HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTl
PERMIT # ISSUE DATE
I COUNIr-
F G,Oo.R'.t,r,
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (trappliwblc): C-FG- 14'Ze 23.Z
SCANNED
By
St. Lucie
County
have agreed to be the
tez nuwwm m a,c✓uivui�ac) EI rd 'lo, Cy,�t ei
e> �n n E ice /CJL Sub -contractor for /`�-"-eQ
(Type of Trade) (Primary Contractor)
Lt-vrl b i r7 F.�-1 P/ y-rd' p / / /�
For the project located at %A /� C �J�� S 2+K Cl o.a 5/c -4z .J ,e a Ve Iq �, e/&.e
(Project Street Address or Property Tax to #) f6. GrJ
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 REQUIREDBusiness Name: 6'L01tiPtt- \ 1 00Jg-C-Tel t�VtC�� LL-C
Address: _%14�� Lgll&,—al ,d Dr'_.__ --
City/State/Zip: t =)-L 'SAS
Phone: ?I96--Ai1-1-0G4!21. email:
S NATURE PRINTNAME
DATE
STATE OF FLORIDA, COUNTY OF �� tt.v�rSo li?C�u '-, Pt•
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 14 DAY OF !E4 , 20-1-6—
BY 1 J9 2 epo j-Jytt WHO IS PERSONALLY KNOWN L,� OR HAS
PRODUCED
AS IDENTIFICATION.
i - MI�dLCZLt7 YPU1L.f�..
IG ATURE 4 NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPD& 08/06/2014
00-
ROSARIO DAVILANotary Public - Stale of FloridaMy Comm. Expires Oc12, 2017', Camm sslon # FF 159393
(STAMP)
`6