HomeMy WebLinkAboutSUBS2/10/2021
Groza Builders - Silver Oak Dr. - PSL Affdavit.jpeg
PERMIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SA\K'y' have agreed to be
(Company Name/individual Name)
the 1 \ \ Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at \ \SQ cxa, 1l,0Z w7 - 02 8`1 - 00c, - 5
(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.
OCONTRACTOR SIGNATIjRi�'(QuaGfler) V
�J
PRINT NAME
\k4'�(\'t
COUNTY CERTIFICATION NUMBER
State of Florida, County of <kt_ le -sue
The foregoing Instrument was signed before me this JJ_ day of
_` ✓ 20,, by+>rr �t rdCl . + J �9 ►uZ o'
who is personally knowa-or has produced a
as identification.
STAMP
Signature of 1`No ublic, ^ 1
Print Name of Nojp ry Pubtic
,02-Y A Kelly Finley
0 Notary Public
Revised 11/16/2016 State of Florida
i a Comm# HHOS2506
psi Cf tg�e Expires 1/19/2025
a
All AL `
SUB -CONTRACTOR SIGNATURE (Qualifier)
c I v t
PRINT NAM
COUNTY CERTIFICATIONp(p( UMBER
State of Florida, County of ] ]zip v4r,
The foregoing Instrument was signoill before meI l r fi il� of
FL a —- ' 2� by
who is personally known r has prod d a
.sd nti cation.
a
STAMP
S o Lary Public
M
/ Print ame of Notary Public
Qy/
,.O N Notary Public State of Florida
Jacqueline DeGrandis
My Commission HH 001272
Empires 071142024
https://maiI.google.com/mail/u/0/?tab=rm&ogbl#inbox/QgrGJHrtpgpNmxxkJtmKUDStKxfvwWLZxb?projector-1 &messagePar1ld=0.1 1/1
PERMIT # ISSUE DATE
0 !6-: -
COUNTY
F l O R I D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the _-. .� �=\ ,/ W AL — - -
(Type of Trade)
have agreed to be
Sub -contractor for
(Primary Contractor)
For the project located at 5 �,•,,1� �cw�_L ..- 3y�3.._� 6- -7 is`t_ -m -
(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.
ONTRACTOR SIGNA E (Quaiift )
LC_
PRINT NAME
mlq
COUNTY CERTIFICATION NUMBER
State of Florida, County of•L1 It t
The foregoing instrument was signed before me this -Zday of
. 20-74, by S ( ,G�C_
who Is personally known! or has produced a
as identification.
STANI P
Signature of Nota
Pu
buc
Print Name of Noly
Public
t�R A Kelly Finley
`' °o Notary Public
a s State of Florida
Revised 11/16/2016 '" Z" "= Comm# HH082506
•`PENCE IT% Expires 1/19/202S
PNTRACTOR SIGNA R I(Qualifier)
00 W�SA .3e-.'
PRINT NAME`
COUNTY CERTIFICATION NUMBER
State of Florida, County of S _W l/W
e oregonie Instrument was sit nad before me this day ii
2t1� ny
i'1ili N,1) J1,
who is In•t onally k -„ n or has produced n
- — - -_
ire of \'wary 1'u , i�
i
' 7s
Print Name or Notary Public
�_ o -4
N. o n' co
W' G)a —1I
n cn
iarnNcuZ.
O
V
0 Ln r
i
PERMIT #
Building & Cock Compliance Division
BUILIDING PERMIT
SUB -CONTRACTOR AGREFEMENT
have agreed to be
{Ce•ntpam✓ nt-rleP:ndivicua(%\arn ;
1itFe , _ Seib -contractor for
(Type ofVhde) ,7 '"antractel) _
For the project located ;it 1�iG7 `"NL, '/ig' _' c.3:ti,. {t�. a , _ . �' '` C) (-"c..-T e!Ss/'e'', _— z_
(Project Street Address or Property Tax WD #) mm
It is understood that, if there is any change of status regarding our participation with the aCbove mentioned
project, the Building and Code Regulation Division of St. Lucic County will be advised pursuant to the
ding of a Change of Sub -contractor notice.
;`'7'",r a T R SFCNATUFtF, unlifiar)
11FN
1�14 11�►--1 _
COUNTY CERTIFECATION NUMBER
Slate of Florida, County of t_V_
SUB -CONTRACTOR SFCNAFURd (QualiFer)
G�_v'
PWM NAN7F:
COIIN"I Y CERTIFICATION NUMBER
3.'•"
State of Florida, County of @_j��(f''rd
r
The forepaing instrument WAS;igned before me this 1'Z day of •I, hl. foretning, instrument mis �igocd before me 6i, &Iy et
F—t .26 2'l by 71:1-1 eAmknl� 6_11 r .e c - zoo, t,�• _Q
who is personally lam%" � or hai produced a srho is personally known _or has producedt s
as idangf1cation. Ea identification.
_466__'N STAMP STAMP
Signatu:ea \o: ) i :n;ic�i%nstan ni lrtnr. Fublic -
Ak 7
Print Name ofNefiry Public ��- T Print Nnrne of ;rotary Pub11e
Kelly Fln1GY a9'� ..• e xt +"
a�e$wcil
Notary Public "^/ Pub'o 5 a a of con6aState of Florida K tiw coRevised 11/16201G pp Vpn�N EApiresC3D5!<02tComm# HH082506 Expires 1/19/2025
PERMIT # ISSUE DATE
7COUNTY
F L O R I D A ""A"
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
611-e—e— d2�g . y,,,G, have agreed to be
(Company Name/Individual Name)
the \t"v Sub -contractor for r10It C
(Type of Tr e) (Primary Contractor)
For the project located at 7 \_�O Sk\vim Oc'.v—,0r.uc_ — Z —Go-7 - C'Zg`1
(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.
��p d4 "�Z_
NTRACTOR SIGNAT ualifier)
PRINT NAME
IQDr6-t'{
COUNTY CERTIFICATION NUMBER
State of Florida, County of at
The foregoing foregoing instrument was signed before me this 12 day of
V-e6, 2074, by 2C-
who is personally known �v or has produced a
as identification.
STAMP
Signature of NotSty Public
Print Name of N tary Public
Kelly Finley
�otnkso� Notary Public
-State of Florida
Comm# HH082506
Revised 11/16/2016 S�NCE N Expires 1/19/2025
-CONY CTOR SIGN T (Q -er)
C'—
PRINT NAME
wq
COUNTY CERTIFICATION NUMBER
State of Florida, County of Gr
The foregoing instrument was signed before me this 12—day of
20� by Sri....
who is personally known Y or has produced a
as identification.
g_h STAMP
Signature of Nota blic
Print ame of No ary Public
A Kelly Finley
°o Notary Public
g 2 c State of Florida
't Comm# HH082506
��HCE 19�0 Expires 1/19/2025