HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SER
BUILDING & CODE COMPLIANCE DIVIS]
JAN 10 2019
BUILDING PERMIT ST. Lucie County peRn
SUB -CONTRACTOR SUMMARY
alam' V1 WIx \ 1 � A ' IV be using the following sub -contractors for the
(Company/Individual Name) _
project located at 6V ®S (`.L,lar lip Rd V 1 - Isy'
(Street address or Property Tax ID #) " 2qq
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
c , p
J� �'i` PC�7 l C If,
a� yea
WYehUL %S
Plumbing
'^
AYYtu r
NrtLI& L. 6� 1h TC.
}} JID1131
HVAC/
Mechanical
�l
Roofing
Gas
OFFICE;USE.ONLY:
PEWW_r
ISSUE DATE:
NUMBER:
I—,
PERMIT (t ISSUE DATE
PLAloA'ING & I➢FVFLOPMFNT SERVICES
Building & Code Compliance Division
® IVE')
BUILDING PERMIT
SUB-CONTRACDRAGREEMENT JAN 1 0 2019
EREC6
ie County, Perrr
S&W Electric Inc
{CbmpMy N=.%i4ividual ,Fame) - —.- --have agreed to be
the Electric __ Sub -contractor for Anchor Down Mobile Homes
{Type of Trade) {Primary Co-luacmr)
For the project locattxl at 6150 Carl ton Road
(Project Street Address or Properly T. ID;I)
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 SL Lucie County hill be advised pursuant to the
filing of a Change of Sub -contractor notice.
GOAT OR SIGNATURE(Quaaller)
on�2,(e_
I'euAI AAW11..
COUNTY CERTIFICAI'ION NUMBER
stern of noride, CaSSnty ofsLw G y�
Tb forcgoinp, ioYtrameat aes slgaed 6efan rat WielN day of
who is perxraady known others produced
SUB-COMRiCI'OR SIGNATURE (Qualifier) — --
Lawrence Stubbs
RIN NNAW �.
29442
COUWT1CEI I ICAT10N NUMBER
So»eof Florid..Cooaty.(57t�Lu6 e.+
'I be rorcgoiog kotrameal vas Sigurd before me rids day nt
ry,7 i(LISQ.f�.aa 2flbr(f1UilPMP V`�,.�
wbu is person.11Y kaown Vr or has produced
arldrnlifuaiten. as id.titixe4eu.
ig aNre of lotuy Puhu STAMP SrAMt•
11 gSwmre ofNMary•HSLIie
Pant NaaR ar4obn'r'n>dn' Priox 'xme of Notarr pnblk
tate of Floridaaw
`
Revised.@K.ig
,,�n GG 2818d1c=missldGG 022076
2022ExplmsOUo6et21,2620
3`� BmdaCTAruTmyFralGiraarml0}38ST019
PERMIT # ISSUE DATE
I
PLANNING & DEVELOPMENT S
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
JAN 10 2019
ST. Lucle County, Permitting
JIu LAYIUY "WYI IVILo01W VIVIVS, Wc_ have agreed to be
(Company Name/Individual Name)
$rY D�a�`7o�f, �O��p V
the 1 Sub -contractor for S
(Type of Trade) (Primary Contractor) nC.
For the project located at ��� effFft R(� �k _ l a �.
(Project Street Address or Properly Tax ID #) 2 g_7
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 SIGNATURE ("'uali6er)
PRINT NAME
COUNTY CERTIFICATION NUMBER �
State of Florida, County of I
9i_WCKJ111
The foregoing instrument was signed before me thist ) day of
(�,,l'{ 2Lay a Y?�l n
who is personally known or has produced a
as identification. �� /� /� py
V�� `E�/" STAMP
Si mat a o`f Notary Public
V1�y, q\ ,
Print Name of Notary Public
�aolrdtary Pubbc State or Flodda
B
yCommlJ06 GG2ete41
xpuea 1210612022
Revised 11/162016
SUE -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERI R ICA IIION ry11pQ EER 1 s
State of Ilorlda, County ot �t
The foregoing instrument was signed before me this 10 day of
z�hy )Y`D" 1!X �j� l
who is personally Imoe'n _or has produced a
as identification.
STAMP
Si na ure of Notary Public
' Notary Public State o+ r,�,
¢' &N Julie Baird
My Comnlisslon GG 287e41
'a^f Explreg1210512022
�wwNWr
PERMIT #
iixl�s,_,"142.
P r
the
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
RECEIVED
JAN 10 2019
ST. Lucie County, Permitting
have agreed.to be
for r a»}n I tl & i )R_ ko5
/n� ((PririmrT Contractor)
For the project located at C9105 (2o Y- l � f A(> . R O 7 -11f' (�_16 q " 76D ' ODD7. 6w ,2
(Project Street Address or Properly Tax I) #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
(Type of Trade)
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 SIGNATURE (Qualifier)
A0?-Jr4 l.2Zr-
PRINT N,"IE
State of Florida, County of 51 WC t C /
The ,foregoing instrument was signed beforo me this day of
who is personally known _or has produced a
as identification.
♦ N ^'
STAMP
Sig t re of Notary Public
Print Name of Notary Public Notary Public StateJul of Flbritle
1� j MYICCall Sion GG 281841
�reli tu061222
Revised l l J1612016
- .0 CTOR SIGNA IRE (Qualifier)
PRINT NA11I ,
-gab urq
COUNTY CERTIFICATrON NUMBER
State of Florida, County of
off'^-U v
The foregoing instrument was signed before me this day of
J W t.I._A. zoo y J o NheS Vd
who is per o.mdly (mown _or iiaa produced n `
of Notary Public
SABRINA L. BLACK
z o txc289e62
o �
iN,..�j.'°oDlic Uadot;'c'� O�\�