HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # I / /1 /i �UU ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
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Building & Code Compliance Division
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BUILDING PERMIT
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SUB -CONTRACTOR AGREEMENT
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FTL ELECTRICAL SERVICES, INC. have agreed to be
(Company Name/Individual Name) / b O '
the ELECTRICAL Sub -contractor for !U IYrS��2 ✓f'
(Type of Trade) (Primary C ntractor)
For the project located at 20025 SOUTHERN STAR DRIVE, FT. PIERCE
(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.
PRINT NAME
23063
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. LUCIE
The foregoing instrument was signed before me this 20TH day of
MARCH 20/eby DARYL J. UNDERWOOD
who is personally know or has produced a
as/Iidentitification.
oodil, /�'lf STAMP
ifna'Yure of Notary Public
SYLVIA LOMBARDOZZI
Print Name of Notary Public
`+gip+.ram: symALOMDARDOID
Yi r MY COMMISSION A FF W6294
+ `�= EXPIRES: February 22, 202D
Revised I1/1 BDndedThmRota7Nbrc Undamdm
PRINT NAME
23063
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. LUCIE
The foregoing instrument was signed before me this 20TH day of
MARCH 20 !r DARYL J. UNDERWOOD
who is personally known or has produced a
as identification.
(�
A41_n'" STAMP
Signs tore of Notary PubHC-
SYLVIA LOMBARDOZZI
Print Name of Notary Public
RM
LOMSARDOSION9FF93fi2gqebruary yz, p20yyPubdcUiWenm7r�s
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
FTL Electrical Services Inc have agreed to be
(Company Name/Individual Name)
the Electric Sub -contractor for BSL Construction LLC
(Type of Trade) (Primary Contractor)
For the project located at 2215-700-0009-000-8
(Project Street Address or Property
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.
CO T CTORSIGNATU (Q 4fier)
Byron Lenoff
PRINT NAME
21563
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was. signed before me this day of
Llylkl 20p by Byron Lenoff
who is personally known '✓ or has produced a
asidentJcadou. (ll
Sigdathre olNotary Public
`WMmnk\`
Print Name or Notary
Revised 11/16/2016
S ONTF CTOR NATURE (Qualifier).
ck- I 7- Uy>doocl,
PRINr NAME
23063
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie 'Q
The foregoing instrumentwas signed before me this day of
„20�e by L�,�l. J. U11G(P�Yi:�±oad�
who is personally known -11-'or has produced a
4 as ideatigficQaationn^\`n'(��'{\��(�
STAMP —X\ k A �XY_
Signature of Notary Public
PrmtName of Notary Public
OWELL
4AE
#GG265453 012022 State Insurance
STAMP
4AW
E OOWELLN $GG265d53CT07 20221st Stale Insurance
PLANNING & DEVELOPMENT SERVICES
]Building & Code Compliance Division.
BUILDING PER111I1T
SUB -CONTRACTOR AGREEMENT
Treasure Coast Roofing LLC
(Company Name/Individual Name)
have agreed to be
the Roofing S b BSL ConstructionLLC
C1ype of Trade)
u -contractor for ,
(Primary Contractor)
For the project located at 2215-700-0009-000-8
(Project Street Addressor 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.
1O11R71'OR SIGNATURE (Quahfi
Byron Lenoff
PRINT NAME
21563
COUNTY CERTIPICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this day of
Awrm_,202'D by Byron Lenoff
who is personally known- It/or has produced a
as identification"
Sagnaala ure ofNot`ryPublics j\
P`
not Dame of NomryPubhc
Revised 11/162016
S GTO�TURE(Qualifier)
PRINT NAb1E i
29843
COUNTY CERTIFICATION NUMBER
State erFlorida, County of St Lucie
The foregoing instrument was signed before me this day of
AAVW2om by rita.n Mo.I�neU
who is personally known. Vor has produced'a
as identification"
STSTAMP+�fSTAMP
Signature of Notary Public
Print Name of Notary Publicmn
t,yrrs MICHELLE OOWELL
;?°` .k MY COMMISSION#GG265453
EXPIRES: OCT 07 2022
Bonded through 1st State Insurance
MICHELLE OOWELL
MY COMMISSION#GG265453
�`- EXPIRES: OCT07 2022
IM Bonded through 1st State Insurance
PERMIT#1 7
ISSUE DATE
Buddy's A/C LLC
the
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual Name)
HVAC
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub-contractorfor T L(2or)sFrt>P_4ion` LLQ,
(Primary Contractor)
--'7 w - ODOCI - O
(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. aa 11''�,' f /�
vi Nt
CONT . OR SIGNATURE (Q i er) SUB -CONTRACTOR SIGNATU (Qualifier)
PRINTNAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 1 o dayof
c .20]_Qb �
y \i7l.Ireh qwf,
who is personally known 11/or has produced a
as identification.
n��0Q� 1� STAMP
i na rc of Murry Public
Print Name of Notary Public
os'rn0k MICHELLE OOWELL
+�"`.in MY COMMISSION#GG265453
+✓ EXPIRES: OCT 07 2022
Revised 11116 Ol "� Bonded through lst State Insurance
William H. Britton, Jr.
PRINT NAME
3laloa 0_R0_IRAno63
COUNTY CERTIFICATION NUMBER
State of Florida; County of St. Lucie
The foregoing instrument was signed before me this L day of
�,..1 Lnt' ,20_y_b by William H. Britton, Jr.
by
who is personally (mown V or has produced a N/A
as identi cation.
1/J STAMP
S' nture of Notary Public
Kristina R. Parsons
Print Name of Notary Public
SwEiv?v
gyKristina R. Parsons
NOTARY PUBLICSTATE OF FLORIDA
Comni# GG090836
IN Expires 4/23/2021
PERMIT#
r
B&N Plumbing LLC
the Plumbing
(Type of Trade)
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
4
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
contractorfor BSL Construction LLC
(PrimaryContractor)
For the project located,at 2215-700-0009-000=8
(Pro�ectStreet tlddress of Property Tax ID Np)
It is understood that if therc,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.
t>ONTIrlOR"SIGNATURE (Q,,HPW
Byron Lenoff
PRntT NAN7E
21563
COUNTY CERTII'TCATIONNUINBER
State of Florida, County.. of St Lucie
The foregoing instrument wnssigne&before me (his. %day of
c`1ti .zo�@by Byron Lenoff
who is personally known V er has produced a
as identification.
S,g alure of No Public
\C
Pilot Name of NotaryPublic'
Revised 11Y162016.
SUB-CONT Crt) TGNATURE.'(Qmdificr)�
Q-0,_ j 'f, e gecfgop-e
PRINT NAME
26109
COUNTY CERTIFICATION NUMBER
State of Florida, County of 'St Lucie
The foregoing instrument was signed before me thisA dap of
Zo�o,b)y P�rra lent
who is personally known V or has produced a
'��aus^id�enlifirntion. \n` '
STAMP
Srgumure of iNotary Public
Pnnt Name of Notary=Public
MICHELLE DOWELL
'yk NfrCOMM13S10N MGG2fi5153
EXPIREu OCT07 2022
°tl1 6anaedihmul lst Stale�(nsuianta
STAMP
MICHELLE DOWELL
r MY. COMMISSION NGG265453'
"EXPIRESACT07 2022.
`*"� BandedlhroughtWStatelnsurance
PEA.Mrr# 'ISSUE DATE
.E!
PLANNING &I)EVELOPMENTSERVICES
Buildi�ng&,Code.C6xiipliittice.DivlsipxI
BUILDING PERMIT
SOB COS ACTOR AGREEMENT
$ieve4srE4ectdc,df.Suuth FloridaInd.
haVe'agTdcd to be
(Cofnpnny, NameAndMdual N=e),
16Electr
, ical Sub - contractor for —v-
I ---- - — 11.1 1 . —Group Om ahm uction Dp
(Tyjpe-orTmdeY (Primary C4ntmcior)
For the project located at �000cs
2
,his; understood that; ifthere ,iis any change ofgatus.,Te,-or4ii1g.our participation with. the ab6vcmehtiovicd,
project, the Building and Code Regdlation,Diyisiowof St. Lucie Countv will he advl'kerf hifmunnftcilthf;
Airig Pf,a,C hangdof,-Subcomractbr notice.
CONTRA 9WftTtfftTQ--aQn
rov)y-
PRINT NAME'.
Z9 I t)-*
,COUNTY— CERTIFICATION NUNTHER,
Stnteatiliorido,'Countyar StIucle
The fu'regoftt&ttrumint ssigneJ76otorc me thii4 fty of,
who is persomily known orlmspmduceial
ns identificatidn.
STAAMI,
Jennifer Lynn Brandon
Print.Name ofNotary,Public,
JENNIFER LYNN.§RANPON
RaisedI 1T1 6/2
M COMMISSION i FF104697
, Y
EXPIRES ry 07,2018
'PRINT NAIVIE,
n9-f
COUNTY CgRI(IFICATION NUIVIISIER
F-L
Print-riame of Nonw�llubfie
my 11 �,NICOLE ELLENSON
N6 MY COMMISSION #GG089104
EXPIRES: APR 02, 2621
Bo.ndea through 1st Stale Insurance
i Y-(jnda
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMEN'r
B & N PLUMBING have agreed to be
(Company Name/Individual Name)
the PLUMBING Sub -contractor for GROUP ONE CONSTRUCTION AND DEV. INC.
(Type of Trade)
For the project located at
(Project Street Address or Prope
'aa)5--700- 00C"�l -
(Primary Contractor)
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 -contract notice.
CONT CTOR Si N.4 U'RREE ((Qrwiifier))
PRINT NAME
CRC iaso(_DEK
COUNTY CERTIFICATION NUMBER
r1
State of Florida, County of
The foregoing instrument was signal before me this day of
&OaIJX Mike. M1Mrd6i
who is personally known �or has produced a
t
U't
STAMP
ignature o
Uutt 1ph-PYm
e` rc ELLENSOy
r n MY COMMISMMIS SION #GG089104
EXPIRES: APR 02, 2021
a" 0 Bonded through lst State Insurance
Revised 11/16/2016
RACTOR SIGNATURE (Qualifier)
B,-G J(.C4,--
PRINT NAME
� �F( %G
COUNTY CERTIF[CA'f OcN�NUSiBER
State of Florida, County of l71 • �V1�1�
The foregoing instrument was signed before
Jme�this I-L day of
20 (i ,, by �I'L(�lC�l !'XC lU
who is personally knowv'X—or has produced a
a5 i of B`ation.
STAMP
;N�rre of Notary Pahl,
�liLl�lz �llel�So�'�
II not ; ame of Notary Public
NICOLEELLENSON
My COMMISSION # , 04
IXPIRES: APR 02, 2021 2021
Bonded through Ist State Insurance
PERMIT# 1703-0041 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
AC Buddy, Inc.
(Company Name/Individual Name)
the HVAC
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for G up W Cbny odkh
(PrimaryContractor)
(Project Street Address or Property Tax ID #)
=1lA10111%
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.
l4I, . l/kt-,4,
C TOR SIGNATURE (Qualifier)
M� GPI G GI tii! !0.•Ysi L
PR[NT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of-9f - !. ulie,
The foregoing instrument was signed before me this day of
e emberO by ML6E M i MM-6L
who i per natty known r s oduced a
as id nti c am
STAMP
ignature of Notary Public
r.l i l D l� O erlk 'I'1
]Errol Namc of Notary Public
�.wrr� NICOLE ELLENSON
ie/j1�n MY COMMISSION #GG089j 04
_.�'"mr' EXPIRES: APR 02, 2021
a� Sandedlhrou0hlstStatelnsurance
Revised I1/162016
SUB -CONTRACTOR SIGNATURE (Qualifier)
Wanda Galin
PRINT NAME
30113
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
The foregoing instrument was signed before me this day of
or 6,Q, 2017by
Wanda Gahn
who is personally known X or has produced a NIA
as ideoti cation.
_,14Q/L00�"LQJ STAMP
S ature of Notary Public
Kristine R. Parsons
Print Name of Notary Public
KrlsUna R. Parsons
NOTARY PUBLIC
STATE OF FLORIDA
Comm# 0009OM6
'/N 1 Expires 4123/2021
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Treasure Coast Roofing
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the Roofing Sub -contractor for
(Type of Trade)
agreed to be
Group One Construction
(Primary Contractor)
200 25'
For the project located at 20W5 Southern Star Stables PI D #2215-700-0009-000-8
(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.
C A� RR SIGNATURE (Qualifier)
M;/-k 21 t\AirAr,ol0.
PRINT NAME
G0G IZS p to Fi (Z--
COUNTY CERTIFICATION NUMBER ,o
State of Florida, County of ' - Gl lUr
The foregoing instrument was signed before me this day of
beC. 20nbyKd< Mirandot.-
who is personally known �x or has produced a
as i h6ce n.
TAMP
gneture of No ary lie
W,cU aexnvon
Print Name of Notary Public
Qbl�
NICOLE ELLENSONMY COMMISSION#GG089104
EXPIRES: APR 02. 2021Bonded lhau0h lst State lnsulance
Revised 11/162016
01 t�
SUB -CONTRA OR SI ATURE (Qualifier)
PRINT NAME
GC.0 03o453
COUNTY CERTIFICATION NUMBER
State of Florida, County of "1U) l't:
The foregoing instrument was signed before me this A day of
C 20( l,by�iO YI MO1zVl 0( ;
who is perso/n�ally know -Kor has produced a
as i e tiRcapon.
STAMP
ignsture of Not blic
Ntcok Ell hyi
Print Name of Notary Public
rss to NICOLE ELLENSON
MY COMMISSION#GG089104
t EXPIRES: APR 02, 2021
`d^ BondedthmughletStateinsurance
•.
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(1)); St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community. .
Property Owner Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF \ lQI Y�fi l�U C 1
ACKNOWLEDGED BEFORE ME THIS /5 DAY OF C� V 1 C.V T 1 Y�J('�rr� . 20 I
BY C Y.4f I r 1 D l � WHO IS PERSONALLY KNOWN TO ME rr ivi OR WHO HAS
G C Wq 1 Q+OMMISSION NUMBER
SLCPDSD Revised 04/11/2011
IDENTIFICATION.
N'�cblc C-Nfndon
TYPE OR PRINT NOTARY
," NICOLE ELLENSON '
(SEAL) MY COMMISSION#GG089104
EXPIRES: APR 02, 2021
a0010 Bonded through 1 at State Insurance