HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # 0 Q.0 � , V
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMTr
SUB -CONTRACTOR AGREEMENT
Accurate Pool Plastering, Inc.
.(Company Name/Individual Name)
the Plumbing
(Type of Trade)
For the project located at 5602 Eagle Drive
SCANNED
BY,
St Lucie Count
have agreed to be
Sub -contractor for -Accurate Pool Plastering Inc.
(Primary Contractor)
(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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
— Z"9"
CO OR SIGNATURE (Qualifier)
J mes A. Walker
PRINT NAME
CPC1458527
COUNTY CERTIFICATION NUMBER
State of Florida, County of Fl
The foregoing instrument was signed before me this 28 day of
Dec 20 K, b ,James A. Walker
who is personally (mown /or has produced a
as Identification.
signature of Notary Public Lary PubT
C WIon
IC Sfitti of Florida
lon
My Commission GG 167956
�at) Expires 12J1312021
'rint•Name of Notary Public
Revised 11/16/2016
ONTRACTOR SIGNATURE (Qualifier)
a-fV�•G�. GJcrt?ft�
PRINT NAME
R
COUNTY CERTIFICATION NUMBER
State of Florida, County of S4.
The foregoing Instrument was signed before me thisr� day of
20 $ by
who is personally (mown or has produced a
'r
d.• Nbtuy.PublW
_ : •? ' `Commission
Gl.iIJ`Wr-/
STAMP
illy. •. :
e of Florida
i 032901
NolaryAssn.
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Accurate Pool Plastering, Inc.
(Company Name/Individual Name)
the Plumbing
(Type of Trade)
For the project located at 5602 Eagle Drive
have agreed to be
Sub -contractor for Accurate Pool Plastering Inc.
(Primary Contractor)
(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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONT OR SIGNATURE (Qualifier)
J mes A. Walker
PRINT NAME
CPC1458527
COUNTY CERTIFICATION NUMBER
State of Florida, County of FI
The foregoing instrument was signed before me this 28 day of
Dec 20_ b James A. Walker
who is personally known Z.r has produced a
as identification.
01 Ck) P
Signature of Notary Public tary Pubic tale of Florida
C W Seton
/� y�c My Commission GG 167956
L0 �iC� orw Expires 1211312021
Print Name of Notary Public
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20___, by
who is personally known or has produced a
as identification.
of Notary Public
STAMP
I,
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):
(Com any Name/Individual Name)
���-iiZ1Z1Ll�
(Type of Trade)
EL 1�6`IZS
H 11�-TT-t�W_<,
have agreed to be the
Sub -contractor for Aecumr P=- rL,,y,1-r-(z1N(v lw—..
(Primary Contractor)
For the project located at 5Ifo 9- Eno le--c> . /3/ ,;I S 00 aC.-'9/ oo(�a
(Project Street AdNss 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
l�lE REEQ�UIRED
j.
Business Name: ' OHS we'
Address
City/State/Zip:
Phone: (TO IJ-TI -70fl
t a # .4 a - -_,,
email: 5AV5W M15 `YA Z,COM
SI PrUIRE PRINT NAME STATE OF FLORIDA, COUNTY OF -54 -- /-a
v/zc�'1Za7
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS o DAY OF 2V %
BY ��T ptiJ ��ws WHO IS PERSONALLY KNOWN TOR HAS
PRODUCED AS IDENTIFICATION.
'•�". g ALKER
�`.s Myoo"ISSION#FF784043
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC "�i'' n" WIREOowember 16, 2018
man 99"I53 FlorjballotmService.00m
SLCPDS: 12/16/2013