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HomeMy WebLinkAboutSUBPERMIT# ISSUE DATE r CC3U PST Y F L 0 P. i D A JUAN R QUINTEROS PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual Name) the ROOFING Sub -contractor for JUAN R 0UINTE ROS {Type of Trade) (Primary Contractor) For the project located at 4037 S HEADER CANAL RD FORT PIERCE PL 34045, #3202-500-0007-000-3 (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 TRACTOR SIGNATURE (Qualifier) JUAN R QUINTEROS PRINT NAN]E COUNTY CERTIFICATION NUMBER State of Florida, County of ST LUCIE The foregoing instrument was signed before me this 30 day of SEPTEMBER 20_L0 by JUAN R QUINTEROS who is personally known X or has produced a as identific n. STAMP SiDj Votary Public SILVIA BELTRAN Print Name of Notary Public Aofvia Beltran # GG29M DIMS: ,z" 17, 2023 zl Thnjftw Notary SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County or The foregoing instrument was signed before me this , 24_, by who is personally known _or has produced a as identification. Signature of Notary Public Print Name of Notary Public day of S'I AtiIP PERMIT# ISSUE DATE JUAN R QUINTEROS PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division (Company Name/Individual Name) the PLUMBING (Type of Trade) BUrLDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for JUAN R QUINTEROS (Primary Contractor) For the project located at 4637 S HEADER CANAL RD FORT FIERCE FL 34945, #3202-500-0007-000-3 (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. NTRACTOR SIGNA (Qualifier) JUAN R QUINTEROS PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of ST LUCIE The foregoing instrument was signed before me this 30 day of SEPTEMBERxo 2.0 by JUAN R QUINTEROS who is personally known X or has produced a n 'ficatio STAMP Slgwatlfre of N46ry Pubis SILVIA BELTRAN Print Name of Notary Public Si#via Beltran A CONN IM # GG292268 DMS: ,wry 17,2= Revisec�tl I116/2b i poDn SUB -CONTRACTOR. SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of ,20 , by who is personally known _or has produced a as identification. STAMP Signature of Notary Public Print Name of Notary Public COUNTY F L O R, I D A -~4e JUAN R QUINTEROS PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division (Company Name/Individual Name) the PLUMBING (Type of Trade) BUrLDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for JUAN R QUINTEROS (Primary Contractor) For the project located at 4637 S HEADER CANAL RD FORT FIERCE FL 34945, #3202-500-0007-000-3 (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. NTRACTOR SIGNA (Qualifier) JUAN R QUINTEROS PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of ST LUCIE The foregoing instrument was signed before me this 30 day of SEPTEMBERxo 2.0 by JUAN R QUINTEROS who is personally known X or has produced a n 'ficatio STAMP Slgwatlfre of N46ry Pubis SILVIA BELTRAN Print Name of Notary Public Si#via Beltran A CONN IM # GG292268 DMS: ,wry 17,2= Revisec�tl I116/2b i poDn SUB -CONTRACTOR. SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of ,20 , by who is personally known _or has produced a as identification. STAMP Signature of Notary Public Print Name of Notary Public PERMIT # ISSUE DATE COUNTY F L O R I D A —' JUAN R QUINTEROS PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division (Company Name/Individual Name) the ELECTRICAL (Type of Trade) WELDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for JUAN R QUINTEROS (Primary Contractor) For the project located at 4637 S HEADER CANAL RD FORT PIERCE FL 34545, #3202-500-0007-000-3 (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 TRACTOR SIGNATURE Qualifier) JUAN R QUINTEROS PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of ST LUCIE The foregoing instrument was signed before me this 30 day of SEPTEMBER 2© Lo by JUAN R QUINTEROS who is personally known X or has produced a as i entifieati STAMP Si nate of No Public SILVIA BELTRAN Print Name of Notary Public �� Silvia Beltran ;v,%T *�EXPIRE& Jury 17,21W R[6/241In AM !j SUB-CONTRACT'OR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this 26_, by who is personally known or has produced a as identification. Signature of Notary Public Print Name of Notary Public day of STAMP PERMIT # ISSUE DATA 1 11 ■ COUNTY F L 0 R 1 fl A` JUAN R QUINTEROS PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division (Company Name/Individual Name) the MECHANICAL (Type of Trade) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for JUAN R QUINTEROS (Primary Contractor) For the project located at 4637 S HEADER CANAL RD FORT PIERCE FL 34945, #3202-500-0007-000-3 (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. CO RACTOR SIGNATURE (Qualifier) JUAN R QUINTEROS W910111 0 0 COUNTY CERTIFICATION NUMBER State of Florida, County of ST LUCK The foregoing instrument was signed before me this 30 day of SEPTEMBER 20 2C, b, JUAN R QUINTEROS who is personally known X or has produced a as i 'ficatio . STAMP of ry is SILVIA BELTRAN Print Name of Notary Public Silvia Beltran ;RI�aAMM il, f2� %u Am Notry SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of , 20_, by who is personally known or has produced a as identification. Signature of Notary Public Print Name of Notary Public ST. alp