HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTD111
ANNING & DEVELOPMENT SERVICES
C.
7J - Building & Code Compliance Division MAY 0 5 2016
1111gy SCANNED PERMITTING
BUILDING PERMIT BY St. Lucie County, F1_
SUB -CONTRACTOR AGREEMENT St. Lucie CounW
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (Ifapplicable): - oarp i -/ 5 2-
6L 1 4
(Type of Trade)
For the project located at
�o C
3 25,!; (
(Proiect Street
Sub -contractor for
have agreed to be th ��'b
/P�,f d,;A-1t
(Primary Contractor)
or Pr'operty Tax ID #)
Rr-1-6- t- 0 3e-15:0
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:
Address:
City/State/Zip:
Plibne:
7 _22L- -& 3 V25
email: , ) &ka Xle (.
- MOR A
SIGNATURE PRINT NAME DAn
STATE OFFLORIDA, COUNTY OF LL L�kLl!t,
ME
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF &(z_�L 20 I -to
N
BY �VC,4 f6 Im AL -AV-\ C--i-i�=N iA WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
I a "k Q� &k__
URE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
(STAMP)
DIANE COLE
Notary Public - $tat$ 01 Florida
Commission # FF 971317
12 My Comm. Explies Mar 14, 2020
M-W Sond#d Ismoo Kolonal Notary Assn
PERMIT #
ISSUE DATE
L U 1� �� � i�
L� I
PLANNING & DEVELOPMENT SERVICES MAY 112016
Building & Code Compliance Division
SCANNED PERM[171NG
BUILDING PERMIT BY St. Lucie County� FL
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (If applicable): jCGC061261 I
ISH ELL SUBCONTRACTORS, INCSHELL SUBCONTRACTO�§!_�N� have agreed to be the
,___(��cmpqny Name/Individual Name)
ICONCRETE Sub -contractor for MECHANICAL,—LLC
ffype of Trade) (Primary Contractor)
For the project located at'3855 US1, FTPIERCE
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 Coulrity 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: SHELL SUBCONTRACrORS, INC
Address: j429 S. MARKET AVE
City/State/Zip: �Fr PIERCE, FIL 34982
Phone: 1772 460 9002 1 mail: lbobbrewl@bellsouth.net
[R�7&�RT BREWER F5/5/16_
SIGNATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OFIST LUCIE
15t
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 1 !21 DAY OFLm�y__ ___ ___10F�6
BY BERT BREWER WHO IS PERSONALLY KNOWN OR HAS
PRODUCED 1
-1 AS IDENTIFICATION.
W
(STAMP)
SIGNATURE OF NOTARY PUBLIC
PRINT NAME OF NOTARY PUBLIC
SLCPDS: 08/06/2014
Slf's Notirry Public - Stale oll MOM
11 cory PU I 01 Floridl
N
=WANDABREWER
i A r 27; 201a
i My Comm Expires Apt 27.201a
F
Mor 3 04
116
Commission 0 FF 116704
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