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HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE z =r PLANNING & DEVELOPMENT SERVICES ' �� Building & Code Compliance Division - - — BUILDING PERMIT SUB-CONTRACTOR AGREEMENT �XCe�Si�r LD/I�S7�/'ucTi©.t/ d�or��i�l���le/ri/U/�,/K4�y%OS�fave agreed to be (Company Name/Individual Name) the PJuMbr,y!l Sub-contractorfor e f'ewha & 4 (Type of Tra ) (Primary Contractor) For the project located at 709 E- S�sy 6�� iorl 1101Pnne FL. 3W,92 / (Project Street A dress or P peor rty 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. CONTRACTO NA/TI Er(Qualifier) / SUB-CONTRACTGASIGNATftE ,t! (Qualifier) I,V/.1 /u1 a7�G11G15Z� PRINT NAME PRINT NAME e Fe'ly 9a -4 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER i State of Florida,County of '</' Z(ee/a State of Florida,County of Jr 4CC/P The foregoing instrument was signed before me this s day of The foregoing instrument was signed before me this day of 2 17,by el/i �AS7 Fektb3fltl 20J_7,by ke-thrU14r2 ho is perso lly kn wn 1/P- as produce who is pee onally known or ha produce a� I on. / s id 6tificatio . I STAMP `�— STAMP Signa re of Notary Public Signa a of Notary Pu lic ri t Name ofNotary Public Pri t Name of Notary Public LYNN A r•yY eyLePdL'Th,,N N A SWARTZEL SWARTZEL 178 ; e = MISSION I FF 935178fJ,Y COMMISSION I FF IRES:��uary,3U 2020rsS:January 30,2020Revised 1I �oT: Bd ThN Plotary Pub nde > q �L� otary Public llndenniters PERMIT# 1702-0477 ISSUE DATE 4/6/17 �� ri }: PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division a BUILDING PERMIT SUB-CONTRACTOR AGREEMENT Cew 'E have agreed to be (Company Nameandivid al Name) the &V,,4 C Sub-contractor for Excelsior Construction & Roofing (Type of Trade) (Primary Contractor) For the project located at 709 Easy Street, Parcel Tax ID#3402-607-0076-000/9 (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 p J � g g �' filing of a Change of Sub-contractor notice. CONTRACTOR AT Qualifier) S B-CONTRACT R SIGN (Qualifier) _ rIAJ t V PRINT NAME I V PRIG NAME iv )� a6853 COUNTY CERTIFICATION NUMBER COUMTY CERTIFICATION NUMBER State of Florida,County of�� State of Florida,County of The foregoing instrument was signed before me thi��day of The foregoing instrument was signed before me this�day of 26- by QaAd n� �l�\�r ,20L�,by 1ps,rn25 m(•}UQ)1Qn J� who is personally known_or has produced a who is personally known_or has produced a ? . as' ntification. as identification. um"__ ` STAMP � Q n 1(SWA 0&u STAMP 7;Skc4u,,o ' ture of Notary Pu ' Signature of Notary Public ram_ �er , � '�W —�' � can CU � t--4--� Print Name of Notary Public Print Name of Notary Public a INGRAM ,Kr r L;i ;i .Ni i, � \ dotary -State of Florida :°�%��c Notary.Public A State of Florida ^(t i =Niy Comm. '::pi.e2 Dec 20,2015 7� Commission t;GG 204085 , Commis:ion `PF 1772�45 ''�of r�°F My Comm.Expires Apr 5,2022 %P,;;: ` Bonded through National Notary Assn, Revised 11/16/2016 Bonded throuy;i i.'l,_n�;;.atary Dssn. PERMIT# ISSUE DATE ,—7s '_. PLANNING & DEVELOPMENT SERVICES S J " I' Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT _ Ad11CINCe4 DP5/4N4 UC IJ-aWael Z des have agreed to be (Company Name/individual Na (e) the Sub-contractor for FXCe15 r t A) 4 - (Type ol"rrade) (Primary Contractor) K.0 ;;uy ' For the project located at 70 F-04 P P/'ele ICL mzw (Project Street Addr ss or Property'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 hill be advised pursuant to the filing of a Change of Sub-contractor notice. CONTILACTO"119NAT64tE(Qualifier) / CTOIt SIGNATURE(Qualifier) PRINT NAME PRINT NAVE a9C'©5 /LGCISa l9/l -Z)5 5 COUNTY CERTI 1CATION NUMBER COUNTY CERTIFICA I.1 i`RENIBER State of Florida,Count),of 4� C State of Florida,County of q—. ZXCC� The foregoing instrument was signed before me this0 Ida,of The foregoing instrument was signed before me this dry or .Zn Ll-.by Q �n I� ' Fe ,zo,1,by SgMa�l who is personally known_�.r has produced a who is personally known ✓ or has produced a as identification :,s Y idc�vntiricaation. STAMP STAMP Signature of Notary Public Signature of No45 ,•Pub' Print Name or Notary Public _ Print Name of Notary Public ICHRAK FERCHICHI Notary Public-State of Flodd8 ? Commission#FF 966534 �;:::;�� WWI R08ERTMATYJASZEK 1,201 f1 # * MY COMMISSION#FF 162158 My Comm.Expires Mar 3 Revised.11116,'2 ''• „�;; '� Bonded through National Not afYAW.. � EXPIRES:September 22,2018 +►E��y��O Bonded Thru Budget Notary Svvk,