HomeMy WebLinkAboutSubcontractor Agreement From:Vero Dock Fax:(888)858-1492 To: Fax: (772)462-1578 Page"2.of,2 0211012017 4:50 PM
PERMIT4 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
'Building Code Compliance Division
BUILDING
�: v� -�,+` '�� �� ��.,t.s � � DINC PERMIT'I SUPa-CD:yTR?�GT4}R?�CREI"VIENT-
r .
j .
i 1D®
.W lac. have agreed to..be-
(Company Namellndividu,il Name)
!I: the Sub
_ "+'P�.._._ — —. ,coiit>�actorfor
$"
�{ 7 (jypeol"'I'Vado)
J. (Primary Contractor)
Fol•the project.J.ocatcd at . D F. J S
(}'rgjecr Street Addross or Prapi=rty Ta.�tr)n,} �
it.is understood that, if there is any e1junge of stat.uS.regarding our participation with the.above men
tipnecl .
hrQject, the Building;and.Code Regulation Division.of.St. Lucie G.Qu_rlty will.be advi5ed_purstta)It to the
ili.ng.of a Change.Cif S.ub-contractor notice.
Ff
f;UN i'RA.'TUR.`C a\r1'FL!!2F -(Qttat.ifi�r), t r1CT(7R SLG\;1 T.t RL(Qua[ificr.)
RINT N ;�1f:
x'P4'(:L i2'r1F1.C:i'l't[)h`.NG�ft31 R' COUNTY CERRTIhlCATIONV NtSLfB£R
tihtte of Florida.Cotmty of i ' )�yt1 v f'� :State of Flarid,&County of
1'tie fonuin instrument erns sititcd 6efprt,me this LC) day of 9'hc foregoing instruurcnt fcas signed befgre rne.thisrlay of....... .: .... r.
who is-personally kttgtvn"r.has produced a, who is personatty lmot,•q fur bau produced a
a irlcnfifirrtitt as identification.
• ,1 err vs�
Si nnhrrco tints ruhfic•.... $ignature OfNgtary Pub ac
' ST431Y
I'l:i.nt.N tnae.of vat:u 5 Public
`.. Print Na .of Notary Public
BRET J. HOSKINS
ro Coy mission#FF 200987
p T" iGE�ICtALL TRDLEY RUST i
M1 Commission Ex rteS.
Revised 1III/.i20H) FebruarY IBi 2019 MyCOMM{SSiOlti f'F687105
....._.._............_............................. ` :....... r''...; ,F EXPIRES April 27,2020.. .. .. 1QDT!" 33] PforidakotarySarv(cewm
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it
PERMIT# ISSUE DATE
PLANNING.& DEVELOPMENT SERVICES
- Building & Code Compliance Division
�¢• BUILDING PERMIT RECEIVED
X.-
SUB-CONTRACTOR AGREEMENT
APR 11 2017
!I Coop,ELeerxtue. 14C., have.agreed to be
(C ompanj,Name/Individual Name)
the._F-IP. ic'�te AC Sub-contractor fdr LSTt AO bw,
{'1'}pc ol"frade) (Primary Coiuractiir)
For the project located at 10661 5. 0C-t010-1. NL .*91 , JGS.S&A UACA
;+ (Prt>ieet Street Address or Property Tax ID*)
I I
It is understood that.if there its 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
tiling of a Chan-e of Sub-contractor notice.
I
('ONTR:\ rOR (JNA"1'1iI2E(Qualifier) CTOR SIGNATURE(Qualifier
)
PRINT NAME Pa1NT NA\IE
C.Q'G 4 s b ECOUD�2/��'
SCErrr►r;u \r1oN 1i IBEa COUNTY CERTIFICATION NU IBER
State of Floridu.Couniy of t q -" State of Florida.County of �
The fonxning instrument was signed before me this%6 day of The foregoing instru.nent was,signed hcfnre me thiSODJ day of
who is personally known for has►iroduced a who is personally known ieef5or has produced a
-is identification. as identification.
STAMP STAMP
'I sign:iturc:o :\ota Public Signature or NotaryPul is
Print Name of Notary Public Print Name of Notary Public
"•'•2;�,,, !BRET J. HOSKINS
• Commission#FF 200987 �� -
•eE
- My Commission Expires �`;.' KENDAI.l..TAQLEY RUST
Revised II?16r_ul6 FebruorY 18, 2019 • ••_ MY COMMISMN#PF987105.
EXPIRES April 27.2020
��A ••
(407)39&4153: FbridallotaryServimcom
I
RECE1'.'-D FED 3.Z017
PERMIT# � ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
!i
KOOK E-Le rele- Wc. have agreed to be
(Company Name/Individual Name)
the E i= iC T2&C•Aef. Sub-contractor for �'ruAcr ie—
("Type of Trade) (Primary Contractor)
For the project located at �� � �. Q�y�p/�, Q� � JG`ISEjJ, aeACm
(Project Street Address or Property Tax ID#)
�I
It is understood that, if there is any change of status regarding our participation with the above mentioned
�I
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.
CONTRA TOR. GNATURE(Qualifier) 1 1 . ACTOR SIGNATURE(Qualifier)
`�ro - >r� u GATT�Q12r�,4 iD -f
PRINT NAME' PRINT NAME
(-AHftT'1'CERTIFICATION NUMBER COUNTY CERTIFICATION-NUMBER
State of Florida,County of �� `u{ — State of Florida,County of J410"A
The foregoing instrument was signed before me this WA1%day of The foregoing instrument was signed before me thisaCJlay of
200,by-&.5 De Goa r ;e• zoL by M+l�1TT�[Ogl
who is personally known;for has produced a who is personally known t✓has produced a
as identification. as identification.
'�JLI A ei
STAMP STAMP
Signature o Nota Public Signature of Notary Pub,re
Print Name of Notary Public Print Name of Notary Public
"�. B'RET J. HOSKINS
-+ •s"- Commission q FF 200987
P? My`Commission Expires r � �'•.: KENDALL TADLEY RUST
Revised 11/16/2016 �ion��� � F@I�fUOty 18, 20I 9 =�1;' ••: MY COMMISSION#PF987105
EXPIRES April 27,2020
(e07 398-0t i3 RoddallotaryServlee.eom