HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT# i I 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)
For the project located at
SCANNED
BY
St. Lucie County
have agreed to be the
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 w\"� b, , ' y jl v
Business Name:
Address:
City/State/Zip:
Phone: email:
SIGNATURE -PRINT NAM a DATE
STATE OF FLORIDA, COUNTY OF ♦ 11-f
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS3 I DAY OF 20 /y
BY �� L WHO IS PERSONALLY KNOWN OR HAS
PRODUCED ' "UA�iI 1, {T(1t AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOT Y PUBLI PRINT NAME OF NOTARY PUB IC„. ,,, DAWN MiLONE
aMjt pv°'•, Notary ;° y Public -Slate of F '2
SLCPDS: 12/16l2013 ;. ° ; My Comm. Expires Mar 22 2017
Commission # EE 877571
''.'„�e°� ��o•�' Bonded Through National Notary Assn.
-(1
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
St. Lucie County Contractor Certification Number: �'I, L�l6g �OFIYl1y
State of Florida Certification Number (If applicable):
For the project located at
Sub -contractor for
Street Address or Property Tax ID
(Primary Contractor)
have agreed to be the
J
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 RE, QUH2ED
Business Name:
Address:
City/State/Zip:
Phone: email: [�
SIGNATU /
PRINT NDATE
STATE OF FLORIDA, COUNTY OF., =,,(� b„Q
THE FOREGOING,INSTRUME�T WAS SIGNED BEFORE ME THIS 31 DAY OF 20
BY
PRODUCED �L �—
SIGNATURE OF NOT Y PUBLIC PRINT
SLCPDS: 12/16/2013
7d-eaY3—
O�-t
WHO IS PERSONALLY KNOWN OR HAS
AS IDENTIFICATION.
(STAMP)
'M "�•� DAWN MILONE
Notary Public -State of Florida
My Comm. Expires Mar 22, 2017
Commission # EE 877571
Bonded Through National Notary Assn.
PERMITA! ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
St. Lucie County Contractor Certification Number: BY
St
County
State of Florida Certification Number (if applicable): Lucie
For the project located at
Sub -contractor for
(Primary Contractor)
Street Address or Properly Tax ID #)
have agreed to be the
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 C�rw Y W
Business Name:
Address:
City/State/Zip:
Phone:
email:
SIGNATURE PRINT NAXt DATE
STATE OF FLORIDA, COUNTY OF 22
THE FOREC�ING INSTRUMENT WAS SIGNED BEFORE ME THISV I DAY OF 20
BY WHO IS PERSONALLY KNOWN OR HAS
PRODUCED AS IDENTU+ICATION. ..Il
" , A DAWN MILONE
SIGNATURE OF NOT Y PUBLIC PRINT NAME OF NOTARY PUBLI io`� / •, Notary Public - State of Florida
• _ My Comm. Expires Mar 22, 2017
' ^' k: c3 SLCPDS: 12/16/2013 P. Commission # EE 877571
��', R.. PP'�- Bonded Through National Notary Assn.