HomeMy WebLinkAboutSubcontractor Agreement R E C E 1': D r'iAR 0 2
zj PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
• Building and Code Regulations Division
o
BUILDING PERMIT
,� n SUB-CONTRACTOR SUMMARY
I`� e - Q2j C 0 h-stw Ci)C/rN will be using the following sub-contractors for the
(Company/Individual Name)
project located at 2 U U 5 Iy C )A+C S PJ►y d . )t r\S C n 9<Ct C N3 cl'S1
(Street address or Property Tax ID#)
It is understood that if there is any change of status regarding the participation of any of the sub-contractors
listed below,I will immediately advise the Building and Zoning Department of St.Lucie County.
St.Lucie County/
Trade Name of Company/Contractor State of Florida
License Number
Electrical Accu"k >c 1-fe VIC 1C162q
AgUCt Dime►-,Si OnS
Plumbing PI U rY. biv,q k 6'z-k
C OGS�"A l }-1ta�nc� � A�r trU►1c1i�'1•oh�n� t �5 3 �
HVAC/
Mechanical
UhShOv( lz oc)''q cCC 132 8�l9 y
Roofing
Gas N1 b
OFFICE,USE,ONLY
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014`�
'SEC
PERMIT# ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
COUNTY
Building& Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
A C L U i(G l( C l-c c 4li(- have agreed to be
(Company Namellndividual Name)
the E t C�-fyi«l _ - Sub-contractor for (y�[1- �.: _ C o►_,5�hvC fi r,�,
(Type of Trade) (Primary Contra r)
For the project located at ✓V Y (° S
(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 SIGNATURR{Qualiiller) SUB-CO CTOR GNATURE(Qualifier)
PRINT NAME PRINT NAME
2 363Q �q 62q
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of � _ — State of Florida,County d-
The foregoing instrument was signed before me this�day of The fo In g instrument was signed before me thb ZZ7 day of
T%dvr ,2kl by Y -K k JMN,-65 204 by
who is personally(mown or has produced a L who is personally known Aor has produced a
as identllleatlon. as Tdentifi tion. ,
S'T'AMPSE CNl1/
Signature of Notary Public, tore of Nohry Pabuc v-. ,SEC
\•••••1W,iM%
• , a�):�k',�' DEANNAMARIE GNENS
ICOMMISSION#GG 022023 noci
Nam Diary Pab1Ic ;, ,op,,: EXPIRES:December 16,2020 nt ane of Notary Public _ o,•
Print Naof ,of Fes„ Sondad Thru Notary Public Underwriters -y
oma: NFF048192 J�Q=
'ri9'S�•:yOia eondedihN o0• ��
• STAT
Revised 11/16/2016
RECENTS0 ','M ON U1117
PERMIT# ISSUE DATE
} PLANNING & DEVELOPMENT SERVICES
It IBuilding & Code Compliance Division
WELDING PERMIT
SUB-CONTRACTOR AGREEMENT
AQuCi 0i rn-ens Pf v)n b.r%a c6c yw t'ce s have agreed to be
Company Name/Individual Name) ,
the Sub-contractor for M e 1- 1z C o n S fhl c-Ect,
(Type of Trade) (Primary Contractor)
For the project located atR Cn 69
(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 lie advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) SUB-CONT T I A ( IIfier)
MCC kt MGfiVS Ine ci Lu A tLe &A_
PRINT NAME PRINT NAME
*2 X5628
COUNTY CERTIFICATION NUMBER COUNTY.CERTIFICATION NUMBER
State of Florlda,County of +�^�� State of Florida,County of -5L9
yy�
The foregoing instrument was signed before me this"1 day of The foregoing instrument was signed before me this ay i-aay of
Vvs°\ r .20n by V1%^gmk 20.,by 20bed
who is personally(mown or has produced a �' 1... who is personally known Ir has produced a
as Identification. as identification.
MARIE GNENS
MNA
_ ;r MY cOMMISS 022023 C STAMP
IRES:�B,2020 Signature of Notary Pu
Signature of Notary k'u a '°,`„:••• Bonded fhru Netary Pubr iladerx titers
2hbnrl&
Print Name of Notary Public Pnihi Name of Notary Public
;.:*'•'wk;: RHONDA LAFFERTY
MY COMMISSION#GG058720
''�',1e' ••., EXPIRES January 08,2021
Revised 11/16/2016
RECE1 rC ;,BAR p 2017
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building&Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
C OCt S CG t t+CCA+I'r.g I�tr r �o r�i�,�0 n i cj 'have agreed to be
(Company Name/Individual Name)
the 1-1 V AC Sub-contractor for Me 1- Q::j f*o h S l'ru[fi or►
(Type of Trade) (Primary Contractor)
For the project located at 200-t;—
(Project
O0-t;—(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) R1919NATURE(QuaKfier)
Mac r m G h)IS i crw-a W h;Ye ieca
PRINT NAME PRINT NAME
23636 $5�U
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of'�'+W State of Florida,County of-wan
The foregoing instrument was signed before me this a day of The foregoing instrument was signed before me this f day of
rtiax .20J,by 20--R,by r jai r� l ash r leheG
who is personally known_or has produced a I'llL+ who is personally known Zor has produced a
as identification. DEANNAMARIEGNENS
�.M "•., identification. (�
a?R� '••� MY COMMISSION#GG 022023
EXPIRES:016,2020 STAMP
Signature of Notary Pa c •+,,,,,,,••`, I NO a Underwriters Ignature of otary ubllc
Print Name of Notary Public Print Name of Notary Public
r 1y'+� MARYA,MARQUIS
:« MY COMMISSION IGG 035908
VA-4,A]',41 EXPIRES:November 12,2020
Revised 11/162016 1P;�,t6wW1WvNaWyP4bkUWWAn
{T
RECEI`:rD ��i�R 017
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
:COUNTY
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Q h S ho VC !2 o a have agreed to be
(Compan Name/Individual Name)
the (L o �1'%!5 Sub-contractor for M c i-fly C o h S ►� �'��r1
(Type of Trade) y� (Primary Contractor)
For the project located at
(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 ty will be advised pursuant to the
filing of a Change of Sub-contractor notice.
Cl—
C
CON CT S NATURE(Qualifier) ONTRAC OR SIGNATURE(Qualifier)
N1 CA c Y tv &bS
PRINT NAME PRINT NAME
2363b zq� 81
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION�[LJNIB R r
State of Florida,County of State of Florida,County of
The foregoing instrument was signed before me thisIN day of The foregoing instrument was signed before me this day of
Ma.- ,20,nby iv%ctclt; 20___,by
who is personally known_or has produced a '' �. who Is personally(mown_or has produced a
as identification. I. n cation.
STAMP ` STAMP
Signature ofNotaryWabBe Signature of Notary Public.
Print Name of NotaPublic Print Name of Notary Public
TA DEANNA MARIE GIVENS
MY COMMISSION#GG 022023
•F R ate: EXPIRES:December 16,2020
�,1Y P ,
i „cv wap'
Bonded Thm Notary Public Underwriters
;o�,a ue���� SHREISSSCHWAo
* .° Notary Public-State of Florida
Revised it/16/2016 N��, Commiseloli" FF 205427
%'oFF��� My Comm.Expires Mar 3,2019 }.
1