HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # 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):
tq1\
SCARED
St Lucie County
mr-eY but l der - Si. LtxiC Cbur-4-4 have agreed to be the
(Company Name/Individual Name)
'htarnbIfS) Sub-contractorfor S}.La)cte Counly
(Type of Trade) (Primary Contractor)
For the project located at 940e • i 18 - c�oUo • Ocp
(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: a.L►X6a Co
Address: a3O0 V;rd jlrLlca.
Ave-
City/State/Zip: "Pyte , Fl• 54Q87-
Phone: 4(P7 • WL' z emaIl.9_14nn C 4106e ca •ce
.i2.r6 tyn 1TrVytt
SIGNATURE - / PRINT NAME ` DATE
STATE OF FLORIDA, COUNTY OF bt . Lua 2
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS aDAY OF JC�.('LU 6 AJ4- , 20 � J
BY 7 WHO IS PERSONALLY KNOWN v OR HAS
PRODUCED
SIGNATURE OF NOTARY PVBLIC
SLCPDS: 12/16/2013
AS IDENTIFICATION.
PRINT NAME OF NOTARY PUBLIC
,�yfiey�i CAROLA BISHOP
Commission # EE 191842
{ e Expires May 26, 2016
V "ON UVd8d nTMyFAnhvrar WW857018
(STAMP)
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
BUILDING By
SUB-CONTRATOR AGREEMENT IT St Lucie County
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (1f applicable): NJA
OWney bw k:ie- - SF t L)&_- C6ursF4 have agreed to be the
(Company Name/Individual Name)
LleCiric Sub -contractor for Si-. Lucre G _xe)-1w
(Type of Trade) (Primary Contractor)
For the project located at Q4Q8 - i IQ • CCU • oro
(Project Street Address or Property Tax 1D #)
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: a -Lode Couni,l
Address: 03Co Virolnio- Net
City/State/Zip:
Phone:
STATE OF FLORIDA, COUNTY OF
2
email: nn e5ijueiee.o.o
3t:Ir lrtyn , rajecf 4' e
PRINT NAME DATE
.5-f', Luc(,?,
THE FOREGOING INSTR�U /MENT WAS SIGNED BEFORE ME THIS _DJ_ DAY OF J�D Yt u0✓u� 20 PS
BY [fp dL4_& IV . ! IPt6VN WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
L604o
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 12/16/2013
AS IDENTIFICATION.
PRINT NAME OF NOTARY PUBLIC
(STAMP)
CAROLPLBISHOP
orrunission # EE i91842