HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT IBY
SUB -CONTRACTOR AGREEMENT St. LUCIB County
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
L . Ke%I t_,n ' 94M V,,5,k{e have agreed to be the
(Company Name/Individual Name) (-+
�[p Ckr" c Sub -contractor for S9 �ar
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID #)
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)
QUALIMR (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone:
email:
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SIGNATURE PRINT NAME
a DATE
STATE OF FLORIDA, COUNTY OF C�l� ��/`� f
THE FOREGOING /INSTRUMENT WAS SIGNED BEFORE ME THIS , B Y OF 201_z
`
BY j J��_ �� s 1Gt 1 � WHO IS PERSONALLY KNOWN _ _ OR HAS
NOTARY PUBLIC
SLCPDS: 12116/2013
IDENTIFICATION.
MY CORMS N#Ei C8
C)SPIRES: April 12E200 Bonded hN Na�jy Public Undeneers
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PERMIT# ISSUE DATE
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):
Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
or Property Tax ID
SCANNED
BY
St. Lucie County
have agreed to be the
F
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)
BUSINESS QUAI.EMR (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone: / email:
SI NATURE PRINT NAME
30 I
DAT
STATE OF FLORIDA, COUNTY OFy/�
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 2>0AY OF 201�
BY �r�J \,v \ . �� \lQ� WHO IS PERSONALLY KNOWN OR HAS
PRODUCED L. I ,AS IDENTIFICATION.
j \ C�vl M(�Q �� (STAMP)
SI OF 601 Y PUBLIC PRINT NAME OT OTARY PUBLIC
SLCPDS:12/16/2013 92,w_,��D
RGEIAAt. HUFFf.I•Si9S;pyXE aE03„530IficS: Apnf 12, 2015ru llo,� Pu !; Y bi U�tl;nmi!_a
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT BY
St. Lucie County
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
L . Y( e j t ,^ � V Q have agreed to be the
(Company Name/Individual Name)
QAo� Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID #)
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)
BUSINESS QUALIMR (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE RE, QUIRED
Business Name:
Address:
City/State/Zip:
Phone:
email:
�1 f L, . e,v ,vA / a O l
SIGNATURE �P(RININT NAME DA E
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS AY OF � 20—V4
BY rj;�:, (��(��( ���[ Y\Pi-L k -(f- WHO IS PERSONALLY KNOWN OR HAS
PRODUCED L AA AS IDENTIFICATION.
^ �ff (STAMP)
SIGNATURE O dOTARY PUBLIC P T A7E OF NO ARY (PUBLIC
SLCPDS: 12/16/2013 a Mvcp l�• HUFF
Mh%SSiOf!
••�& �;°'�` Bond�tPIRES•Apnl 72 201530
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