HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSAFE HARBOR HOMES,LLC Fax:863-658-2218
Feb 3 2015 10:02am PO06/006
St.
PE MIT# ISSUE DATE
JII
PLANNING • & DEVELOPMENT SERVICES SCANNED
Building & Code Compliance Division BY
P k�. c!q a0WAY
BUILDENG PERMIT '
SUXCONTILi CT- Olt
Icie. �ounty Contractor,Cwtification Number.
ofF1'ridaCerti3-ication•NWAber(if dppitcabte):
Ju(MT Jgk FL have agreed to'be the
( �qmp Namollndividua me)
. Sub -contractor for f YZO r— CL S l j.rt .Q,
( e of Trade) (Piimaiy Contractor) .
For the p sect located. at . u GF
(Project StreotAd ss or Property Tax ID:
It' is unde stood• i#ie!4' if there is any change of status regarding our participation with the above mentioned
project; I " ill immediately-oAse the Building'and Zoning -Department of St. Lucie Cou' aty by filing a
Change o Sub -contractor notice. (Form: SLCCDV No. 004-00)
SUS
SS , Q•�� LIFWR (Name of the Individual shown on the Contractor's License)
NOTARI i ED; SIGNATURES ARE REQUIRED
.Businoss N• I e: ' • • • ••. .
Address:
City&
Phone'
THE
BY
KdNATUF
SLCPDSs 0
PPRIaNT:NAME ' DATE' j
9�d _
LZIDAo COLNTY.OE : �• ' '
vG iNSTR�IVIENT WAS SIGNED BEFORE ME THIS DAX OF 20 E
YES ti, -9'' CLI WIiU IS PERSONA Y KNOWN: OR HA8
dC. • AS IDENTIFICATION:
(STAIV.I,P)
�6iAiY PUBLIC PRINT NAME OF X PI,T�Ed-
v ` NANCY MICAS ARMSTRONG
614' MY COMMISSION # EE059852
EXPIRE6•JenuM.30.2015
(A07 "133 FlandsNotaryBsNloo.00m