HomeMy WebLinkAboutSUB-CONSTRUCTION AGREEMENTPERMIT #
By I ISSUE DATE
J&
PLANNING & DEVELOPMENT SERVICES
Building &, Code Compliance Division
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
Company Name/Individual Name)
0i n
(Type of Trade)
PERMIT
R AGREEMENT
IN
have agreed to be the
for--[ ri,4.r,dk ej
(Primary Contractor)
For the project located at 15c--x4 Ib LIN
(Project Street Address it 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
Change of Sub -contractor notice. (Form: SLCCDV
BUSINESS QUALIFIER (Name of the
Department of St. Lucie County by filing a
004-00)
shown on the Contractor's License)
NOTARIZED SIGNATURES ARE RE RED
Business Name: ` 3 M S o b (1 I
Address: ?J
City/State/Zip: ', nC 1,t�LL4
rr
Phone, ` 0-7— " t s ! —q (� �5/ email: C-YI (P
�� /�
o (9nLkid 3-4- (Lt
SIGNATURE RIIN NAME DATE
P
STATE OF FLORIDA, COUNTY OF �Vv
THEFOREGOINGINSTRUMENT WAS SIGNED BEFORE ME THIS I DAY OF WIV'` , 20_L4
BY I rlfXY S re) 49- WHO IS PERSONALLY KNOWN OR HAS
SLCPDS: 12/16/2013
AS IDENTIFICATION.
(STAMP)
NAME OF NOTARY PUBLIC
MIMS ARMTROND
E
NANCY
MY COMMISS10N E 059852�'PQ:
EXPIRES Jpnuary 30,2015n`,
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r1oddallofarySarvice.cam
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (It applicable):
ao
(Company Napne,(inuividual Name)
(Type of Trade)
For the project located at
PERMIT
R AGREEMENT
` �/ U
Sub -contractor for l Y `orna-s Y`i
I (Primary Contractor)
z L
(Project Street Address or Property Tax ID #)
agreed to be the
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
NOTARIZED SIGNATU ES AR[[4'at_ E REQUIRED
HEQUIRED
Business Name: q CA, R O Y'
Address:
City/State/Zip
Phone:
-i'11(0e s-
l0 Ll,a�
p�
shown on the Contractor's License)
■�
■
ISI ATURE NAME DATE
STATE OF FLORIDA, COUNTY OF
THE FORREEG�O,I,N�GINSTRUMENT WAS SIGNED BEFORE ME THIS IL DAY OF -0 ((
BY I �(�CV j j� I V I.t �( YUC( WHO IS PERSONALLY KNOWN ��ORHAS
7PRO CED
n 0, U"-
SIGNA URE OUbTARY PUBLIC
SLCPDS: 12/16/2013
AS IDENTIFICATION.
(STAMP)
NAME OF NOTARY PUBLIC
i
NANCY MIMS ARMSTRONG
MY COMMISSION # EE059652
EXPIRES January 30, 2015
Flo ridallotaryservice.com
PL. "`THING & DEVELOPMENT S7-' VICES
_3uilding & Code Compliance L _._ _sion
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: a O
State of Florida Certification Number (If applicable): n—
I
have agreed to be the
(Company Name/Individual Name) i
t el 41 r L,�_ j sub -contractor for
(Type of Trade)
for the project located at
(Primary Contractor)
_02 Co %< )/es
(Project Street Address or Property Tax ID #)
Apk 1 7.2w
L ST. LUCIE r
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: L
Address:
City/State/Zip: Eb Si!r L��r ri
Phone: 3 7 U L( X-5 7 email: o% U- S'/S'£r ,� 1 C 0,
I
SI ATURE PRINT NAME DA
• i
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS , DAY OF 920
BY WHO IS PERSONALLY KNOWN OR HAS PRODUCED
AS IDENTIFICATION. (STAMP)
SIGNATURE OF NOTARY PUBLIC ,�j� : PRINT NAME OF NOTARY PUBLIC
OFFICE USE ONLY:
-_n
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DMSION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB; CONTRACTOR SUMMARY
i
'/\O►'�'ICLS rcc_n{ will be using the following sub -contractors for the
(Company/Individual Name) ^^�� project located at -5DCCp -� S kJ
(Street address or Property Tax ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
I
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
LAw
i
Plumbing
t
HVAC/
S2U91 A_0YVJO
-7 /
Mechanical
ID S
Roofing
Gas
OFFICE USE ONLY:
PERMIT � � ISSUE DATE:
NUMBER: C56-0 0 ,