HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTi
PERMIT# ` `1 _ O 3 26 ISSUE DATE
ry ` PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
CCC053853
Richard K. Davis Construction Corporation
SGANNED
BY
Sir-ucieCounty
have agreed to be the
(Company Name/Individual Name)
Roofing Sub -contractor for Richard K. Davis Construction Corporation
(Type of Trade) (Primary Contractor)
For the project located at 3901 St. Lucie Blvd. Ft. Pierce, FL 34946
(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 REQUIREll
Business Name: (�;�\,�,,,� Y (Jav:s C,ov%sArvy i:a.n Ler�ovti.�:ov�
Address: PO. BOX 186
City/State/Zip:
Phone:
Ft. Pierce. FL 34954
772-461-8335
emaii: bmclam@rkdavis.com
(�p-w.r, Douglas Davis
SIGNAT RE PRINT NAME
1l 19 IS
DATE
STATE OF FLORIDA, COUNTY OF ^ ZUGL,E
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF MJ,u g" , 20_6
BY PO(z&z4_ r APAIf WHO IS PERSONALLY KNOWN V-' OR HAS
PRODU ED AS IDENTIFICATION.
fJZ41775el'O !� A. PRIEST
l j� ;d ..,,� �! Notary Puhlic - Stale of
S AT OF NOTARY PUBLIC PRINT NAME OF NOTARY P BLIC � � My comm. Expires Florida7, 2016
.=s� f commission # NovEE 217267
LCPDS: 08/06/2014 %P,;,;; °P Bonded Through National Not
Assn.