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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# aOoa, O ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Divisio t= 9VED BUILDINGPERMTI MAR 13 2020 SUB -CONTRACTOR AGREEMENT ST. Lucie County, Permitting Shoreline Roofing LLC (Company Name/Individual Name) the Roofing (Type of Trade) have agreed to be Sub -contractor for Habitat for Humanity (Primary Contractor) For the project located at 5703 Hickory Dr. Ft. Pierce FL 34982. (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. s CTORSIGNATURE( �Zf3�— `/. CA t-A4,,O o v PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of 917• UACL The foregoing instrument was signed before me this 11 day of %Ah" 2QQby,6Ka D. t?.IAW(li) who is personally (mown, -or has produced a Revised 11/16/2016 COUNTY CERTIFICATION MBEA �J State of Florida, County of i v /.(/-{f� MThe foregoln strument was signedbeforeme this �1 1 tlay of� o 2OX,by P()fAA 1/i%Ir `/I who is personally Imown6ar has produced a i a J `l 2+a Cc:1� as identitirati a�%�% /% / of FL'rid5 s..o..... ...........,,. B,E:•75 IfVI ` e f v 023 �� nt Name of Notary Public' ' K,EN E 6 1 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division RECEIVED BUILDING PERMIT SUB -CONTRACTOR AGREEMENT FEB I.X 20?O ST. Lucie County, Permitting have agreed to be (Company Name/Individual Name) / the 1(1 S u ltr.Yi on Sub -contractor for 54, L t 1 e 0 t. Q d%-Nc �dMati�y (Type of Trade) (Primary Contractor) For the project located at Street Address dr 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. N=A CONTRACTOR SIGNATURE (Qualifier) 96V' -'01 �cA Ali PRINT NAME COUNTY CERTIFICATION NUMBER A State of Florida, County of 6t The foregoing instrument was signed before me this ' IQ�i'� oday of lYII V. to- -t�,(�u _, 20X by who is personally known V"or has produced a as�unntiR��c''aAAtionA ISpr' L f"�J STAMP Signature of Notary Public Print Name ,0 e,y Notary Public State of Florida Donna Lea Askman My Commission GG 174054 +�or'�`O Expires 0110912022 f" Revised 11/162016 n SUR-CONTRACTOR SIGNATURE (Qualifier) sRbea} a. iL.9..4 W PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of �J'{. LIAR .��%] The foregoing instrument was signed before me toil; day of , ,20;A,byila �, ('riul6uM J who is personally known or has produced a as ee^n��ti��f��ic��atio�n. � '//////J������/f�,- _,� A &WYO;& 1 _ STAMP Signature of Notary Public --D,,, . %a AsL Print Name of Notary Public Notary Public State of Florida Donna Lea Askman Commission GG 174054 ?oi n°0 Expires 0l/09/2022 the PERMIT # (Type For the project located at ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance BUILDING PERMIT SUB -CONTRACTOR AGREEMENT AD FEB 11 7020 have agreed to be Sub -contractor for 5- l ya6 /16 AY /0/ M�r1 (Primary Contractor) / "/Oo4 — UV)- 0 (Project Street Address or 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 SICNATURE (Qualifier) P 1NFNA,IIE COUNTY CERTIFICATION NU/JIRER Stale of Florida. County of Si, l.Ue1.e r,�tN The foregoing instrument was signed' b-fefore ilA Ime this /day of �f who is personally known 11or has produced a asi cnlificalion. 'ignature of Notary public ,I wNP L<ia Al'J tJ Print Nomc.nf Notary' Public Revised 1111612016 EOW %, Notary Public State of Florida Donna Lea Askman My Commission GG 174054 � Expires 0110912022 SUB-COVI' . ORSIG ,VFURE(Quah cr)~— evm Cam/ a PRIM NAME �f-r' p�SS53 COUNTY CERTIFIC.\TION NU state of Florida, Comity of — e0,r_ A ti Th regoing instrument was signed before me this day of , 20Zby /(✓'*_ who is pc')-sonally known _or haypruduced o _ as STA\II' of Notansr-�----�-- n ANGEIA DIFRANCO My goMMISSION k FF93185I sY' EXPIRES January 24. 2020 p�MRg ISSUE DATE PLANNING & DEVELOPMENT SERVICES o ` ding & Code Comp�'- Builliance ECEIwVED DUILDtNG PERMR SUB-CONTRACPORACRE �FEB A 3 firrly@nwng have agreed to be the V pL Sub -contractor for 4. •: � , :6 1 (Type of Trade) (Primary Contractor) For the project located at 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 Change of Sub -contractor /notice _ CONTRACtO R SIGNA7URE(Q�Oaa) S SIGNATURE CQMRMWa 'i.cistsnr 7 Cam-k PRINTNAd1E COUNTY CERnRCATION NUMBER State ofPlarida. county ora' %.(gib The rerrtnioRm,trabent Wass eaed before me this I-dayof wbo@pasomUy kao,ra V ar tus vs°d.¢da PRINT NM / ('ace 533na COUNTS CERTIRCATION NMIREFt $bte of Flarid.. Coamy da= The lom".1e losrttmtat warbefore methA 7 day of T,28 6& —li h-ejey- whoispnsommyt.t. V_afleapmdemdi aaidmtifieati. a STAMP STAMP reo Pohre �Pt Prior Name abry PoSae • Notary Public State of Floritla w`f. Donna Lea Askman Rollsol 11116PO16 Hy o El Commission 17a054 qor M1aC Expa22es 01/09/2022 _ ANGELMR _ 691r t (7(PQt�At9At W.2M Bmdad7tra LALf06M PERMIT # the For the project located at ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMrr RECEIVED SUB -CONTRACTOR AGREEMENT FEB i (� � �7i 6N€i@ F@yflEYI P@lifitttiH� have agreed to be mle) // r�, / Sub -contractor for rj(�� � dkww'h f �"( (Primary Contractor) ���..�..JJJ1 03iG,�rf►'l� �►' f-4fCGtce 1�?- (5549?2_ ject Street Address or Propirty 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. Ii SIGNATURE (Qualifier)�— PRI\T NAMF. COUNTY CERTIFICATION NUMBER State of Florida, County of. LI�C.IQ„ 'yyJV,' The foregoing itustrmmeot was signed lbefore me this I.dayof .201``4 by �19.Q.,� D. G,-Q.f�L-rNr—• who isw personally kovv)'C, or has produced Signature of NbsaryPublic /� �QIuN) fl ! cA As -' ii Name of Notary Public rovVT sW�• Notary Public State of Florida Revised I1/162016 Donna Lea Askman g c My Commission GG 174054 'par no'e Expires Otl09/2022 SUB -CONTRACTOR SIGNATURE (Q.alif`ar) � . PRINT NAME ass V) COUNTY CERTIFICATION NUMBER State of Florida, County of�,�[•he. The foregoing instrument was signed befam me this AIA day of c ul e Q , 2i1-A by Pa�Q who is Personally known Vor has produced is as ldentintation. j t e�%n�I.L_ srnnfP St Si store reof Notary Public 'T(L iw►Q 4er Pnot Name of Notary Public JAB.ELFIARNER ►tYcakal4sMIGG089m ��Orilm OBdldMtlall Blld'�Bitbt�r$9MfP'