HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
IN
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- -- -- - BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number: 2928
State of Florida Certification Number(If applicable): ER0011355
Heritage Electric/ Wayne Garber have agreed to be the
(Company Name/Individual Name)
Electrical Sub-contractor for Cooke Construction, Inc
(Type of Trade) (Primary Contractor)
For the project located at 8600 S OCEAN DR 701
(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:
Address: �tU �c f Q Ca
�J City/State/Zip: r1,�:S-fao J
Phone: 17 Z- 33q 96 7.5 email:
12
SIGN RE PRINT NAME D TE
STATE OF FLORIDA,COUNTY OF M,V-+`✓`
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF Apr- � 20 r
BY Wl`/ x� WHO IS PERSONALLY KNOWN OR HAS
PRODUCED AS IDENTIFICATION.
0`,yi'r'Pi:''•. R D PAYNE II
State of Florida
�!�V fir` • Commission#,GG 24467
PRINT NAME OF NOTARY PUBLIC =+. 4:� M C
SIGNATURE OF NOTARY P LIC %.Fovc�°;:� y omm.Expires,Aug 25,2020
"'��II"' Bonded through National Notary Assn.
SLCPDS: 08/06/2014
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PERMIT# I 119 ® �� ISSUE DATE
OPEN,
�{., �� €� PLANNING & DEVELOPMENT SERVICES
N` �''r, Building & Code Compliance Division
- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT APR 21 2017
�,1 C s P 1C I WAY ,1 <:;A(' T have agreed to be
(Company Name/Individual Name)
the )F�L t:,�cMZ I G.iO L Sub-contractor for L-o 01C C-0rV —)JzUCT)Q1\,i
(Type of Trade) (Primary Contractor)
For the project located at �r L � S 0 ,0\) Q2 '���
(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 SIGNATURE(Qualifier) -C RA I ATURE(Qualifier)
A17-410AI lee
PRINTNAMEE PRINT AN ME
Z!Z091 ZgZF / ER(3( /355
COUNTY CERTIFICATION NUMBER COUNTY CERTE FICATION NUMBER
State of Florida,CountyA✓ S of � r State of Florida,County of The foregoin instrument was signedbefore me this`� day of The foregoi instrument was signed before me tth—is/'y_day of
rt 20 by / �A�1 L-l7?�Z� l' zo!?by 4
who is personally known or has produced a who is personally(mown_or has produced a
xyz'
icatlo . as ide W STAMP STAMP
"groature of N tary Pub]i 1 atur of Notary P lic
�,/ v ov�•,� WALTER D PAYNE II
r' _ a�` �`c'•,• Notary Public Stale of Florida \/ �s • WALTER D PAYNE II
e•. tary Public-State of Florida
Print Name of Notary Public •• Commission#.GG 24J
nt Name of Notary Public •�S Commission GG 24467
My Comm.Expires Aug 2
•.,For���?,• •,.F My Comm.Expires.Aug 25,2020
''•��� ``'� Bonded through National Not '''• � "�� Bonded through NaUohal Notary Assn,
Revised 11/16/2016 '
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