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HomeMy WebLinkAboutSubcontractor Agreement r MPLANNING AND DEVELOPMENT SERVICES DEPARTMENT • Building and Code Regulations Division BUILDING PERMIT SUB-CONTRACTOR SUMMARY �(,I _Afm Jx • will be using the following sub-contractors for the (Company/Individu ame) 7�(7 ,, J-/08,- / d �/ project located at �d� l . `�-1 - � �"T0D A�A'©00� -=-(5 (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 LicenseNumber Electrical °r O1 q q `7"a Plumbing HVAC/ Mechanical Roofing Gas OFFICE USE ONLYc PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Ending & Code Compliance Divisi®n 0 o BUILDING PERMIT SUB-CONTRACTOR AGREEMENT N QCVwe 1� CA S Ons AIC have agreed to be (Company Name/Individual Name) the Nt c oAck Sub-contractor for Z (Type of Trade) (Primary ontractor) For the project located at S o y N s c Irh SV (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. ""I.- CONTkACTOR SIGNA .0 (Qualifier SUB ON C OR SIGNATURE(Qualifier) MOA Ma_Vl RIR PRINT NAME PRINT NAME 1 a�O�Ig 8 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION R State of Florida,County of_ . d` o State of Florida,County of t The foregoing instrument was signed before me this day of TheANegoing instrument was s' ned before me 's ay of _V-_0D .20_,by '2 t ^1�1�alilL.lL Wet who is personally!mown or has produced a who is persona own as pro uced a dentification. as id kation. STAMP STAMP ignature of Notary Public Signa tu u Print Name of Notary ,ub}i Print Name of Notary P blic LASHAHNA INGRAM Notary Public-State _� ° My Com of Florida TRACY FLAY LANGEL -, `oa; m•Expires Dec 2p, Af '•4'°',oF�koa.� mmission#FF 20181"r MY COMMISSION#FF140072 Co Bonded through National Notar249 � 12WHE16 AkJgUot @g,2010 YAssn. Revised 11/16/2016 btl7 tl@e tli0tl �19rIti8RlOtfi@rY1e0,tldFT1 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division • s s -- --- -- BUILDING PERAHT SUB-CONTRACTOR AGREEMENT Bassolino Plumbing/ Gennaro Bassolino have a reed to be (Company,i,Tamemdierual Name) On arry Mons the II'-''�IUU Sub-contractor for Construction Inc (Type of Trade) (Primary Contractor) 505 N 39th St, Fort Pierce, FI. 34981 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 County will be advised pursuant to the filing of a Change of Sub-contractor notice. CONTRACTOR "ATURE(Ou4r SUB-CONTRACTOR SIGNATURE(Qualifier) &A Gennaro Bassolino PRINT NAME PRINT NAME 921i�a C_FL 1'la9is'7 COUNTY CER�CATIO�N.�NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of�C, �A`a 6• State of Florida,County of The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of 20 by1�ibu)*_,�by who is personally known or has produced a who is personally wn_or has produced a dentification. as identification. vim, STAMP STAMP gn re of otary um--(N Signature of NotAry Public ^^ r �Nl6t'� �>✓"�1 i� �� Print Name of Notary Public U Print Name of Nlotary Public ..0"y P'� LASHAHNA INGRAM av n s s. `�= Notary Public-State of Florida ""riy TAN1'ALNEVILIE My Comm.Expires Dec 20,2018 ;,. MYCOMMISSION fFF157883 '9 pa�• Commission#FF 177249 u EXPIRES:October 12,2018 1 P: Bonded Thry Notary Pubno Uidembrs Bonded through National Notary Assn. +Rfh� Revised 11/16 f J PERMIT# ISSUE DATE _ PLANNING & DEVELOPMENT SERVICES C+ r - Building & Code Compliance Division D � — BUILDING PERMIT SUB-CONTRACTOR AGREEMENT S ?—r lZ t have agreed to be (ComAany Name/Individual Name) the J' �e` %r Sub-contractor for (Type of Trade) (Primary Contractor) For the project located at /I S YG8 -zz-Z—Gomel®cu-b' (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. CONTRAm ACTOR SIGNAT (Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier) PRINT PRINT NAME /&99g- c:;9,— �7 e-��� COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUBER State of Florida,County o ,� State of Florida,County of •W e- The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this X23 day of 20___,by Yl f� 201],�by�l �11�f who is personally known_or has produced a who is personally known V or has produced a identification as identification. C STAMP STAMP "g.atur?of Notary Publi ignature of Notary Public Print Name of Notary Publi j 1-,7Fes. Print Name of Notary Public LASHAH A RAMS Notary Public-State M.,,, �• oP, MY Comm,Expires Dec t Florida ,&,01""kS,,-LAURA R.CUBSEDGE �•.;�;oFF�o:••' Commission 20,2018 I,: ;„Commission#GG 022076 Bonded throw #FF 17249 ; Ad Expires October 21,2020 Revised 11/16!2016 9h National Notary Assn. ��'„°p�� Banded llwTroyFainlnsurance8W485d019