HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTCCiLINTY,
F
L
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300Vuzh&Ave ouANNED
Fort Pierce,'FL 34982 BY
. ' 1 1 trip County
BUILDING PERMIT -
w�ICbe using thy:followingsub--contractors for the
(Company/ludividual Name) - — — — — — — -- — _
�1 CAS � �
---��eef�ocated at � _ ..
(Stfoit address or operiy TasID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
-
St. Lucie-Coaz3ly/- .
Trade Name of Company/Contractor State of Florida
License Number
/� s_ a if_J_• G�ri._•�.F��
MC. F USE TM: .
PERMIT . ISSUE DATE: '
NUMBER:
PERMIT # 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): r--C 0 000 [8 4
For the project located at
Address or Property Tax ID #)
ac BN ED
t Uria
County
have agreed to be the
3 L"s 2
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
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rM.P(IMARAHAW40, 1%4:1
OW11MMEMMIMY
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SIGNATURE PRINT, NAME DATE '
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT ,WA,S, SIGNED BEFORE ME THIS DAY OF 20
�
BY ��4`-_-E k= �� Q 'Q3-1T_ WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
SIGMA OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
ti 4 N 5 A. I—/ O I C, (STAMP)
PRINT N OF NOTARY PUBLIC
V3� h
INONIS A. FLONES
@ Notary Public -,State of Florida
6 ik
MyyComm. Expires Sep 12, 2017 ' ,n Commission A FF,039856
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
- - - BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St: Lucie County Contractor Certification Number. /� Q
State of Florida Certification Number (If applicable):
�, S Z
-2-ZS k ( C ��-`�- �U� - a � P� 1 have agreed to be the
Sub -contractor for
°c'NED
nriP county
. (Type of Trade)
(Primary Contractor)
For the project located at ` �' atz� 3 V ( �tLd� j
(Project Street Address or Property Tax ID #) Z
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 SIGNATU"S ARE REQUIRED
Business Name: A A , L T/ t (� �� ` �✓
Address: i
City/State/Zip: - 1 3 (F
Phone: 'DU0 email: 2 R C t� uca" �� `JSul
G PRINT N/ DATE
STATE OF FLORIDA, COUNTY OF 2z�a_(yi _<
THE FOREGOING INENT W SIGNED BEFORE ME THIS _!/DAY OF
BY /' /�� WHO IS PERSONALLY ENO OR HAS
PRODUCED
PUBLIC
SLCPDS:
IDENTIFICATION.
Nor -OF
NOTARMBLIC
_°.. ,aG�
70W
MY COMMISSION I EE 100804
' EXPIRES: October1,2015
Boded Tin Budget Way Samna
(STAMP)
PLANN- Rs & DEVELOPMENT SERVY.,'MS
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (if applicable): C/cL' / `f2 6-9 / 4
have agreed to be the
.IvNED
8Y
c bounty
sub -contractor for elz &_ eo,A
(Type of Trade) f �(Prriimary Contractor)
for the project located at �l �� a\.8 - t � �`J 1 tic l c, "q_y -1
(Project Street Address or Property Tax ID #) — Jd 5 Z
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 QUAL ER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: / 'ff e� Z —el' F/ n iyc
Address: _e Su— '65�'9'0 _rX
City/State/Zip: /0e r7` /--
Phone: %%2 336 -7272 email:
SIGNATURE �� PRINTS T DATE
STATE OF FLORIDA, COUNTY OF i. U
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS a DAY OF
BY _JAc✓ i t� S Qh� "t
WHO IS PERSONALLY KNOWN ORHAHAS PRODUCED
(STAMP)
OF NOTARY PUBLIC
OFFICE USE ONLY:
PRINT NAME OF
JOSEPH H HYAN
Notary Public - State of Florida
My Comm. Expires Nov 8. 2015
Commission # EE 144606