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HomeMy WebLinkAboutSubcontractor Agreement R E C ' D MAR 317.017 _ PLANNING AND DEVELOPMENT SERVICES DEPARTMENT • Building and Code Regulations Division BUILDING PERMIT SUB-CONTRACTOR SUMMARY See The Difference, Inc. will be using the following sub-contractors for the (Company/Individual Name) project located at 9Q00 S..Ocean Dr#306 Jensen Beach, FI. 34957 (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. St.Lucie County/ Trade Name of Company/Contractor State of Florida License Number Electrical Energized Electric LLC EC13006279 Plumbing Genesis Plumbing Services Inc. CFC1429103 RVAC/ Mechanical Roofing Gas ;OFFICE USE ONLY:; PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 RECEIV",, LIAR 3 i 7017 PERMIT# ISSUE DATE PLANNING•&DEVELOPMENT SERVICES . L -`" Building & Code Compliance Division • BUILDING PERMIT SUB-CONTRACTOR AGREEMENT Zed P—J ec+C hC' 1 C_ have agreed to be (Compan me/Individual Name) (fin the E l eC�iC;n n Sub-contractor for ee�11��- �.4� Ir e-6C(1Ce- Inc . (Type of Trade) (� !� (Primary Contractor)A ' I�.For the project located at 96c) � n ��Pn 'a` c r�`f�l � (Project Street Address or Property Tax ID#) I 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) I SUB-CONTRACTOR SIGNATU (Qualifier) ��� k, �`�ir-r� M i c hn vi l�tx na PRINT NAME PRINT NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER p State of Florida,County of e�'� State of Florida,County of S+L, The foregoing instrument was signed before me thi((U 0 day of fi The foregoing instrument was si ned before me thi day of ',ZO0,by who is personally known ✓ or has produced a who is personally known�r has produced a as identification. as. entification. hub= (i�Q*m STAMP STAMP Si aturcof Notary Public. Si ure of Notary Public i I Pr1nt Naive of Notary. ubtic Print Name of Notary Public °§�," BARBARA WATSON AkMY COMMISSION#FF155600 "'arv�^••., ?o,'••.....•. �;, BARBARA WATSON ; . EXPIRES August 28, 2018 €�° •`•- MY COMMISSION#FF155600 Revised 111162016 (407)398.0153 Florldallota Servlce.com ry '•'i ors�oP,•, EXPIRES August 28,2018 (ao7)3se-ot53 FlorldallotaryServlce,com PERMIT# ISSUE DATE PLANNING &DEVELOPMENT SERVICES e Building& Code Compliance Division s , BUILDING PERWT SUR-CONTRACTOR AGREEMENT C)e-n t trnfSerkil'-ce-'s, have agreed to be (Company NamelIndividuai Name) the t_L. i Sub-contractor for s__ D 1y (Type of Trade) (Primary Contractor) For the project located at '00 S n c�ensp 1 ead) 3457 (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. CON CTOR SIGNATURE ualiher(Q ) �B-CONTRACTOR S[GNATL (Qual r 0( '!,J Q .D hfir, TU I �l PRINT NAATE PRINT NA IE si COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER R, State or,Florida„County ef�(� State of Florida,County of S{ l l k�(e— The foregoing oi ',instrument was signed before me this o day of The foregoing instrument was signed before met 10day of m1�3 V 1 ZD ,by C [ I b(�� �) ,2011,by who is personally known Ve or has produccd a wyho Nis personally known 1/or bas:produced a as' eutitication. Identir, Ion. fn A � AmnSTA.M. STAMP 5i tore of Notary Public S1 a r o re of tary Public Print Name ofNotniy Public Print Name of Notary Public ,•�aara��,,,. BARBARA o,....... WATSON :o��.......:� BARBARA WATSON:" °_ MY COMMISSION#FF155t300 `'E MY COMMISSION#FF155800 . oF,r�e°•' EXPIRES August 28 2018 `'' °' Revised 1111612016 9 '?o'rn °` EXPIRES August 28,2018 (407)398.0153 PoridallotaryService.com (4$)398•0158 Florldallota Service.com