HomeMy WebLinkAboutSUB-CONSTRACTION AGREEMENTPERMIT# ISSUE DATE ���09�'9PdD99�1a
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):
have agreed to be .the
(Company Name/Iridividual Name)
Sub -contractor for
(Type.of Trade) (Primary Contractor)
For the project located at
(Project Street Addressor Property Tax ID #)
It is understood that; if there is any change of status regarding our:participation with the above mentioned
I.
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: �O2_ cn �.•c� c��(j1 _.
Address:
City/State/Zip:3 �J 3 �71 .
p
Phone:. email:
Leis L/4uQhL,r-. l�-fy-r
siGN,kTLTRE PRINT NAME DATE
STATE OF FLORIDA,: COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE. ME THIS �\ DAY OF '_,-,N urL
BY�'���.vQ`�� WHO IS PERSONALLY.KNOWN a/ OR HAS
i
PRODUCED AS IDENTIFICATION.
.(STAMP)..
SIGNATURE. OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS: 08/06/2014
���� STELLA M. HUNTER
z , o = Notary Public : State of Florida
q Commisslon aE FP-160552
Expires Jeri 23. 2019
? %,4 ;nt'�z`�� . 8clideddrau I�dond Nctery A889
i
PERMIT # ISSUE DATE
10/20/2015 12:18PH FAX 7723372699
Oct 1615 09:33a Fivestarhousing
J I
LENT—BLOSSER
121 0001/0001
P.2
PERMIT 0
772,� 439
s
ISSUE DATE
PLANNING, & DE'VELOPMENT SERVICES
Building & Code Compliance Division
SUIIaDING PERMIT
SUl3-CONTRACTOR AGRE EM EN'r
St. Lucie County Contractor Certification Numbed: %z Cp I
Suite of Florida Cenilication Number grupyticabla):I
swe�a� �'� have agmcd to be the
(Compaiy Namc!individual Name)
—Vt--` I Sub -contractor for
(TypcofTmdo) I (Primary Contractor)
For the project located at
It is understood that; if thq
- - I ----—o------0 --� P-•^^Y"'•w•. ..a -a �u.r NuvrC. 111a"7 30"Cu
project. 1 will immediately advise the Building and Zoning Department of St. Lucie County by filing a
I
Change of Sub -contractor notice. (Form: SLCCDV (No. 0e4.00)
1
BUSYNESS QUALIFIER (Name ofthl individual shown on the Contruetor's License)
NOTARIZED SlIGNATURES ARE RIsQUeRED
i.
Business Name: Bloawr EU trilc Inc.
Address:
7y7Qa
email: Ci Cl I Ca-j.)
SIGNATURE PRIh'I' NAME
DATE
STATE ON FLORIDA, COUNTY OF ISL L V
i
TIRE FORF,GOING INSTRUMENTWAS SIGNED BEFORE ME THUS , AY OF
Z0�
Kv, WTIO JS PERSONALLY NNOWN
OR HAS
PRODUCED AS IDENTIFICArION.
CAP—=m,",
SIGNATU OTARY PUBLIC PRIM NAME OF NOTARY PUI3LTC
S 1.CPDS: 08/06nQ14
I