HomeMy WebLinkAboutSUBS (1)PERMIT #
WIM
COUNTY
F L O R I V A
ISSUE DATE
PLANNING & DEVELOPNIENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have aZ: r .i to be
_
(Cot mpany Name"111cliVi(lua1 Name)
the FIec4ricl Sub -contractor for G-�Iru• �tc�Idff—j Zyc
(Typc of Tracie) (Primary ('onu•actor)
For the project located at I oft o CC, IE,,, est- yX1 o- 212- -
(Project Street Address or Property Tax In .4)
It is understood that. i I'therc is any change of status regarding our participation with the above m •ntjoned
proiect, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
(iIIng of a Change of Sub -contractor notice.
SCNATU E(Quali1.0RT\CTO(:
IS C --
PRINT NAME
1\.Qs1�
C'OUNT)' CEltl'If IC:\TION N11N11SER
State of rlori(In, Comm- ol'� ( I
The foregoing instrument teas signed before me this — 1 clay of
stB-CoN��(–rOR�SIUNA�TURE.
Qttalilicr) — --
Q.W� 1�_bl�"ti0
PRINIT NANIE
EC, 13""g313 9--7
COUNTY CERTIrICATION NU\1B1E:.R.
Slutc of rloriclu, Couno• of S t- V c l C—
The foregoin;, instrument 1vas signed before me Ili day of
tS�Je�t\ntie i at by �o�nn {�fl �n�-I ��l020.— IVoVenti 2o2, in PcIK.-K-L Mo
tcho is personally knutcn Y.
r hus proctuml a NN ho is personally knotcn$or has pruduced a _
as idenfilicafion.
Signa urc of NohtnI'uhli
Print Name of Notary Public
Revised I I'lo'016
as i(Ientilirttion.
STA\IP —
Signa tire of Notary Pub 'c Print Name ul' Notary Public
BRIANNA GRAHAM
MY COMMISSION #GG089105
EXPIRES: APR 02, 2021
'F
Bonded through 1st State Insurance g
STANIP
�peo„Y Pi ;-
PLe`& BRIANNA GRAHAMI
?' MY COMMISSION #GG0B91(1'i
EXPIRES: APR 02, 2021
°`" ^ Bonded through Ist State Insurari<r
PERMIT #
COUNTY
/ L O It I D A
ISSUE DATE
PLANNING & DEVELOPNI ENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Alisqi have agret to be
(Company Name/Indivldt 2 l Nat )
the _ C1 NUS _ _ Sub -contractor for _ YbLG l..0 I0A(S !G
(Type of* Trade) (Primary Contractor)
For the project located at 1Qa.1� _ C—,o-e t}u,%._Rd
(Project Street Address or Propert} Tax tf7 ft)
It is understood that, if there is any change of status regarding our participation with the above m itioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant :) the
filing of a Change of Sub -contractor notice.
C'( Ac2v
NAW (Qualifi)
i�Ri\'l' v.anl}
�keq`� _
COUNT% (904TIFiC'A1 ION NUMBF IA
S C' URAC Wt RE l talifieri
COUNTY CERTIFICATION NUMBER
state or Florida, County of �'C t C_ State of Florida, County of - IW
The foregoing instrument was signed before me this J day of ('he foregoing instrument was si d before me th LrAay of
2OLD, by
who is persortall, known or has produced u _ is personally known �r has produced u
us identification. Icutific. oro
4
rJ
Signatureof Notary Public .. (ore \tury Pu ,I �G-) 0 n i; 7,
Print Name of Notary Public Print Name of Notary t ublic /tBRIANNA GRAHAM MY CO(u1MiSSION #GG089105EXPIRES'. APR 02, 2021 -�1st State Insuranceto
'�Bonded through Reused I1 ib IG VI
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
`' ' ' Building & Code Compliance Division
Lue gigs
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
_ J.A. TAYLOR ROOFING INC
(Company Name;Individual name)
the ROOFING Sub -contractor for
(Type of "Trade)
For the project located at
have agreed to be
_GROZA BUILDERS, INC.
f Primary Contractor)
10210 CARLTON RD -- 4210-212-0002-000-2
(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
pro-ject, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
C' ) TRA XRSIGN "1' IS i3Oualifi
A'%
Csr�G-
1'il�. r \NIE
luyM
COL NTl CERTIFICATION NUNIBER
-- / LI
St'B-CONTRACTOR SIGNATURE (Qualifier)
KYLE WHITE
PRINT NAME - -
23_018
-- COUNTY CERTIFICATION NUMBER
State of Florida. County of.�.V
The foregoing instrument was signed before me this _y��ay of
1'10� e.rY►b 20 2'�by .. S_ °hn ►tnw GrDuL
who is personally known --../or has produced a _ __ J
as identification.
OSignaturcof tart' Public
Print \ m of Notary Public
Slate of Florida, County of ST LUCIE
The foregoing instrument was signed before me this 4th day of
NOVEMBER , 2020, by __KYLE WHITE
who is personally known XX or has produced a __
as identific tion.
STAMP kq STANIP
Si. ature of Notary Public
NADINE MANRESA
NADINE MANRESA =' L,,n,+;,r,
i Sinn#G355203
Print Name of Notary Publicyr-s c
t_xp:res November 1.,. 2023
„ _ L�::�.•i �:li i; C)L1;J''.i tiClel'j' SU:'li.c'S
ANGIE FINLEY
MY COMMISSION # GG 356153
"EXPIRES: November 17, 2023
Ri 1 !scd I III 6.10 1 (, a. `FOP C01 Bonded Thru Notary NW Unfi.,miters
Mwl
�COUNTY
0 A
Nl� HLANN
h
r\1 31)hn Pa4bon� 6- (bzck-
ANGIE FINLEY
MYCOMM18610N#GG:356153
1� 0
EXPIRES: November 17, 2023
U "W,
W Bonded Thm Notary PublIc UfKlefvMWS
I
RI'li,104A GkAl IAM
MY Go M I
yell pri
Fyf:!i if Ai f, U1
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r\1 31)hn Pa4bon� 6- (bzck-
ANGIE FINLEY
MYCOMM18610N#GG:356153
1� 0
EXPIRES: November 17, 2023
U "W,
W Bonded Thm Notary PublIc UfKlefvMWS
I
RI'li,104A GkAl IAM
MY Go M I
yell pri
Fyf:!i if Ai f, U1