HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# ISSUE DATE 1 ::7=
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVE,)
BUILDING PERMIT OCT 2 6 2017
SUB -CONTRACTOR AGREEMENT
SPERmirTt"�
CANNED
St. Lucie County, FL
BY
St. Lucie County
v IGQQirL S have agreed to be
- iI Sub-contractorfor k6P' 44r%4 b (4s
(Primary Contractor)
For the project located at qY (oa ' &7Z ar z\
(Proiect Street Addrds or Property Tax
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
r• o.r-rna CrrNeTTIRF. mnalifierl SUB -CO l CrOR SIGNATURE(Quati6er)
n 1I AI/1�./J el-- C %l �
PRINT NAME i
",1tg 4/'<
CoEmy CMTMCATIO�N�NuwER
State of Florida, County of//1L6' d
The foreg t was sued beforeme this day of
by
bas produced a
,asr N�ta�Public ystateetFrodaa
XALlsa Greer Bhamth
s� �iAt 02V11&Y0Y08B2709
PR�i�2�-�- �(
COUNTY CER l T10N NUhIDER
State of Florida, County of M ,
n.
0 of g.traree ttt WaaaS signal before me this _ iday of
ZO_oo"yyr�� .
who is Personally lW"Y!&-or has produced a
as idefdijeatIW n r\
,oar Notary Stara of Flmlde
�P Lisa Greerveer Bhatath
+�, My Canlmmhsloa FF 982709
�ia� E�Itas 07H82020
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
WELDING PERMIT
SUB -CONTRACTOR AGREEMENT
E9
For the project located at �` F&V _l rt �1�9�s%
(Project Stteet Address or Property
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
of Sub -contractor notice.
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed beforeme this_day of
.20�
who is permaaliy known or has produced a_
STAMP
4W]
e d FbddarathF 99270920
COUNTY CER'rIEfCATION NUMBER
State of Florida, Comty of
The foregoing Instrument was signed before me this_ day of
as
20� by -
(mown or has produced a
YN
stain hiitan FF2o20
IZTVI .
_7 I
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT OCT 2 6 2017
PERPdITTh1G
St. Lucie County, FL
In
Ji ua1 Name)
6o r Sub -contractor for c2C
(Primary (`nntraetnr)
For the project located at
have agreed to be
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
offaa/Change of Sub -contractor notice.
r L
'ACTOR SIGNATURE (Qualifier) SUB -CO RACTOR SIGNATURE (Qualifier)
�b 46S
COUNTY CERTIFICATION NUMBER
State of Florida, County or/ / 7
foregoia instrument was signed before me thi! / day of
20Y
whn personally imown� has produced a
G310"I
Notary Public State of FIaWe
Lisa Greer Bherath
+d My commission FF 962709
R s OIft*res02fl812020
PR1
1 ti1 Li
Z0fJNTV'CERTIFICATlON NUMBER
State of Florida, County of 1*9
e oregomg Instrument
was signed before me thisrr day of
C 20�bby
who is personally Imowd'\ or has produced a
� l
rr
Notary Pubile Stateor Florida
Lisa Greer Bharalh
+� d My Cco mlasbn FF 982709
"ippdr Expires 02H9R020
STAMP
11
b
PERMIT# I \.1 d A._ 6 �k.13 I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
Certification Number (If applicable):
%A'Pd l �,t-f LleyQ . have agreed to be the
G(Company Nam divi ^ al Name)
p etec / Sub -contractor for �O��ee�y L ASS �7eG'
(Type of Trade) // (Primary Contractor1l
For the project located at fn9 0 � 0�� 1 a
�.�5��t/
(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:
Address:
City/State/Zip:
SIGNATURE PRINTNAME DATE
STATE OF FLORIDA, COUNTY OF do Q- .1
THE FOREGOIN INSTRUMENT WAS SSIGNED /BEFORE ME THIS DAY OF 4ucsu20�
BY I7 ����✓G�CC h/ C% WHO IS PERSONALLYKNOWNV,, ORHAS
IDENTIFICATION.
SLCPDS: 12/16/2013
(STAMP)