HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
r ' Building & Code Compliance Division
• SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie County
St. Lucie County Contractor Certification Number: �27 3! I
State of Florida Certification Number (If applicable): neI36I
Name/Individual Name)
(Type
have agreed to be the
Sub -contractor for 2�49/ nosle �/ C V-Skmc;o�,.y
(Primary Contractor)
For the project located at ,/ Z & Queey (_4 r-.u7 sV * CST . rl /-, erce f L c3 177
(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 QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: 0 o�E,� �3 e t C�{rC. J i g-
Address: /$'C/,s ZZ'"I (IeA)VE
City/State/Zip: /tSGO Sr-A<,V r ( 32S(, O
Phone: �Z_ 11) 32-k-S02,S- email rc.Seleeirge (C �%;cLA6.,Com
_..s C� O•-^e� �5��5�24
S ATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF =f.
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 2 LAY OF M 20
BY 0%)0AZ-L;:l_ E�C tce.LJ WHO IS PERSONALLY KNOWN pR HAS
7IIIII iIIII�i
PRODUCED FLYL. F-2-00-101-77-12-4-0 AS IDENTIFICATION.
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IGNA NOTARY PRINT AMEOFNOTARYPUBLIC ¢;November-°- ,
No. FF 729t+,
SLCPDS: 12/16/2013 '�� SJ , pUB��G,rQ�O`�
PERMIT #:1 1 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)
(Type
1
� SJ/�i �—, L' have agreed to be the
Sub -contractor for 2y49/ S�'�/ �HS>�/IiCi`�a✓
(Primary Contra or)
For the project located at ` Z 6 QueeN
(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)
QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone:
email:
Ww 6Wr t� _-0o.c)�P..l 51�9/ /�
SIGN TU PRINT NAME t DATE
STATE OF FLORIDA, COUNTY OF S +' l UI (2 P_
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 2_� DAY OF 2015
R BY ) 1 ne.O wrie WHO IS PERSONALLY IIN OR HAS
PRODUCED AS[ JIDENTIFICATION.
I� (STAMP)
SA OF NO Y PUBLIC PRINT NAME OF NOTARY PU
SLCPDS: 12l16/2013 •`rr *s EILEEN LANKFORD
s No "Pow • State of Florida
e Commission I FF 227409
My Comm. Expires May 12, 201!