� STATE OF FLORIDA, COUNTY OF c_;7Y/ THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF ���/ 20 PERMIT # I .'0 37ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: : aZ 6 7 State of Florida Certification Number (if applicable): — (0 ©�� TD e 5 �I- e- G 6 -/�5 C. P & have agreed to be the (Company Name/Individual Name) Sub -contractor for Cf Cd / /d )i i ��e s� Z • ,e_- (Type of Trade) (Primary Contractor) For 'the project located at 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: .16-lec7! 1e— z9� c� �Gv Ci 0 Address: TQom/ Lc .a olIp_ �z City/State/Zip: 7' , e/G� —= ,75,-;, 9,Fa. Phone: 77.E 3yed=' 2363 email: (-7..vooZ ,oy6NATURE �P�RINT NAME DATE STATE OF FLORIDA, COUNTY OF a- I m,C ,Q _ THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS ,aS DAY O , 20A BY3i)S.ZOi1 "_0,'nJc>r\ SY-, WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. (STAMP) CC'C�.y I ATUIiE OF NO ARY P LIC PRINT NAME OF NOTARY PUBLIC SLCP]bS: 12/16/2013 MEE] State of FloridaMoilon EE038978/2014