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
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