HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTov� I
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PLANNING & DEVELOPMENT SERVICES
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SCANNED
BUILDINGPERM[IT BY
SUB-CONTRACTORAGREEIVIENT St. Lur.ip County
SL Lucie County Contractor Certification Number: 9-0'7 -IJ�
State ol Florida Ccriffication Number (Irappliubie): 66,00 0-30-21-4
M A VrJ)'�'l -d I 0'rM 9" (,P have agreed to be: the
(Company Narme/Indivituall Nam4
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V_J_� Sub -contractor for
(Type of Trade) - (Primary Contractor)
For the rurnieni: locafadat
orProperly Tint ID #)
It is. understood tha� if there is any change of status regarding our participation with the abntpentioned
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Change of Sub -contractor notice. (Form: SLCCDV(No. 004-09) JUL 13
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St. Lucie CO MIG
BUSINESS QUALIMR . (Name ofthe Individual shown on the Contractor's License) unty, Fri-
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Businew Name:
Address:
City/Stabe/zip:
Phone: email:
21, a PAW
PRINT NAXdE DATE
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAYOFS,),,� 120
B-Y � �A� IV] W 13 r LIKS UV A4(/Y KN DR HA S
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PRODUCED �J:L� U \,J AS IDENTIFICATION.
SLCPDS: 1711612013
Notary Public - State of Florida
My Comm. Expires Mar 22. 20 ' 1�
Commission # EE 877571
Bonded Through National Notary M6
Page I of I
Subj: Fwd: SubZontract Agreement
Date: 7/3/2015 4:25:43 P.M. Eastern Daylight Time
From: manelec2obellsouth,net
TO. ROBINLEE50(&AOL.COM
Sort ftom my iphorm
Begin forwarded message:
From: Kirsten Jelmby <Kirsten(o)helmethouseconstruction.com>
Date:
I o- "marielec2(ftellsouth. net' <manelec20bellsouth. net>
Cc, Sam Jelmby <Sam Ohelmethouseconstruction. com>
Subject. Sub -Contract Agreement
Please fill out andreturn Sub -Contractor Agreement form that I have attached to this e-mail and
return it to our office. We will submit with the permit package.
Thanks,
Kirsten Hjulmeby
Administrative Assistant
Helmet House Construction
'The Quarity of LMng-
900 20th Place
Vero Beach, FL 3296o
Ph: (772) 562-0866 Fax: (772) 569-5830
Email: kirsten(a),helmethouseconstruction.com
Websitc: wwwhelmethouseconstruction-com
Friday, July 3,2015 AOL: ROBINLEE50