HomeMy WebLinkAboutSUB CONTACTOR AGREEMENTPERMIT # ISSUE DATE
""'�'*w■w�" PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
I:3HIJDi`►fe7i�l tisi�i Y
SUB -CONTRACTOR AGREEMENT SCANNE[,
St. Lucie County Contractor Certification Number: 1 , , BY
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State of Florida Certification Number (If applicable): L Fn C S S
Name/Individual Name)
(Type of Trade)
For the project located at
Sub -contractor for
�251 N 17S3-
(Project Street Address or Property
(Primary Contractor)
have agreed to be the
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: In1G'LI"-O C6N57(GJG<Lci.1, (_C-C
Address: 227s DeA6a2 b-bus LN
City/State/Zip: V-e4o (�o_Ay V t 'FL c,X 0OA 32-96 D
Phone: —172-•$11- IT77 email: f�1C7li t a Coav5f12JcitcYl '�L(�/�• tav�1
Z�� Cmi),. Me,"- D
SI ATURE PRINT NAME DAT
FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT SIGNED BEFORE ME THIS �V DAY OF � (C 20�
BY C Lk f— l S 1 l `P-ZI�6 WHO IS PERSONALLY KNOWN —>—.O OR HAS
PRODUCED
SIGNATURE QF OTARY PUBLIC
SLCPDS:12/1612013
AS IDENTIFICATION.
(STAMP)
PRINT NAME OF NOTARY PUBLIC
rg^'ilk,: MLYS.Glua
`' MY COMMISSION I FF 157375
7t.= EXPIRES: October13,201S
`2Nh•, BOMetlTNuNozryFUOGCUndenrt7sn
JUL/21/2015//T_UU/Et,111:50 AM FAX No, P. 001/001
PERMIT# I I (SSUEDATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
St. Lucie County Contractor CertifieationNumber:
State of Florida Certification Number (If applicable):
r-. . I t [I r 1 ♦ R 1 f1
For the project located at
BUILDING PER?=
n
SCANNED
BY
St. LUCIe COUnn
have agreed to be the
Sub -contractor for /WJ7//) I
(Primary Contractor)
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)
WAADT7rn CV"-XfATfn?FC ADR DVnTrTDRn
07/21/2015 04:15
7725891370 MAXWELLANDSDN
RECEIV:7� 07/20/2015 22:54 7725891370
PAGE 02/02
hIAXWELLANDSON
PERMIT#
/� ryrOv9q I ISSUE DATE
PLANNING & DEVELOPMENT;
Building & Code Compliance
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Ccnification Number
State of Florida Certification Number (ifapplimble):
.1 rfF0&-ul2/ 1-/- S J. .Z
Sub-contt=torfur
For the project located at 601& 1 N. U. S 116' )
(Project Street Address or Property
SCANNED
St. Lupi. r, .,._
have agreed to be, the
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 I?epartment of St! Lucie County by filing a
Change of SUb•oontractor notice. (Form: SLCCDV (No. 004.00)
BUSMSS QUALJER (?`tame ofthe Individual shown on the Contractor's
NOTARIZED SFCNATURRSARE REQUIRED -�
Businom Name: 11 � �>J c
Address:y� ma s �.
Ctty/statdzip: i.ArJ LP'l�-.
email:
OF FLORIDA, COUNTY OF
THE FOR\\E_�GO,r,NG INSTRUMENT WAS SIGNED BEFORE MY THIS 4L _ DAX 01
BY ^�Yscni�s 2 mp /Go / WHO is PERSON
ql;i
OF NOTARY PUBLIC
sLCPDS: o8/Ofi/3014
ipENTIFICA
7-ai-/5'
DATE
zu�
.LLY KNOWN _Z— OR HAS
(STAMP)
'*°.µ"•.it.
� * ��I�iDN1- Ff7�p,�gg
i
JK/15/2015/WED 12:49 PM •)_ , FAX No, P, 001/001
RECEIVED JUL 15 2015
PERMIT # 9 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT BY
SUBCONTRACTOR AGREEKENT St. Lucie County
St. Lucie County Contractor Certification Number:
State of Florida Certification Number
Sub -contractor
(Type
For the project located at
have agreed to be the
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 Departmmt of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSMS' S QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGN!
Business Name:
Address:
City/Statc/Zip:
Phone:
M
SI A P T DATEF
n
STATE OF FLORIDA, COUNTY OF
THE PO GOING INSTRUM 'WAS SIGNED BEFORE ME THIS (pt/t/'IDAY OF 20-5
BY WHO IS PERSONALLY KNO OR HAS
nwri TTAW" ASIDENTWICA7XON• A
Iwo (STAMP)
OF NOTARY PUBLIC
08/06/2014 tACQU8LINE DEGRANDIS
-`5 MY COMMISSION 0 EE204141
EXPIRES July 14. 2016 -
(WrISB@a7S9 MndONVCMVSvv7w
FEB/18/2016/THU 04:23 PM FAX No. P.001/001
dP4&r al�17*
PERMIT# /Y) ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
BUn.DING PERNUT BY
SUB -CONTRACTOR AGREE �� St. Lucie County
St. Lucie County Contractor Certification Number: State of Florida CertiScationNumber ([£applicable) cli5rp10
c�Jsi m c , have agreed to be the
(C�omqany Naruw1ndivi` fW Name) /) /� 8 /� �, �4
�fn (=- I �2 A Sub -contractor for 1 V ill,/1l /n 1, .d ( A LCIIl
For the project located at
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)
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