HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# !� � ISSUE DATE
I I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County Contractor Certification Number: c16 % % / St. Lucie Collntit
State of Florida Certification Number (Happticabte): tf " 13 y / ( (
p In m G :)-17C o / , Shaw W� d,hh have agreed to be the
(Company Name/Individual Name) /' -
CleCf�,°er./ Sub -contractor for ,S+'I- cdocGc �10Me5 oicfk?
(Type of Trade) (Primary Contractor) —%tcauWre eaJ4 S�
For the project located at
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: Alum (: 1./7 C .
Address: Llca? &5510L10
City/state/zip: P'�/ct; e (ykg
Phone: %%a— �2/(-SJ751)L email: 0AllnC/'/1c (0 C'c5)17G
~I E PRINT NAME DATE /1
STATE OF FLORIDA, COUNTY OF L,UC �<� _
THE FOREGOIIN� 1G INSTRUMENT WASr SIGNED BEFORE ME THIS � \DAY OF l��� 20�—
BY J'ry— WHO IS PERSONALLY KNOWN OR HAS
PRODUCED b/ - L_ i, AS IDENTIFICATION.
(STAMP)
SIGNATUI%OF NOTARY PUBLIC ` "0 •` „,
ANGELA M HUFF
O��PV V„B( i�i
SLCPDS: 08/06/2014 r , o:
Notary Public -State of Florida
_• . . •=
Commission # FF 234730
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My Comm. Expires May 27.2011
`01,1 •"``
SondedtlmuuhlWonalNotaryAssr