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HomeMy WebLinkAboutSubcontractor Agreement i I PERMIT# ISSUE DATE P 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): C,ord(�i©I C)q have agreed to be the (Company Name/Individual Name) E I�A lr 4 Sub-contractor for eO uck- UU C, (Type of Trade) (Iumaryi Contractor) For the project located at -7--C)k Ql>on c--C'. C*'NL ,('T j EL 3A°(S3 (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: &=a `Ek • y-k c- Y ��f COYNC L��CA k01 AC.. Address: Ill A SQ C1kor! &y'cA f— City/State/Zip: 00f-�- �>V l l lL tri C\5 Phone: ��Z 3 �2���� email: SIG E NT NAME �( l a DATE STATE OF FLORIDA,COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS X() DAY OF t JfJV M hem ,2015 (Z f i BY JbV3`C, ( NN'O �O— -1 OF- (2V-4,n4 GeAl(I C WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. (STAMP) S- (JAa 0,_A LoA Sara— 0�.e_ SIGNATURE OF NOTARY PU PRINT NAME OF NOTARY PUB C eY P"° SARA OLEARY SLCPDS-08/06/2014 MY COMMISSION#FF126322 WIRES:November 18,2017