HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTI-.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNEL)
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie Count,
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (irapplimble)i _C— C.13CDO 11 Z
have agreed to be the
(Company Name/individual Name)
E l FC"1 (1 lf_F) L- Sub -contractor for 56-ldr+d, j"1GYiar-+ Gtr-a &td-h
(Type of Trade) (Primary Contractor)
For the project located at
1 GCt+, -)
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 Countyby 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: lc>401 CD/i%YY1l�J i i �'1'>l7tA/1
Address: 4etq S)l l `T t Yitsl 1v 4vccCa L.DJ
City/State/Zip: Palm rciy�
Phone: `o I - 0�11, Ab-1 email: C( r04e,- ce tpngtl.epm
8I RE f-PRINl E��u/" --- DATE h`�
STATE OF FLORIDA, COUNTY OF 11 • Lt1['r C.
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS__ DAY OF aA04 / 20
BY J/w.g-4-%•{-. WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
AS IDENTIFICATION.
r� r (STAMP)
4'i U �" �rr tiu�, C! • ! $sty
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC nr o
�:••. DAYNAJ.aE01d
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w, EXPIRE& Apra2,2018
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNELi
SUB-CONTBUILDING
RACTOR AGR EMEN St. LUCB COltnt,
St. Lucie County Contractor Certification Number: 2 io 1
State of Florida Certification Number (Irapplicable): .0 ,
1 of Coro ree d i a—) have agreed to be the
(CJmpanyName/Individual Name)
'LID(y) is I Y\J C2 Sub -contractor for �iar't61 KACKgrl IKA 1"��nt
(Typeof Trade) (Primary Contractor)
For the project located at //1Qc4y "5 6&c An Z;'— F03 / f jaiZ.-
(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 RrE^QUIRED
Business Name: 2,02e,. < O✓! t7C'C�"�
Address: 5V
STATE OF FLORIDA, COUNTY OF S'- - L:y. >~ v<--
THE FOREGOING -INSTRUMENT �� _WAS SIGNED BEFORE ME THIS DAY OF t Y �0�
BY ( eC i t L-ee I y1 uJ ba WHO Is PERSONALLY KNOWN V OR HAS
PRODUCED
AS IDENTIFICATION.
Z (STAMP)
DAYNAJ.RE013
SIGNAT__U_+t OF NOTARY PUBLIC PRINT N ME OF NOTARY PUBLIC +e: ""• H My CM18S10N ffF 10 45t
* EXPIRE8:Apd12.20%
SLCPDS:12/16/2013 y�ww' WWThN6dDKNobryt1f91k*