HomeMy WebLinkAboutSub-Contractor Agreement05/2412018 08230 VMIIICYVv,..
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PERMITII I I ISSUM DATE
COUNTY
F L 0 r? I U R "�-
the
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divif km —
WELDING PERMIT
SU&CONTRACTOR AGREEMENT
Sub -contractor for
JAN 2 4 2020
ST. Lucie County,
agreed to be
It is understood that, ifthere is any change of statue regarding our participation with the above mentioned
project, the i3uildiog and Code Regdation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contract(Ir notice.
a
CONTRACIOapt A iqulaner)
i�NAME
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y
COUNTY CBRrRrI� CAM—OWNUMEn
Serve orPtorlea, chantya��� �-�-.t�
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foregolo6 towtuteadlwaa �narorerae thb c dry ar
who ra aallylawwn7h6 prodauda
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STAMP
oalvrearNap'ry Pu .
Print eYemearNoury Pua rarros�
SHERRI FEHLMAN
.
,
COmMUOn # GG 187160
Far
e
ExpltpS Match 14, 2022.
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aenEed}rye aoQtNNoaryServio,y
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Print amacfNobry Puhac
otiw`;'ue� SHERRI FEHLMAN
t , mm1ssiop#GG187160
. c� �xpires March 14, 2022
;OF F1aP BORded AM BWBNNOLwYSffVkN
t
PERMIT# ISSUE DATEF I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
L11,QE-.tJ
(li
C rn2 m Nae/Individr
the L//n A /,
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Project Street
RECEIVED
JAN 24'2
ST. Lucie County, Permitting
have agreed to be
Sub -contractor for JjA
(Primary Contractor)
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.
" Z�7 /�_ 4
CONTRACTOR SIG iA URE (Qualifier)
PRINT NAME
_ '� 9.V 55
COUNTY CERTIFICATION NUMBER
State of Florida, County or_���
The f regoing Instrument was s. -n-edd bef, me this Z� day of
Jn� . zo7p;� �1ep6Q-T �(� Q I^Lt�rl7
who is personally known 17pr has produced a
ns' entlfi a o .
STAMP
Sig store of Notary
Print Name of Notary Public
�'g "P4eco SHERRI FERMAN
Commission # GG 18716D
C rT` o Expires March 14, 2022
Ibsded llue 8-600 Ne lary aerricra
Revised 11/16/2016
x- ZA 4, Z__�'
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
a 9�ss
COUNTY CERTIFICATION NUMBER
State of Florida, County M,
Th foregoing instrument was 19 before me this day of
, zo_ y Z43 &C7 'S OLOJ
who is personally known r has produced a
Sig Lure of Notary Pu
Print Name of Notary Public
'0tf--e'' SHERRI FFHL
Exp BsMar#GG 18M7160
FGFFLes aendea t$exuIY
2s
STAMP
«, J(s �: a PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL34982 r RECEIVE
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
,C Ocl a�,
(Company/Individual Namef
project located
JAN 2 4 2020
ST- Lucie county, Permitting
will be using the following sub -contractors for the
d7'
(Street address or Property Tax ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
GG
Plumbing
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER: