HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # I St Lucli9
PLANNING .& DEVE.
Building & Code
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):, _
(Company Name/Individual Name)
(' 1 0,T)C.1C11`3.( S1
(Type of Trade)
For the project located at -15�,
(Project Street Address or.
It is understood that, if there is any change of status
project, I will immediately advise the Building and
Change of Sub -contractor notice. (Form: SLCCDV (No.
BUSINESS QUALIFIER (Name of the Individual
NOTARIZED SIGNATURES ARE REQUIRED
0
Business Name: LJ D k7l\\C_C i r_ 1Z
Address: 15 W
City/State/Zip: , i`L1 '?t C--ZC-C.L I
Phone: % 7 z - qS1 _Z1 9 (0 emai
ISSUE DATE
OPMENT SERVICES
;ompliance Division
PERMIT
R AGREEMENT
for
Lo
MAR 2 0 2018
ST. Lucie County, permitting
have agreed to be the
-b eaeafwen-A
(Primary Contractor)
'an .#. 31(3,3 - 7oz- CAN- cm -
Tax ID #)
.ng.our participation with the above mentioned
Department of St. Lucie County by filing a
on the Contractor's License)
SIGNATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF S_�����' `'P
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS Jai_ DAY OF �� , 20\%
BY C , V`n 2 I WHO IS PERSONALLY KNOWN OR HAS
PRODUCED AS IDENTIFICATION.
(STAMP)
ATURE OF NOTAR UBLIC PRINT NAME" OF NOTARY PUBLIC
SLCPDS: 12/16/2013 t,aY ru
� e' ; •••.;�% BARBRA A. GOODMAN
* * MY COMMIS61QN ri FF 101341
N t EXPIRES: March 12, 2018
��'0PP Bdndedihru Budget NabyServfces
PERMIT # _ ISSUE DATE
PLA?efWG .& DEVELOPMENT SERVICES
Building & Code Compliance Division
St. Lucie County Contractor Certification Number:
State of Plorida Certification Number (ifmucaw.,
(Company Ni me/)r► WdndNalne)
(Type of Tye )
For the project located at
BURRING
;o luaA —12ol
(Project Street Address or.
It is understood that, if there is any. change of status ri
project, I will immediately advise the Building and Z<
Change of Sub -contractor notice. (Foy sLccav (No_
BUSINESS QUALIlHER (Name ofthe hdm&w
NOTAMED SIGNATMES ARE REQUMED
Business Name: AA /1 k 4P f, s 10/i m6in t
AGREEMENT
for
(Primary'Contractor)
Tax ID #)
=RECEIVED
have agreed to be the
3los w 7az- OC6 q- doz-
out- participation with the above men Uoned
Department of St. Lucie County by filing a
on the Contractor's License)
DATE
STA'1<'E OF FWWMA., COUNTY OF
THE FOREGOING YN3Tiii711fENT'PVAS SIGNED WrO4 hxE T$L5� DAY OF ��V. \ . 20,
BY �j CL� \ �� WHO IS ]PERSONALLY ENO OR HAS
PRODUCED AS IDENTWCATION.
S1G TURF OF NOTARY POUC
SLCPDS:12/16/2013
PMT NAri S OF NOTARY MRLIC
°tier Nail • BARBRA A GOODMAN
* MY COMMISSION f FF 101341
EXPIRES: March 12, 2018
'BondedThruBudget NobryServias
I
I
I
WG05:Z0 810Z/0Z/E0 (DA130id
(STAMP)
I i
PERMIT # I issue DATE
PLANNING .& DEVE.
Building & Code
St. Lucie County Contractor Ceatiification Number:
State ofFlorids Certification Number (Ifappliaable):
��Company Name/individual )
L w� i ►4nf 1 �
(Type of Trade)
For the project located at s')go 'burr AJ .ire
(Proj cot Street Address or.
It is understood that, if there is eny change of status
project, I will immediately advise the ]3uilding and,
Change of Sub -contractor notice. (Form: SLCCDV (No.
BUSINESS QUALIFIER (Name ofthe
NOTARIZED SIGNATMUS AARZ REQUIRED
Business Name:
Address:
City/sute/Zip:
Phone: C Z
OPMENT SERVICES L
;Ompliance DivisionECEIVED
PERMIT ' 2 Q 2018
R AGREEMENT
County, Permit)
C l I� . I ►JG have agreed to be the
c for I�dC� �Cf fi� o+.�� w ►a c5 lot
(Ptimary Contractor)
Ci ZYMG-5,1� C �
ID
ng our participation with the above mentioned
Department of St. Lucie County by I 'Ring. a,
304-00)
shown on the Contractor's License)
i :�Z7rI�i'G:l7AFlyimli 1Amff P1PG:AS:wCtCt�
SIGNATURE JVR)NT NAM
•
STATE OF F S T L U G ZI
F-i (SQ 41)- rJ
03 ZW:l
DATE
LORIbA, CO (141T'Y ON
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF IW&1/ . ZOL$
BY 1,721ZM ,6' V XAi C /A WHO LS PERSONALLY KNOWN OR HAS
PRODUCED AS IDENTIFICATION.
(STAMP)
PA d» (!, a52o t rr
SIGNATURE OF NOTARY PUBLIC PRWT NAM OF NOTARY PUBLIC
SLCPDS: 12/16/2013
..'..% DAVID CARL DEWITT
!.: '1 MY COMMISSION #FF189208
EXPIRES January 17 2019
(s0 39"153 FloridallotaryServlce.com
KCl.tlVl=p
MAR 2 0 2018
ST, ,Lucie County, Permitting
PERMIT# ISSUE DATE
]PLANNING .& DEVELOPMENT SERVICES
Building & Code Compliance Division
AGREEMENT
St. Lucia County Contractor Certification Number: bl I rt
SMte of Florida Certification Numbet (If applicable):. CCC 13 306r,
(Compan Nameftdividual Name)
ti
(Type of Trade)
have agreed to be the
for 1RlA �'*O-Jb JPs17L�.!t'iot�
(Primary'Contractor)
For the project located at -5')g0 lu is •J 32o` i =bil 3!a3 - 70z- one q- am -
(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 QUAL'IER (Name of the Individual shown on the Contractor's License)
' I
NOTARIZED SIGNATURES ARE REQUIRED
Ausiness Name:
Address:
City/State/Zip:
Phone:
C iL cxsn
77 a - 3 -7 -70
SIGNATURE iv
r-
PRMT NAME DATE
STATE OF FLORWA, COUNTY OF &� __ LyLC �t° I
THE ]FOREGOING INSTRUMENT WAS SIGNED BEFORE1MY, T$%S� DAY Op' Z'Vl ZC-� 1 ; .20 L�
BY WH SillsY KNOWN OR HAS
PRODUCED ! AS 1(DENTIFICATION'.
(STAMP)
0cL,n K2
SIGNA Or13
TAXY PUBLIC PRINT NAM OF NOTARY PUBLIC :•;;� '='F-,; ROBERTBRUNKE
r . �1.`� `__ Notary Public — State o' Florica
SLCI'bS:12/lti € • = Commissior = GG '?oe72
My Comm. Expires May 12. 2022
i Bonded throughNaiona No:ar.vAssn.
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