HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTt-,
PERMIT# O a� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
BY
BUILDING PERMIT St. Lucie COIRItb
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: /� (( u l V
State of Florida CertificationNumber (if applioable): C�+V L33��188
have agreed to be the
For the project located at _ _ `n),0' I 1't( tV' Q I V "V(jl�� j_V (1
(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: � 1 \ a.t/:`J/��r1as ffiW±i -.a,
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS �""'bAY OF 20JU
BY
WHO IS PERSONALLY KNOWN OR HAS
PRODUCED ��SP C �-L\ AS IDENTIFICATION.
H:eN M ,se
SIGNATURE NOTARY PUBLIC PRINT NAM OF NOTARY PUBLIC
SLCPDS: 08/06/2014
(STAMP)
MELODY MEDRICH
My COMMISSION # PF238580
EXPIRES June 09.2019
14C7139E-0-53 riwWatba sm#acom
PERMIT # 1510-0127 1 1
ISSUE DATE
- . PLANNING & DEVELOPMENT SERVICES SC N tL)
r Building& Code Compliance Division
P St. Lucie Crnmn
_._ . BUILDINGPERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If Wfimbte): EC13001924 t
Camouflage Electric, Inc. have agreed to be the
(Company Name/fndividual Name)
Electric Sub -contractor for Bayview Construction Services
(Type of Trade) (Primary Contractor)
For the project located at887 E. PrJma Vista Blvd, Pt St Lucie FI ID #
A (Project StreerAddress 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)
IBUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address: 460 NW
City/state/2ip: Pt St
Phone_ 1 /72-340-01
FL 34986
email:
.,I .
David A. Birth
PRINT NAME
OF FLORIDA, COUNTY OF St "'Lucie
Ste 11
02/01/16
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 1 St DAY OF Feb , 2016
BY V FOSi j V�-- w$OISPERSONALLY KNOWN
��ORHAS
PRODUCED r
J.J
La
GNATURE OF NOTARY P : C
SLCPDS: 08/0612014
VALENTINO PEKr-L
My COMMISSION #rF004624
EXPIRES AP613. 2017
(STAMP)