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HomeMy WebLinkAboutSubcontractor Agreement y 3 PLANNING & DEVELOPMENT SERVICES " s BUILDING&CODE COMPLIANCE DIVISION BUILDING PERMIT SUB-CONTRACTOR SUMMARY will be using the following sub-contractors for the (Company/Indlvidual Name) project located at fa70 Soa Jthd - (Street addressor 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 License Number Electrical vS� �_ L.1 ' 4e n A . Plumbing ^�C'_2 — �4� ��4141�t� �✓C, C .0 Y, )36 HVAC/ N X Mechanical Roofing JA S aaG 7 c��a32s'Sg r - ------`z- AIA O_ FFICE USE_ONLY:. PERMIT ISSUE DATE: NUMBER: i PERMIT# ISSUE DATE --- PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division 41 BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St.Lucie County Contractor Certification Number: State of Florida Certification Number(If applicable): i.. rn 6 '� PLC have agreed to be the (Company ame/Individual Name) Sub-contractor for J } rS (Type of Trad (Primaryl Contractor) For the Tb project located at 0 S%k4L,, - j 76 A , (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, I will immediately advise the Building and Zoning Department of St. Lucie County by .filing a Change of Sub-contractor notice. (Form: SLCCDV(No.004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES.ARE REQUIRED easiness Name: See-Ray Plumbing, Inc. 2174 Old Dixie Highway S.E. Address: - Vero Beach, FL 32962 City/State/Zip: P e: email: SIGNATURE PRINT NAME DATE STATE OF FLORIDA,COUNTY OFOQ.t ics�1� THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS I V DAY OFJ_AA!t�4, ,20 BY ;', C WHO IS PERCONAT.LY KNOWN OR HAS PRODUCED AS IDENTIFICATION. (STAMP) S16NATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 12/16/2013 HEATHER MILLER ♦�a�°�'% Notary Public-State of Florida Commission#F'199728 ?q % oFF�d;:� My Comm.Expires Jan 19,2018 1 L. PERMIT# ISSUE Dki` � PLANNING & DEVELOPMENT SERVICES w '' - Building & Code Compliance Division COUNTY- BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St.Lucie County Contractor Certification Number: State of Florida Certification Number(if applicable): have agreed to be the (Company Name/Individual Name) 3zc HU AG Sub-contractor for (Type of Trade) (Primary Contractor) 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, I will immediately advise the Building and Zoning Department of St.Lucie County by filing a Change of Sub-contractor notice. (Form: SLCCDV(No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: 11 gt-m C r Address: Z O 1 -7ee-`— City/State/Zip: V Pifer etc k Phone: 701' oZ 1 g email: C��D}'Iizyw cat r Z(�� �I •��W► SIGNA PRINT NAME DATE STATE OF FLORIDA,COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS�DAY OF r�-a-r' ,20J / BY !w (`�``� � � WHO IS PERSONALLY KNOWN ✓ OR HAS PRODUCED AS IDENTIFICATION. &a-&_ 1.1 (STAMP) SligiATURE OF NOTARY PUBLIC PRINT NAM F��A TRY PUBLIC SLCPDS: 12/16/2013 NOTARY PUBLIC ;� -+STATE OF FLORIDA ,, Corn#FF951618 �s"Nce I Expires 3/8/2020 PERMIT# �� ISSUE DATE'S PLANNING & DEVELOPMENT SERVICES f - Building & Code Compliance Division _ s * BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St.Lucie County Contractor Certification Number: State of Florida Certification Number(lf applicable): CC4- O 3 Z 4'Q pi M13 aft(0 Yjzj We l Am % fho f have agreed to be the (Company Name/Individ al Name) ACAM Sub-contractor for (T e of Trade) (Primary Contractor) For the project located"at 1+82,0 S(xA KA. t� 7761 11 (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,I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub-contractor notice. (Form: SLCCDV(No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: M IJ LQ Vkd r v h l Mw" Address: 540 2W V City/State/Zip: Vero ge R. Phone: 1 G� �✓ �-1SQG email: M 9M?00ftn,40 Q f_'1'lal, torn Iq O ad R. Isi a u- 21 LII 201 SIGNATURE PRINT NAME DATE STATE OF FLORIDA,COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 20 17 By A2 I Fj�r, (� WHO IS PERSONALLY KNOWN )r ORHAS PRODUCED AS IDENTIFICATION. SAUER /Z— �Q-�,�� / �$E i MY COMMISSION#GG 0678M SIGNATURE OF NOTARY PUBLIC PRINT NAME,OF NOTARY PUBLIC ., ,=o EXPIRES:January 30,2021 Bondw Thn1 N�Pubric Undefw�Ws SLCPDS: 12/16/2013 PERMIT# � � ®� � �� a ISSUE DATE PLANNING'&DEVELOPMENT SERVICES - ' - Building& Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT have agreed to be (Company Name/Ad`i-v`iduuaal`Name) the m,C41 Sub-contractor for —ra nl a s s (Type of Trade) (Primary ontractor) z / For the project located at V9,4D C jit)W a - (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. CO CT SIGNATURE(Qualifier) S ONT CTOR IGNATURE(Qualifier) PRINT NAME PRINT NA COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of!� State of Florida,County of The foregoing instrument was signed before me this 113day of The foregoing instrument was signed before me this day of zo I' br 201n by who is per ovally known or has produced a who is personally(mown or has produced a F-lQQ0 "6r)-0 -C s s% entificatton. I ntifcation.i STAMP STAMP Cj. tg tureofNotaryure of Notary Public �rint Name of Notary Pub��c � Print Name of Notary Public 111i„ LpSNAHNAINGRAM a� Notary Public-State of Florida Comm.Expires Dec 20,2018 :ao� -My - �w Commission FF 177249 h National Notary Assn Bonded thtoug Revised 1111612016, ""`+`•