HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# ISLC1409-0047 ISSUE DATE 11-24-14
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification
State of Florida Certification Number (If applicable):
EF0000979
SCANNED
BY
St. Lucie Count
4bV4,tc6D ACAan 6&W,c6 -Z.tc /„ED Z;H14eperf4At have agreed to be the
(Company Name/Individual Name)
W Sub -contractor for Anderson -Moore ConSt.
(Type of Trade) (Primary Contractor)
For the project located at 9700 Reserve Blvd, Port St. Lucie/3327-314-0021-0000
(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: 4141214 5r&V GE -LNG
Address: 1253 Okeechobee Road, Ste B-1
City/State/Zip:
Phone:
�7)
West Palm Beach, FI.33401
561 833-7099
email: advancedalarm@hotmail.com
Ed Zimmerman
4-20"15
SIGNA PRINT NAME DATE
STATE OF FL A COUNTY OF FN m
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS ZZD AY OF .20 5
BY (;;t LtVtr-eA U 7— ( mmar rn A tJ WHO IS PERSONALLY "OWN � OR HAS
AS IDENTIFICATION.
I ' I ef�,v Y , �A1%ts (STAMP)
F NOT Y PUBLIC PRINT NAM OF NOTARY PUBLICOMARYVDAM
NOTARY PUBLIC
08/06/2014 STATE OF FLORIDA
Comm#EE218278
E)#ms 7/31/2016