HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSPERMIT # ISSUE DATE
-= - PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT 0 C T 19 2018
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
St. Lucie County Contractor Certification Number: 01 C)
State of Florida Certification Number (If applicable):
( c "A (/��'�f�L i . /. L. C have agreed to be the
(Company Name/Individual Name)
�sLGie�; - I. L Sub -contractor for ���
(Type of Trade) (Primary Contractor)
S-94 0-71- SCANNED
For the project located at l!v e. /��e �e .
(Project Street Address or Property Tax ID #) St Lucie County
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)
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BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
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NOTAI RIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip: P6A L Le,Cre
Phone: ' 91a-09-1-,067l email: CC®1�A19r
C-" �� R_61e,y67 c,L� . S/r4
SIGNATURE / PRINT NAME DATE
STATE OF FLORIDA, COUNTY OFL
THE F IREGOING INSTRUMENT WAWSIG EDBEFORE ME THIS 2_8 DAY OF _ , 20/9—
BY +�� �l WHO IS PERSONALLY KNOWN OR HAS
PRODUCED C 100 - %7 _5 / -/ / 7 - 6 AS IDENTIFICATION.
�. (S AMP)
.. rZ. I ATURE OF AR BLIC PRINT NAME OF NOTARY PUBLIC
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SLCPDSs. 08/06/20144. SHERRI FEHLMAN
commission # GG 187160
%l Expires March 14, 2022
�'�oF P�oQP Bonded Thru Btdpet Notary services
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICE RECEIVED
Building & Code Compliance Division
BUILDING PERMIT O C T 19 2018
SUB -CONTRACTOR AGREEMENT 5T, We►Q caunru_ w.,,.,,
/�11,pE.� ✓boo /S
(C m ny Name/Individual Name)
the/ �Gj Sub -contractor for
(Type of Trade)
For the project located at
St Lu '
have agree TAgun fy
Z4�q
(Primary Contractor)
(Project Street Address or Property Tax 1D #)
It i I s 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
C f: filing of a Change of Sub -contractor notice.
I
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CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME �)
COUNTY CERTIFICATION NUMBER
State'of Florida, County of [°
The foregoing instrument was signed before me this ` day of
"
by?,OFr3 HIIJ
who is personally known 1;6r has produced a
of
Print Name of Notary Public
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�� 2os4gr Poe��c
Revised 11/16/20�$ 1
I rFAF Pdop�
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Xl� �(, e _
SUB -CONTRACTOR SIGNATURE (Qualifier)
4-9s 6: � % < rd i'-G,-
PRINT NAME
CS-6 q/
COUNTY CERTIFICATION NUMBER
State of Florida, County of 911 f `z
The foregoing instrument was signed before me this O day of
20 `C*by
who is personally known )!6or has produced a
as id a ' n.
STAMP STAMP
ure of Notary 1'
Print Name of Notary Public
SHERRI FEHLMAN oSP?Y P�B�, SHERRI FEHLMAN
a ° Commission # GG 187160
Commission # GG 187160 #
Expires March 14, 2022 N�pr POQ Expires March 14, 2022
Bonded i1w Budget Notary Services FOF Flo Boded TM Wget Notary Services