HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTS# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT '
SUB -CONTRACTOR AGREEMENT
I
Horiz Pools Inc
',Company Name/Individi al Name)
the PI „�nbio9 Sub -contractor for Horizon Pools Inc
of Trade)
(Primary Contractor)
For the,project located at 1801 Hazelwood Dr, Ft Pierce FL
j (Project Street Address or Property Tax ID #)
scktj�ED
. LqC-G31'W
have agreed to be
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 o F a Change of Sub -contractor notice.
I,
CO ATOR SI ATURE (Qualifier)
SUB -CONTRACTOR S ATURE (Qualifier
Wade M Clarke
Wade M Clarke
PRINT N 'ME
PRINT NAME
CPC1458644
c cl458644
COUNTY ERTIFICATION NUMBER
St Lucie
COUNTY CERTIFICATION NUMBER
St Lucie
State of FI 'da, County of
State of Florida, County of
Thef Instrument �v o ego ngwas signed before me this day
The foregoing instrument before
of
2011by K
was signed me this day of
f/"g
Lonally
.20—,by
who is pe lmownle!!:�or has produced a
who is personally lmown _or has produced a
as identitcation.
I
as identification.
!1(�G�n`—
STAMP
STAMP
Sigtta o Notary Public elSignature
of Notary Public
WwWra k ingraheM
j Print N..r. 'of Notary NOTAR
Print Name of Notary Public
STATE OFFLORIDA
�. C=406032559
r' Expires 3/9/2020
j Revised 11/II'6n016
I"
PERMIT #
(Type of Trade)
project located at
ISSUE DATE
NNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
idual N
rC/+ 7)
BUILDING PERMIT
SUB-CONTRACTOR'AGREEMENT
&fTP_'1-C-r'AJ6' //L/C haye agreed to be
Sub -contractor for
(Primary Contractor)
(Project Street Address or Property Tax ID #)
It i understood that, if there is any change of status regarding our participation with the above mentioned
Pr o ect, the Building and Code Regulation Division of St. Lucie County p will be advised pursuant to the
I
fili I �g of a Change of Sub -contractor notice.
State
The
who
as id
[aUrvxbtvtvrAlux> tloattuer) SUB.CONTRA RSIGNATURE(Qualifier)
�adi
NAME PRINT NAME
Oc l �5 000307a
'Y CERTIFICATION NUMBER : ''' .
., �; COUNTY CERTIFICATION NUMBER n e
Florida, County of .1141 �L State of Florida, County of /_L1C/ •z_ pgoing instrument was signed before me this-20 day of The regoing Instrument was signed before a this & t///11
day of �' J
2d�, by l�l��l� , 20�by
:ally (mown JZor has produced a who is p sonally known _or has produced a
Signatltre of Notary Public'
lulJ� _ Jr:-;: ��ta.l1. lrtigr�eik�rti
Print ame of t f
§TATF OF FLORIDA
i,�-,tires 3/9/2020
Revised 11/1612016
as identification.
STAMPSTAMP
Signat a of Notary Public
y Josandla A ingmimn
Print Name of Notary Pubes �'UBLIC
STATE 0, FLORIDA
C0nlh*-G00032559
. N 1 Expires 3/9/2020