HomeMy WebLinkAboutSubcontractor Agreement To:St Lucie CountyAffidavit Building Affidavi Page 2 of 3 2020-08-20 21:04:58(GMT) 17729070420 From: Rod Waller
PERMIT# 2005.0605 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERK T
SUB-CONTRACTOR AGREEIMFNT
Sunrise City CHDO Inc have agreed to be
(Company Namel"Individual Name)
the Electric Sub-contractor for Stony Electric
(Type of Trade) (Primary Contractor)
For the project located at 6906 Coquina Ave, Fort Pierce, FL
(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.
CONTRACTOR SIGNATURE(Qualifier) 1 _ s Ir,;12 t7R 5 D k1f;RE(Qualifier)
Roderick Waller Rolin Dorsainvil
PRINT NANIE PRINTNAME
CGC1515114 EC13006942
COI.NTYCERTIFICATIONNUMfIER COUNTYCTRTIFICATIONNUNIBER
State of Florida,County of State of Florida,County of St Lucie
The foregoing instrument was signed before me this 20th day of The foregoing instrument was signed before me this 20th day of
August 20 21,bv Roderick Waller August21120 by Rolin Dorsainvil
who is Personally known 1J9r has produced a who is Personally known nor has produced a
as identification. as identification. A _
269�A 1,C�^—" STAMP 2_a:2 CiC�`""' ST.�11P
Signature of otary Public Signa�tarC of NotaiT Public
Sophia Harris Sophia Harris
Print Name of Votary Public Print Name of Nu
Notary Pul*c State of FWW2
Notary Public State of Ftwida • a Hams
IBOphta Hams Cot+rrws+an HH di152a3
EO4
My Carmrsus,an HH a05283
04
Kapse*0513112024
AAA
Revised 11116,:2016
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To:St Lucie County Affidavit Building Affidavi Page 1 of 3 2020-08-20 21:04:58(GMT) 17729070420 From: Rod Waller
PERMIT# 2005.0605 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building& Code Compliance Division
== - BITILDING PERN-11T
SUB-CONTRACTOR AGREEMENT
Sunrise City CHDO Inc have agreed to be
(Company Name;llldividual Name)
the Plumbing Sub-contractor for Cavalier Plumbing
(Type of Trade) (Primary Contractor)
For the project located at 6906 Coquina Ave, Fort Pierce, FL
(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.
CONTRACTOR sMC NNATIIRE(Qualifier) SI?B-CON'I'RAC T ]CiNATt1RE(Qualifier)
Roderick Waller Eric Foster
PRINT NAME PRINT NAME
CGC1515114 CFC1426743
COUNTYCERTM, CATIONNUNIBER COUNTYCERTIFICATIONNUMBER
State of Florida,County of State of Florida,County of St Lucie
The foregoing Instrvmentwas signed before me this 20th tiny of The foregoing instrument was signed before me this 20th day of
August zfl by Roderick Waller August 20- by, Eric Foster
who is personalty known_2or has produced a who is personally known nor has produced a
as identification. as identiticution.
4 /%/,__
STAMP STANIp
Signature of Notary Public Signature of Notary Public
Sophia Harris Sophia Harris
Print Nam if.ql; Pu Print Name of\ata u
Mary .bT.Stam of Florida • • So*e Hams
• • Bopluo Hams My Conrrrxaion HH OO52B3
My Carrwnntsion HH 0VZ3 5zl%M OSIS1rAU
expnas OSla14024
AM 040404 O%A AAA
Revised 11/1(/2076
To:St Lucie County Affidavit Building Affidavi Page 3 of 3 2020-08-20 21:04:58(GMT) 17729070420 From: Rod Waller
PERMIT# 2005.0605 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREE_-MEN`T
Sunrise City CHDO Inc have agreed to be
(Company Name/Individual Name)
the Mechancial Sub-contractor for CASTORS AIR CONDITIONING
(Type of Trade) (Primary Contractor)
For the project located at 6906 Coquina Ave, Fort Pierce, FL
(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.
r /
CONTRACTOR SIgNATURE(Qualifier) SUB-CONTA-r PaR SII;Ny 712Erunlifiter)
i
Roderick Waller Simon �astor
PRINT NAilIE PRINT NAW
CGC 1515114 CAC 1817327
COIIIv'TYCERTIFIC.'ATION'NUNIBER C:01.1NTYCERTITICATIONNUMBER
State ofFlorida,County of State of Florida,County of St Lucie
The foregoing instrumentwas signed before me this 20th day of The foregoing instrument was signed before me this 20th dayof
August 20 b`. Roderick Waller August 211 by Simon Castor
wbo is personally known—0or has produced a who is personally known nor has produced a
as identification. A as identification.A4 -'" ST4LMP
Signature of Notary Public Signature of Notary Public
Sophia Harris Notary?ublKSamofFtonda
"is Hams Sophia Harris NoraryPublwState�Ftonda
Print Name of Notary Public lrpKaa Qb3t Print Name of\otrn P My Coearasw HH 005M
IV Emra 1131 MAN
Revised 11!16•_016
To:St Lucie County Affidavit Building Affidavi Page 1 of 1 2020-08-21 21:03:22(GMT) 17729070420 From: Rod Waller
PERMIT# 2005_ 605 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
S�
� IG
w — - - Bli I-,DING PERNUT
SGB-CONTRACTOR AGREEMENT
Sunrise City CHDO Inc have agreed to be
(Company Naliie,hidividtial'.rutile)
the Roofing Sub-contractor for Sunrise City CHDO Inc
(Type of Trade) (Primary Contractor)
For the project located at 6906 Coquina Ave, Fort Pierce, FL
(Project Street Address or Property Tax Ill#)
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 Nvill be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SICJNr1TI1RE(Qualifier) St1B-CO:\"I'RAC"rORSIGNA'rURE(Qualifiier)
Roderick Waller Roderick Waller
PRINTN:1NfE PRINT NANIL
CCC 1515114 CM 327208
COUNTYCERTIFICATIOAT\L.MBER COUNTYCERTIPTCATIONNUNIBER
State of Florida,County of State of Florida,County of St Lucie
The foregoing instrument was signed before me this 21 th day of The foregoing instrument was signed before me this 21th day of
Augustza zo ,,`, Roderick Waller August ,ate byRoderick Waller
who is personally known_2or has produced a who is personally(mown nor has produced a
as Identification. as identification.`
/A�_ — SAIA-VIP
SignatnrcotNotan,Public Signature of NotaryPublic
Sophia Harris Sophia Harris
Print Name of lwtari•
I Sophia HamsDFWda PrintAly CommmWon HNotaryPublic SUte olFlorida
�M Ititli a OWIP20M ! • Sophie Hams
My Comnnssm HH 005283
1 EKpm Os U262t
A 04
Revised 11,116-2016