HomeMy WebLinkAboutSubcontractor Agreement i
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r PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING&CODE REGULATIONS DIVISION
M t 2300 Virginia Ave
Fort Pierce,FL 34982
BUILDING PERMIT
SUB-CONTRACTOR SUMMARY
will be using the following sub-contractors for the
(Company/Individual Name)
project located at 00(3- CCU' - ;B
(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.
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St.Lucie County/
Trade Name of Company/Contractor State of Florida
License Number
Electrical (C-7�' —FZ i
Plumbing t`n2 v w�,. ►J Z366
cit, /4
HVAC/ 1 ,� S c-cI e- �z Co,ah'710 8� ti3
Mechanical
C4Co 3 SS'S�3
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Roofing �.� �(�`�►^ti��� �3i iL,v �� ��'gZ
C, C,137-T)z9
Gas
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I
OF CE i1SVOW
PERMIT ISSUE DATE:.
NUMBER:
PER IT#
ISSUE DATE '
PLANNING&'DEVELOPMET�TT SERVICES
Building& Code Compliance-Division
m -
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
j Is f'� 1ec�-n �C-
(Co pang Name/Individuai Name) have agreed to be
the `��Q C�-�t C Q� Sub-contractor for� oxo� i
(Type of Trade) (Primary Contractor)
For the project located at / � L.L» J�09- S-(3013 cr--o
(project Street Address or Property Tax ID#)
I
It is understood that,if there is any change o f status=regarding our participation with the above mentioned
project,the Building and Code Regulation Dvision-of St.Lucie County will be advised pursuant to the.
filing of a Change of Sub-co ntractornotice.
CO 4RACrO2SIGTUBE(Qualifier)
SUBCAN TRACTOR STGNAT ualiGer
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State ofFloride,County o il`1 State of Florida,County of T�Qj&
l�The foregoing instrumentwas signed before.me this day of T ioregoing.instrumcnt was signed:before me this day of
by
who is personally knowor bas:produced a who"rs personally known dorrhaS produced a. .
as identification. asa entitication;
Q
STAMP D STAMP
i
ignatureofNotaryPublic gnature:ofNotaryP "lic
I
1N,1
STACEY wCIA
BARBRA A.GOODMAN =*c MY COMMISSION#FF OM26
a :"'•. '` EXPIRES:May 16,2017
* * MY COMMISSION i FF 101341 �,pf;°:� Bonded Thru Notary Pub%o Under 7 ters
EXPIRES:March 12,2018
PjAhO�FL�,�e 9pndld ThN lludge2 Notary Servlcea '
PERMIT# ISSUE DATE
I
I
PLANNING & DEVELOPMENT SERVICES
\\ Building & Code Compliance Division
a
e �
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(CPTUMWW&�,
any Name/Individual Name) II
theSub-contractor for 9L�y rnC"' CCtiJ51`► aN
( ype of Trade) (Primary Contractor)
For the project located at /'�d� 1�>J ���C �t�,c�C_ j�d5 �)-53o f3-=-8
(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 Chang f Sub-contractor notice.
NTRACTO SIG 'A RE(qualifier) SUB- 'TOR SIGN TURE(Qualifier)
PAJ AW, I&A aZ4Z
PRINT NAME PRINT NAME Y
cy
WcIZ4 CSC Z 27 (P GhU S 7-(COUNTY CE TIF ATION1 �,\R_l �NUMBER COUNTY CERTIFIC lON NUMBER
State of Florida,County ofJT. State of Florida,County ofw
i 1
�CThe foregoing instrument was signed before me this_6"day of The foregoing instrument was signed before me this ay of
2d,by�� \� \. ,20 ,
who is personally knolv�4_0r has produced a who is personally known or has produced a
as identification. s identification.
I
I
STAMP STAMP
ignature of Notary Pub'e Signature of Notary Pub'c
Print Name of Notary Public mt Name of Notary Pub is
MY COMMISSION#FF 101341 BARBRAA.GOODMAN
# * MY COMMISSION t FF 101341
8 EXPIRES:March 12,2018 ` * EXPIRES:March 1$2018
Revised 11/16/2016 '9rfoF��`O BosdedThmgudgetriOtarySeNlcea "y acvo
a $ BWedihru Budget kdaryServIO
�'
i
j
PERMIT# ISSUE DATE
i
i
PLANNING.& DEVELOPMENT SERVICES
Building & Code Compliance Division
• r
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number:
State of Florida Certification Number(If applicable):.
1?- �`C SAC.cJIC rZ �,tiv�►i�c �, Jq have agreed to be the
(Company Name/Individual Name)
4 y k- Sub-contractor for rJ �`( wL�v�i) co")- ^Z.c1cTi���
(Type of Trade) (Primary Contractor)
For the project located at '�b q I,c roc 15-65---600
(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)
BUSENTESS QUALIFIER (Name of the Individual shown on the Contractor's License)
I
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: Q0iy.D i I i c,.J i,oq
Address: EJC !�Z CC
City/State/Zip: 1��Z-� 5 i• C i4 3 4e s 3
Phone: 3(7- Z�{ �' email:
e �
SIGNATURE PRINT NAME DATE
I
STATE OF FL RIDA,COUNTY OF, �`�
THE FOREG NG INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF � ,20L
BY Zfi \�- WHO IS PERSONALLY KNOWN OR HAS
PRODUCED AS IDENTIFICATION.
(STAMP)
KR��.f
"GNATU OF NO Y PUBLIC RINT NAME OF TARP PU IC �o��,".::;4% BARBRA A.GOODMAN
MY COMMISSION i FF 101341
SLCPDS: 12/16/2013 * * EXPIRES:Match 12,2018
dam+ of��`Oe qmM Thru Budget Notary Sery M
r
PERMIT# ISSUE DATE
I
PLANNING & DEVELOPMENT SERVICES
` Building & Code Compliance Division
COUNTY
IF L 4 R I ►
BUILDING PERMIT
SUB-CONTRACTOR/AGREEMENT
St.Lucie County Contractor Certification Number:
State of Florida Certification Number(If applicable):
IN A,C J -,CA J have agreed to be the
Company Name/Individual Name)
Sub-contractor for j�uiv1AQ"� i
(Type of Trade) (Primary Contractor)
or the project located at )yG
(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: N � `r'�c
Address: [�-•G ��'� Zy S�`G_
City/State/Zip:
Ph I'17 �`� — 13 ( email:
SI NAT UIX
PRINT NAME DATE
STATE OF FLORIDA,COUNTY OF
TH GO TRUMENT WAS SIGNED BEFORE ME THIS b DAY OFV 20—\a
BY V WHO IS PERSONALLY KNOW OR HAS
PRODUCED AS IDENTIFICATION.
)Q
(STAMP)
S TGNATuRE O OTARY PUBLIC ANT NAME OF NOTARY PUBLIC
��,•"•.
SLCPDS: 12/16/2013 8J1OWSs ON#FF 1 13
* MY COMMISSION t FF 101341
* EXPIRES:Match 12,20I8
�"�orr ThNoudpdNalsrySuvices