HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT#
ISSUE DATE
NE = C sa s PLANNING & DEVELOPMENT SERVICES
SR L JI ` s' v�) Building & Code Compliance Division
s
7Pe,
-- — BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED �St. l u By ST. Luci
Lucie
C L-rz— have agreed to be
the Electrician Sub -contractor for E & B Elite Services inc.,
(Type. of Trade)- (Primary' Contractor)
For the project located at 4015 North HWY US 1.(1420-141
(Project Street Address 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,
CONTRACTORSIGNATURE (Qualifier)
Earl, Gaines
PRINTNAME
COUNTY CERTIFICATION NUbWER
StateofFlorldnvCountyof
The foregoing Instrumentwas signed before me this5 dayof
�..� .20N& by La, r
who is personally knonva_or has produced a T\. hL
Identification.
AV•,:pp: tiC
r\
Revised 11/16)2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
ubxA &D S. C—"Cy%l
PRITfr NAME
COUNTY CERTIFICATION UMBER
State of Florida, County of iry / I�
The foreeotn rinstrument was Maned before me tnls 7� day of
as
N
STAMP
mA
PELPND,�'°l`�,. FF9400425, 2020o ale Insurance
PERMIT# I I ISSUE DATE
i ; " PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BuuntNGrERMrr FSTLude
ECEIVED
SUB -CONTRACTOR AGREEMENT
0 5 2018
ounty, Per'
Bassolino Plumbing / Gennaro Bassolino
have agreed to be
PlumbeyName�tndividualName> E & B Elite Services
the Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at 4015 N US 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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S} , W iA&
The foregoing instrument was slgaed before me thhS day of
ISJ\`4 .20,&by re.4.CN
who is personally knowm _or has produced a }t. 0 t,
b1Y ��K STglliP�
Revised 11/162016
SUB -CONTRACTOR SIGNATURE (��Quallaer)
Gennaro Bassolino
PRINT NAME
any 6�
COUNTY CERTIFICATION NUMBER
State of Florida, County of`-�1' • L IAC% G y
The foregoing Instrument was signed before me this �� • 'day of
Une- 201j by C-Fz nr[]rO 1,- 0
who Is personally (mown _or bas produced a e tire- i
Print Name of Notary Pobae
'PERMIT# ISSUE DATE
PLANNING..& DEVELOPMENT SERVICES t
Building & Code Compliance Division REcetvED
--- BUILDING PERMIT APR p A\1010
- SUB -CONTRACTOR AGREEMENT
Permitting Depa�^ent
St. Luoe County
�1 C have agreed to -be
(Company Nam ndividual Name) A R!_ 4f1t1Af KJLS
the Sub-conttactorfor r_d.'D •ELITE. SSC"VICT,�5 3NG.
(Type:of Trade) '(Primary'Cogtractor)
For the project; located at
Property Tax ID #)
It is -understood that; if there is any change of status regarding our participation with the -above mentioned
project, the Building and Code'RegulationDivisionof St. Lucie County will be advised. pursuant to the
filing of Change of:Suli-contractor notice.
CONTRACTOR-SIGNATURE(Qualifier)
PRINTNAME
COUNTY CERTIFICATION NUjMBER -
State of Florida, County,oC �f7 xt++C.2.. `
The foregoing instrument was signed before me thisd',. dayof
.he fzo� by ^
nfio is persanallylo`rows=ar has produccd a
Print Name of Notary. Public
LASHAHNAINGRAM
tP LB'4
Notary Public - State of Florida
Revised Iyt j2 , •; My Comm. Expires Dec 20, 2018
Commission # FF 177249
"'•,n�• Bonded through National Notary Assn.
I
SUB -CONTRACTOR SIGNATURE (Qualifier) -
PRINT NAB
lZD0-7
COUNTY, CERTIFICATION NUMBER
State of Florida, County of
The forego inglastrumentvmssl ucd before me this -da _of
rT 20fi by
JOY
ewe •