HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
R - C OR AGREEMENT
NEAR 6 2'018
ST. Lucie County, Permitting
A & W Concrete, LLC
(Company Name/Individual Name)
the concrete
(Type of Trade)
For the project located at 7301 Santa Barbara Dr.,
(Project Street Address or Pi
have agreed to be
for D C Construction & Company, Inc.
(Primary Contractor)
Pierce, FL 34951
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.
M&TRACtOR SIGNATURE (Qualifier)
David Van Ginhoven
PRINT NAME
30003
COUNTY CERTIFICATION NUMBER
State of Florida, County of J&"gk r
i
The foregoing instrument was signed before me this day of I, i
20ig, by .Y _—V l d V4 � Gj e �' a-rT
n l who is persoly known�or has produced a
as identification.
STAMP
Signature of Notary Pub
Print Name of Notary Public
j TIMOTHY ALLEN BROOKS
NOTARY PUBLIC
STATE OF FLORIDA
Revised 11/16/2016 : r �m# FF1586M
4 Expires 9181201a
i
-CO CTOR SIGNATURE (Qualifier)
Wayne Dustin
PRINT NAME
28470
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this GC,d1aly of
201& by �►"""7� +C Qz4i( )
T
who is personally known or has produced a L P L—
as identificati
_ - �_�z STAMP
Signa ure on ublic
Print Name &VFNotary Public
ALEJANDRO RIVA
i p`% Notary Public, state of Florida
Commission# FF 135320
My comm. expires June 23, 2018