HomeMy WebLinkAboutSubcontractor Agreement 0 7017
1 _ PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Mal Building and Code Regulations Division
BUILDING PERMIT
suB-CONTRACTOR SUMMARY / 70 Sr
-�Gve ® will be using the following sub-contractors for the
(Company divi ual N e) �O
project located at 7-1z '9 / A "T4-/�'/u A-1Z -Aa_; &4
(Street address or Property Tax ED#)
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 `A
Electrical �v 'f C ,�LaG I�( � e G C�f r GD 2
,f9rv� e4w feI
Plumbing �5�� Pkv it-19 1, ,7
HVAC/ / L 6 A) y't� � , c -e
Mechanical
Roofing Xo "1:71
Gas
®FFICE USE bNLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014
PERMIT ISSUE DATE Z
1c"LA1WkT1TNG &,, DE VELOPP/lE NT SERVICES
Building &,Code Coinpl-knice Division
if
BUILDING PERMI'r
SUB-CON'rRACII'0111 AGREEIVIE,NN'
have agreed to he
(Company Name/Individual Name)
j—
the Sub-Contractor 1701- 4
(Type of-I'l-ade) (Primary C0111riclor)
For the project located at 0
(Project Street Address or Properivl"ax ID,11)
It IS LIIIdCI'StOOd that, ifs there IS ally Chal'I'le OfStatLIS regarding 01.11- I)al-ficipation with the above mciltioned
regarding
project, the Building and Code Regulation Division of'St. Lucie County wil I be advised I)I.II-SLIaI11 to 0110
filinc) of a Change Of Sub-contractor notice.
IGN. (Qty vilifier)C— L 6 C 0 TIC A C 7-0,0
e elo
0 2
COUNTY CERTIFICATION UNI1)I1,1111 COUNTY CERTIFICATION INUINIIII7.11 r
Smic of Florida.County of kna2f:t:!N Suite or Florida,Comily of
The foregiiiiig,instrument was signed before me ffiiss)i LNY of, The foregoill..'inswilinuill [whirr 111V Ibii2 S (Im.of
Am-m—o 2n_0.Iw
�'Ilo is pers(mall).Imoll-11 V— In.has III-1)(111cefla who is per.S4111:111Y known=TiF has produretla
as identification. as idelifilicaligill.
2.-
Signature.of Nolary lltiblic,� Si{iumire ormitary 111T
u 5—1 AldlUcl
frim Name of'Notary flulific frim mitur )nNipim-Y Public
KENDALL TADLEY RUST
COMMISSION it FF987105
W
,'XPNANCY AWAL
OrIRES April 27,2020 4
TZ Y COM
(407)393-011f.3 �::CriduNotarysorwmcgrn PUBLIC MISSION H FF 228330
Itc-viscd 1111612016 EXPIRES May 29,2019
SiAEO/'+
E OF
FLORIDA.1 BONDED THROUGH
Q(IlY
RLI INSURANCE COMPANY.
RECEIVED L"N17
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
� 4r
BUILDING PERMIT
SUIS-CONTRACTOR AGREEMENT
_Z_c„, C'C" l � Ir j,7 9 �' i have agreed to be
(Company Name/Individual Name)
the �4e 6 f 4`r ( _ Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at 7 ' ' ;� ��, �'1�� '�'/ �4 ACJ-
(Project
SCJ(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 NATURE(Qualifier) SUB-CON TOR SIGNATURE(Qualifier)
PRINT NAME
hr, 0 e PRINT A :�G 7^i
ME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION ' JM ER _
State of Florida,County of AA- A'9��� State of Florida,County of �
The foregoing instrument was signed before me this rLJday of The
foregoing instrument was signed before me this./ day of
N&>���� 20 / by_ f[c-u� >�/l� ,2e) by
who is personally known_or has produced a who is personally knownGhaced a
as identification, as ide<' .
_ STAMP STAMP
Signature of otary Pu c Signature otary Public
Print Name of Notary Public Print Nam of I' M;-
blic STEVEN F DA
� `- COMMISSION#FF 9825
NOT
'STATE OF
PUBLIC
1 EXPIRES May 22;2017
NANCY AWAL i IDA FLORBONDEOTHROUGH
RLI INSURANCE COMPANY
NOTARY p COMMISSION#FF 228330
PUBLIC EXPIRES May 29,2019
Revised 11/16/2016 �STATE0
�FLOkIDA BOND_DTHROUGH
RLI INSURANCE COMPANY.
° 1
R E C E I l >J °.,,W°, 3 ...�,o
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
'= ' Buildint, & Code Compliance Division
�1
--- BUILDING 1'EtUMI " 03
SUB-CONTRACTOR AGREEMEN'1' 01
• 5 `9-e- Ic k el have agrees:] to be
(Company Name/individual Name)
the U fy' lj J 'k'ty Sub-contractor for �'� 1 t ��
(Type of Trade) (Primary Cont(actor)
For the project located at � � f� l �: 1-1 I� / >�� l t L ~r
(Project Street Address or Property Tax 10 i,)
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.
CONTRA(' S III-CON 't: C •Olt SIGNiVTU1fF.(Qualifier)
1.),n V l�j tom► �� t" �.1
PRINT NAME 1111IN\AME,•.
COUNTY CERTIFICATION NUMBER cour ,CEItTll-'I 'A'I'ION NN'11i'i%lilEtt I /
Slale,of Florida,County of K Pr t V Slate of l�lurida,County of—&-11-47 1'v
The foregoing instrument%vas signed before me Ibis 7 day or The furegninl instrument Nyas signed before me this/-1D
['C ,2d C',by L.'z° _ ✓lam,zu 1,by
who is Personally known or bus produced a who is persunally k00%vo m bns Produced a
as identification. tl •id�calion.
STAMP STAMP
signature of N tan Public Signature of N la ry Pnlltl
IV,9 N C/ � Al C/ 6J/q
Print Name of Notary Public Prut Naive of Notary Public
NANCY AWAL NANCY AWAL
? 'l
NOTARY C COMMISSION#FF 228330 Z NOTARY C COMMISSION#FF 228330
Re�lscd 1 I/1G/_'OI16 ; PUBLIC EXPIRES May 29,2019 • PUBLIC EXPIRES May 29,2019
STATE OF STATE OF
1FL40,R
BONDED THROUGH -(FLORIDA BONDED THROUGH
RLI INSURANCE COMPANY RLI INSURANCE COMPANY,
RECEIVED 2017
PERMIT ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERN111'
SLIB-COWRACTOR AGREEMENT'
and have agreed to be
(Company Njame/Individual Name)
the Gas PIPIA16- Sub-contractor('or W,m.
(Type of Trade) (Primary Contractor)
Forthepro.jectlocatodat 7q(.7 Pi-,qA),-r,9--r/4A) I-A 95:5 'b2 - —Po p—T 5T, Loci E
(Project Street Address or Property Tax ID 11)
It is tinderstood that, iPthere is any cilarlge of status I•egarding our participatiot7 With the above mentioned
protect,the BUilding and Code Regulation Division of St. LLICiQ C01,111ty Will be advised PtIrSLIE111t to the
filing ofa re Of tractor notice,
CONTRACTOR SIGNATURE(QunitrjcjSU(? A k 't I SIC'1 5 TIMIL(QuAIII1110r)
C 149 >/
muwr NAME
240 7-- '
COUNlYrERTIFICATION NUNIHIM COIINTY CERTIFICATION NUINIIIAUI
/w
'keh 0
state(it Florida,County or Sinfe of li'toritil,County orJ-07
7 `1
I tin tit The ramping.11w I'moctl0vos signed Wore me tlligl�z day of
by jo Y
who is porsonnily knowu�- or Shm Vrodrmcd It who Is persnomiky knom-witz.,has Produced 11
s identification. 131HICIIIIIII t1011,
JAMEWPADGEn
STAMP
WON#FF 844018
My January 21,2020
Signature ol`Xotai�7110214f-� gaillure of Notory�tlbllc
R" air gppdedThtuNoleryPu6(Icttnttetwriters
V c 4/1
Print Name afNalary Public fNol:ll-%Public
NANCY AWAL'
Revised 11110/2016 NOTARY COMMISSION#FF 228330
SPUBLIC TATE OF EXPIRES May 29,2019
FLORIDA BONDED THROUGH
RLI INSURANCE COMPANY,,
PERMIT# ISSUE DATE
' PLANNING&DEVELOPAI ENT SERVICES
Building& Code Compliance Division
o' �t
- - BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
i
/ Cj l 7-7r CO /h(- . Have agreed to be
(C inpany)iamc/Individual m le) '
the .� Sub-contractor for /Ch
(Type of Trade) 0 (Primary Contractor
For the project located at �(� 1"(4 /"Al60-h — 1,a &d- a�
(Project Street Address or Properly Tax ID 11)
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 Chang -contractor notice.
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
t-C/''r y )r V .0 r?''of r. 410 ti
PRINT NAME PRINT NAME
aZc)92-� Qn�2
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
� /
State of Florida,County of�Wg 7`— Stale of Florida,County or�• t 6 t/ iL�
The foregoing instrument was signed before nu(W 2`S' day of The foregollun
ua instrument was signed before me tkls)J]oda of
----KI'L ,2(1*1 7 by � `—b `_ �. t �!4(Af VI 1 r(J
,201gbe — -4 �n-
lrlin Is personally known_Z_,vtF"has produced a who Is personalty known'�/or has produced a
as identification. as identification.
11
Z:2e
STAMP STAINn'
Signature of Notary Pubr nature of Notary Public
l
111A A r) I fi_�r h yi�
Prhit'Nmoc of Notary Public Print Nmnc of Notary Public
Notary Public State of Florida
tl
Jennifer Davis
Revised 1111 i12 NANCY AWAL . �`. My Commission FF 966029
NOTARY COMMISSION H FF 228330 Of IV Expires 02/2912020
I STATE
' PUBLIC
EXPIRES May 29,2019
(FLORIDA BONOEDTHROUG11
'Q(�}3'� RLI INSURANCE COMPANY
PERMIT# ISSUE DATE J�
_ lelio P LAI.qNING & DEVELOPME{NT SERVICES
Buii);ding & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Nam /Individual Name)
the A 7C Sub-contractor for 1/-)- G,. 19 W y� �T
(Type of Trade) (Primary Contractor)
For the project located at 7`f 7 �G' �> -'TO l 0
(Project Street Address or Property Tax ID#)
It is understood that, if there is any change of status regarding Our participation ,vith the above mentioned
project, the Building and Code Regulation Division of St. Lucid County will be advised pursuant to the
filing of a Change Sub-contractor notice.
CON•rR, rOR SIGNATURE(Quali her) SUII•CONTRACTOR SIGN . RE(Qm irler)
PRINT NA\9E PRINT NANIE
�20,�� '7 � 295°x'4
COUN'ri,CERTIFICr1'rION NUb9I3ER COUNTY CERTIFICATION NUr\1IIl;R
State of Florida,County of ru } L State of Florida,County or 751 L�f
The foregoing instrument was signed before me this 2 day of The foregoing instrument was signed before me this day of
ITZ ,2D1 ),by 20L?,I". �wG'
ai �
11-110 is personll},Itnown_or has Produced a Tubo is Personally-known or has produced a
aside tificition as idcntilicalion. •
STANIP STAMP
Signature of INt.ry Pu Ic Signature of Notary Public
/V 1q �Jc X w/4 STEVEN F DAY
Print Name of Notary Puhlic Print Name f l,9 1, 11 a CO—MMIbSIoN�r-9&25
PUBLIC EXPIRES May 22,2017
sWE OF BONDED THROUGH
'FLOFIOA
^aL RLI INSURANCE COMPANY
NANCY AWAL ,r,
�—,NOTARY COMMISS;ON H FF 228330
�SPUUBLIC ; EXPIRES May 29,2019
Revised II/ Gl2(T_FEbEoIDAll
RBONDED THROUGH
1W RLI IMSURANCE COMPANY