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Sub-Contractor Agreement
the PERMIT # (Type of Trade) For the project located at' ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Bun.DING PERMIT JAN 15 ^nan ST. Lucie County, Permitting have agreed to be Sub -contractor for COASTAL CONSTRUCTION AND DESIGN, INC (Primary Contractor) 5)e50,A/6 Gv,4_V ,tea Ax 1°i,e-:,A2e.r- 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 Build' g and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a C of S contractor notice. CONTRACTOR SIGNATURE (Qualifier) SUB -CO CrORR�SI TORE (Qualifier)P d %j,�i3LL'C1 dYly1 ( �7a(AW PRAT NAME COUNTY CERTIFICATION MWBER State of Florida, County o .=JC�Ilk The foregoing lastrumentwassigned before me tbis\5 dayof 2U3�by1-1Mtcio 41Io1)CG,\ who is personally known or bas produced a as as`iiddeatiication_ y--`—"--y STAMP Signature of Notary Public S�) �_ea..nv\R Print Name of Notary Pubfie „'• „ t...", �� DEANNAMARIE GNENS CDMGISSIDN#GG 022023 +°•' ;oa MY EXPIRES: December 16, 2020 Notary Pab rm0ndenaiters Bondedllw Rn' 162016 3 i It % COUNTY CERTIFICAT10�§ 7-B�E�.R_ State of Florida, County o Th}e/f}o' oing mstrumco: was signed before me this, day f F/ who is personally lmown _or has produced a midculification. S •— STAbIP gnaur orNotary Public 7i "jog MacBome Notart Public Nannypubic JmPh hremStaw of Ronda g6 My Commlasiod GG 118783 `faw exOktl oer.46 21 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDINGPERMIT RE p SUB -CONTRACTOR AGREEM NT JAN 16 �DZo ZT welt; giawmN r luww,i% t. In ff VgmlA uoU JV have agreed to be (Com any Name/Individual Name) the 1"lUm'b%U11, Sub-contractO for COASTAL CONSTRUCTION AND DESIGN, INC (Typ of Trade) (Primary Contractor) For the project located at 4868 WATERSONG WAY, FORT PIERCE FL 34949 (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 C a gecontractor notice. CoN7 CTOR SIGNATURE (Qualifier) PRINT NAME 21736(o C�GlN�S7� COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida, County of . ale lState of Florida, County of fit La r-h L The foregoing instrument was signed before me this V5 day of The foregoing foregoing instrument was signed before me this 0y-day /of �lA+� 21aa,by v�vr�e 4�%OCc� ,20Lgby who 15 personally known _or has produced a t- 10 l_ who is personally known _�s produced a a assidentificatian. as Identification. STAMP �AeVA c. JCIJ�� •�"�l� ✓ _^ STAMP Signature of Notnry P lie Signature of Notary Public Print NaNMI i Print Name of Notary Public DEANNAMARIE GIVENS,...,.,,. COMIAISSION #GG 022023 TERESABENNIGAN PIRES: December 16, 2020Notary public -State of Florida _ •= CommissionkGG167257 edThru Notary publiicUndervmters Comm: Erpires Dec 29.2021 Revised PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUJI DING PERMIT SUB -CONTRACTOR AGREEMENT RECEIVED JAN 15 1020 ST. Lucie County, Permitting NISAIR AIR CONDITIONING AND HEATING have agreed to be (Company Name/Individual Name) the MECHANICAL Sub -contractor for COASTAL CONSTRUCTION AND DESIGN, INC (Type of Trade) (Primary COis WDI) For the project located /.v47ZW'50,-Vlo (Project Street Address 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 PRINT NAM notice. COUNTY CERTIFICATION NUMBER State of Florida, County of_�i�—�1C�� Theforegoinginatrummtwae signed before one ddsV5 dayof �4r wa�by()o- ci who is personally kno ra _or has produced o -� t- 40L as ideafif icaat_io_a STAMP Signature of Watery Public ��ZluaNoWYjspcGWAS j G22020 hnCoulssloN�AG 2020 �lt�ueT suu-CONT CTIOR-1GNATURE(Qoa65er) PHILIP AJRU PRINT NAME 10363 COUNTY CERTIFICATION NUMBER State of Florida, County of STLUCIE The foregoing fustrummtwassigned beforeme ibis IIST day of APRIL 2o1q by PHILIP NISA JR KRISTIN BAITSHOLTS Print Nuare o f Notary Public PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance BUILDING PERMIT SUB -CONTRACTOR AGREI YS Z.YYJ 5 .S JAN 16 °"•7,9 sT, LNcto have agreed to be the ROD F=. Sub -contractor for COASTAL CONSTRUCTION AND DESIGN, INC (Type of Trade) (Primary Contractor) For the project located at 4868 WATERSONG WAY, FORT PIERCE FL 34949 (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 C e of S -contractor notice. CO RACTOR SIGNATURE (QuaUGer) a )Igz3U� PRINT NAME COUNTY CERTIFICATION NUMBER Sate of Florida, County of A% %.Q CAv' The foregoing instrument was signed before me this \S day of who Is personally known _or has produced a V'C+ 1[) L \as Identification. 3J Y� STAMP Signature of Notary Pfflffic fl C.s e nq G:\JQwS Print Name of Notary Public ,:n+rvl•... DEANNAMARIEGNENS q MY commiSSION#GG 022023 1 p ro? EXPIRES: December 16.2020 i 65�RP Bonded Thru Notary Public Undensriters D Revis L' ec 1.33 0-7sr(� COUNTY CERTIFICATION/NUMBER Stale of Florida, County of The foregoing Instrament was signedbeforeme Ibih a delay of 9LPnf�_2�Jby (fGtil .KAOIv r%_ who is personalty (mown has produced a as id ti canon. %1sm'ra., THERESA JAFFE /;>?',• �¢f+ Notary Public. State of Florida ., ort;.:' ! Banded Commission If GG 202301 My Comm. Expires Apr 1, 2022 through National Notary Assn. STAMP the PERMIT# ISSUE DATE (Type of Trade) For the project located at . PLANINTWG & HDEWL®PA NT SERVRC]ES Building & Code Compliance BUILDING PERMIT SUB -CONTRACTOR AGREEMEN JAN 16 2020 2T, LUCW 5 have agreed to be ram-- Sub -Contractor for COASTAL CONSTRUCTION AND DESIGN, INC (Primary Contractor) (Project Street Address or WA 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 ge o ub contactor notice. rONTRACPOR SIGNATURE (Qualifier) PRL1T NAME COUNTY CERTIFICATION NUMBER State of Florida, County of Sbr. The foregoing instrument was signed before me this day of .Se. -tom , 20!�L by G cc % who is personally known _or bas produced a i L' A u as identification. Signature of Notary Public 1 c o V, v% g 61'N'44 Print Name of Notary Public . �n:Plfm= FANNAMARIE GPo'ENSOMtdISSION#GG 022U23 i?PIRES: December 18, 2020Revised 11/d Thru Notary Publle Undenxriiz�a}� e�?-5L26 2— COUNTY CERTIFICATION NUMBER- State,��J of Florida, County of The foregoing instrument was s' oed before me this day of 2041'yl who is personally known {. or has produced a astifi©ti 9 STANIP t on. —v'1 " • STAMP Signature ofN wry dic