HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSCANNED
BY
8R, Lucie C®un$v
PERMIT # ISSUE DATE CEl t'W ® AUG 2s
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. ucie County Contractor Certification Number. _
2015
(C15fihave agreed to be. the
(�npany Name/Indiv" tal Name) 1 _ Q t
Rea N
I � n C� 1l,
a Sub -contractor for
(Type of '& j (Primary Contractor)
For�the project located at
(Project Street Address or Property Tax ID #)
It isll'lunderstood that, if there is any change of status regarding our participation with the above mentioned
proi,ect, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NO ' 'ARIZED SIGNATURES ARE REQUIRED
Busii °ess Name:
Addr �Iss:
/ i City/ tate/Zip: �//�I'�
email:
kz�I Q51C,'1-t
SIGN TURE RENT NAME / DATE
STA 'E OF FLORIDA, COUNTY OF
THE IIOREGOING I UMENT WAS SIGNED BEFORE ME THIS DAY OF , 2 .
By I WHO IS PERSON '
FRANCES DONZA
PROD;IJCED AS IDENTIFICATION. _+ . MY COMMISSION I FF 014070
EXPIRES: July 27, 2017
flF .ttd Bonded Thru P I' derwnters
�'., �TURE OF NOTA PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCP CIS: 08/06/2014
. RECEIVED k, ,v 7 2015
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
® Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
i
1 will be using the following sub -contractors for the
( ompany/Indivi al Na e) %
-moo -
� rz��
p� oject located at
(Street address or Property Tax ID #)
I
I is understood that if there is any change of status regarding the participation of any of the sub -contractors
li ted below, I will immediately advise the Building and Zoning Department of St. Lucie County.
i
itSt.
Lucie County/
Trade
Name of Company/Contractor
State of Florida
j
License Number
Electrical
_. 719(o
Plumbing
o7Gl o�
i
i
HVAC/
Da1
Mechanical
Roofing,
i
Gas
i
i
I,
Y
E
FFICE USE QNLV:;
PERMIT
'NUMBER:
--
� "
ISSUE DATE:
fvised 07/29/2014
ECER77D AUG 272015
PERMIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
... ...... .. -: -:. -, - BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: �?r( 19
! to
State Ib Florida Certification Number (Inapplicable): Ea 0 ®ID 3 r7l
LQ s, have agreed to be the
l (Company Name/individual Name)
A-64r(C a ( Sub -contractor for
(Type of Trade) (Primary Contract )
For he project located at _ j7 70�1- 6 " or� .17
111 (Project Street Address or Property Tax ID #)
It is �nderstood that, if there is any change of status regarding our participation with the above mentioned
I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
VESS QUALIFIER' (Name ofthe Individual shown on the Contractor's License)
tIZED SIGNATURES ARE REQUIRED
Name: -be1-A4 C El2C4l_L«t S'�eCU(L!2 , �C•
:/zip: 3 n rcQ EL
:� '?6Ce 1.1113 email: (c)lj6LrljoeU6.,j cv d
SIGNATURE PRINNT NAME DATE
STA I OF FLORIDA, COUNTY OF _ t, A Y jl k.Jl L3 _,
THE OR GOING INSTRU,IMENT WAS SIGNED BEFORE ME THIS 4 DAY OF , 20
II
BY C _ WHO IS PERSONALLY KNOWN L--�OR HAS
PR
lRE%OF NOTARY PUBLIC
08/06/2014
AS IDENTIFICATION.
���Anule, �olb (STAMP)
PRINT NAIWIE OF N TARY PUBLIC
F�;_7z
STEPHANIE RALLOCommission # FF 175017
:,; Expires November 9, 2018� pF F�°:�� Bonded Thm Tmy Fein Insurance BDD485-7019
G 0 12015
RECEIVED AUG 2 7 2015
s
rL.A G& DEVtILOPMEINT ERVI.,
.,:NN IN
.sanding CodO COm.1flaiteO, DIVI 10
BUILDINGPMMIT
�DV' WCONT-RA"CTOR",AQRU- KNIMT
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jz
U-41A 10 1 rOl gub-OffliOctorflor j " 1.-'/ Syr
(P c liffild 6
uw-ofliadd)' 011ilkry-1 6� 44
forlhe Ord odt located ,:at 1—
di � " P- ,
it.is- widamood -thAt, If tllwJ4 pyeh4lip of 'status;:.regar igg Or, ' lrmpoOow... -
D
ic
i t�j advise ille.8ttilding and Zoning _eparWlbdt
Above nientiou'dd pro immod'o y
Oorm'KCCDV
i -
of�st.,,L.11cie,co,tlllt-ybylpersci.iiatl,-yfil*tig.6,011an pfCogtroctorliotic.e
No: 0044.0)
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PERMIT# ISSUE DATE
f RECEIVED At—1 'i 2015
PERMIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
,
SUB-CO\TRACTOR AGREEMENT
�' a'� I C
St. Lu ie County Contractor. Certification Number:
pp CiState of Florida Certification Number Ira applicable): s
e 1 A t a l(- o J(6'0 ' l- i2e1C0-AQV1 have agreed to be th
(Company Name/Indiv' at Name) `�Gn�
(C I Sub -contractor for rc14944
ype of Trade) , l (Primary Contr otor)
For thl� roject located at
II
I1P G
(Project Street Address or Property Tax ID #0)
It is ut4derstood that, if there is any change of status regarding our participation with the above mentioned
I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
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
Susittes Name; -t4?-Af)A, Air
Address l ® q
City/Stale/Zip: (q11—d 7 _
Phone: -1 3.3 31G �� email: j&L e Ae I o Y. I
RA 9-5;
URE PIUNT NAME DAT
STATE OF FLORIDA, COUNTY OF
THE F{R G NG INS' I2U, EN VAS GNED FORE i•fE'PHIS DAY OFU , 20
BY ISO WHO IS PERSONALLY KNO«'N OR HAS
III
PRODUI ED AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOTARY PUBLIC
PRINT NAME OF NOTARY PUBLIC
SLCPD 08/06/2014
,=Q.� Y •°� MIRINDA C. TURNER
MY COMMISSION # FF 223790
EXPIRES: June 14 2019
q ; t° Bonc±ed Tfiru Not
Public Underwriters