HomeMy WebLinkAboutSub, plumbing Jan 24 2017 0922AM Preferred A/C & MWicl 7728787510 page 1
UCEl''PD jAN 3 1 117
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
( om ame/ iv,idual Name
the Sub-contractor for
(Type of Trade) /} gg ( rimary Contractor)
For the project located at Tax
?IQJ
(Project Street Address or Property ax ID#)
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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) LTRAqdT& GNATURE(Qualifier)
d 1 ;�\rq L
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
NUMBER ;' p
State of Florida,County of State of Florida,County ofK (
The foregoing instrument was signed before me this_day of The foregoing instrument was signed before me thrsl�a day of (�
20_,by (` t(al_L ,2013by, ~ ]j1n(2 ld 0441� ( '�1
who is personally known_or has produced a -Who is personally La%or has produced a
as identification. as identification.
STAMP tl STAMP
Signature of Notary Public ignature Notary Public
le. Ealrmleq
Print Name of Notary Public Print Name of Notary Public
Nude L.Ramsey
NOTARY PUBLIC
0. 141reS
TATE OF FLORIDA
*MW GGM529
Revised 11/10016 11/2/2020
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RECE�'"" fl J�r� 3 N17
E
RMIT# ISSUE DATE
V J v PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance
p e Dnnsion
- BUILDING PERMIT
SUWCONTRACTOR AGREEMENT
I
have agreed to be
(Company Name/individual Name) '
the eak Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at 3 y q— �,, — �" ��� •
(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) SUB-CONTRACTO GN (Qualifier)
MCA
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this 2�day of
20�by �Y1 ,20L,by e �� ty.�L1
who is personally known_or has produced a who is personally know or has produced a
as identification.
as identification.
RO
STAMP CBS
Signature of Notary Public Signature ofiXatutWoblic
Print Name of Notary Public Print Name of Notary Ilublic p•�`;�otarys;•:;�Q�a`�
I
Revised 11/162016
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R GEIV-0 AN 31 2017
EMIT#
ISSUE DATE
i
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
MER Enterprises LLC/dba Leed Insulation have agreed to be
(Company Name/Individual Name)
the insulation Sub-contractor for Grande Construction
(Type of Trade) (Primary Contractor)
For the project located at 3409-111-0001-030-1
(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) SUB-CONTRACTOR SIGNATURE(Qualifier)
Michelle_Richards
PRINT NAME PRINT NAME
11324
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State.of Florida,County.of State of Florida,County-of St Lucie
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this 24 day of
G.2o_,by January 20 7 by Michelle Richards
who is personally known_or has produced a who is rsonally know or has produced a
as identification. as ideniificati
Io
STAMP STAMP
Signature of Notary Public I nature 0 N ary u lick�y
`�awt �\-b 11 el
Print Name of Notary Public Print Nam of Notary Public
i
.t ,•ot: °� KELLY L YQUtyz;
°_ Notary Public-5tr1e of Florida
Cs Jul
Revised 11/16/2016 •( ro_ Jul
M Commission y Comm. FF 138101
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