HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT# ISSUE DATE
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COUNZY 1��`?;
iF. Lf O �R+"eaI D rA'
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
St. Lucie County
SL Lucie County Contractor Certification Nurfibet: PiQ 2.
State of Florida Certification Number(trnppiicable): EG'Boo 15(oq
For the project located
BUILDING PERMIT
SUB=CONTRACTORAGREEMENT
iCYVlt= J rAr-- have agreed
too�be the
ardi 'dual.Name) Sub-contractorfar ,
i (Primary Contractor)
or Property Tas 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: SLCCDY (No. 004-00)
BUSINESS QUALIMR (Name ofthe individual shownonthe Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED }-
Business Name: CCi. EU_�' IIL Jnc_
Address:
City/State/Zip:
Phone: email
rlard �u,►� s
SIGNATURE , PRINTNAME DAT,
STATE OF FLORIDA, CO OF ,I'-
THE FO GOINGG INSTRUMENT WAS SIGNED BEFORE ME THIS * DAY OF 206
BY (,�VYP� O IS PERSON Y KNOW OR HAS
IDENTIFICATION.
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PRINT N OF NOTARY PUBLIC
SLCPDS: 12AR2013
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PERMIT# I I P501 -0-374 I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building& Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTORAGREEMENT
>SL;AivivtL)
BY
St. Lucie County
St. Lucie County Contractor Certification Num ec L O SQ 2,
State of Florida Certification Number prappticublet:. Ec c)oo i s(D9
_ b15 UD t � � `C have agreed to be the
(Company Name/Indi 'dual Name)
>CiIL CF-YL l: Sub-contractoy,foc _�
(Type of Trade) ! {/tPrimmy Contractor) '
For the project located at 3 �"'�t' l.t� V I opc
(Project Street Addressor 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 QUALI MR (Name of the Individual shown anthe Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/StatelZip:
Phone:
SIGNATURE
STATE OF FLORIDA, OF
THE FOREGOING
BY
U11C,
SIGNED BEFORE ME THIS O)J DAY OF
Oi •oD
..u9R�l�11�
'91GMVRE bt NOTARY —PUBLIC
SLCPDS:12/16/2013
4�?-aS-is
DATE
WHO IS PERSONALLY
IDENTIFICATION.
2015
TRACEYW.McGHEE
NOTARY PUBLIC
01MM FLORiDA
Expires 8110/2015