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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 I I 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