HomeMy WebLinkAboutSubcontractor Agreement RECER"7D SE? ? ,J jU It7 -- -
PERMfT# ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
o �L
Building& Code Compliance Division
--..—_- BUILDING PERMIT
•___._ _ _ _.� :f' SUB-CONTRACTOR AGREEMR-rT
4
' J e-C- haue agreed to be ,
(Company Name/hi4 vidual Name) c ff
the 4;�)4pc V f l LG4 Sub-contractor for / !S
(Type of Trade) ontractor) � f
For the project located at ! V _
(Project Street Address or Pr6perty Tax ID#) i✓ .3 ',
It is understood that,if there is any change of status regarding our participation with the above mentioned
projec the Building and Code Regulation Division of SL Lucie County will be advised pursuant to the
filing of a Ch of Sub-contractor notice.
CTOR SIGNATURE( er) SUBCONTRACTOR SIGtMATETRE,( er)
PRINT NANIE
CO CER CATION NUiV1B M COUNTY CERTIFICATION NUMBER iin,
State of Florida,County of u�.�•V State of Florida,County of�i0A L
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me tphis6o` day of
zo-b- S-as-N-v, b a( 1, x 1., 20,31b 9Jt, 'C(t ;.mot ..
who is personalty known or has rods, iE GIVENS 0, ersanaQy known or bas produced a
. Pb D GG 022023
s ideniifratioa. zoo '`�= MY GOMt+11SSIGN# 2020 entifirntion
+e 5S:December 16,
°i'% •�; EaPIR VublicUnderwrit r n
gondedThWNotar f ILI
GFF.•
Signature of Notary Public tare of Not9ylic ;�:••. AACEY GARCIA
���� MY COMMEXPIRES:
May 16, 081
EXPIRES:May 16,2021
C v t�+li._. '=rF .Le•'bonded Thru notary Public Unclecvn
Print Name of Notary Pubitc Print Name of Notary Public """"•
Revised 11/16/2416
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
i� Building & Code Compliance Division
BUILDING PERMIT
-- SUB-CONTRACTOR AGREEMENT
V 41 rio P bj have a eed to be
(Co ny Name/Individual Name)-J
the limit 10 hC' Sub-contractor for
(Type of Trade) (Priniftiontractor) _
For the project located at / ci. r
(Project Street Address or Pr petty Tax ID m) 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`vill be advised pursuant to the
filing of a Cha e f Sub-contractor notice.
NATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
I Ai PRINT NAME
COUNTY CERTIFICATI :'NUNIBER COL'STl'CERTM7CAT101N NUMBER
�State of Florida,County of� V e Q State of Florida,County of �� �uLJt�
The foregoing instrument was signed before me this]�_day of Th foregoing instrument w•as signed before me this��day of
S4 >a�s zoo,by�uso,�n fl a{� CC��>L
—-r-
w•ho is personally known or has produced a t' ` who is personally known or has produced a
as identification, as id tification. j
-•�;��.,, DEANNA MARIE GNENS
STAMP
h9Y c0MMISS10NA-GJrxM2023
Signature of Not Pub 7vt
EXPIRES:December 16,2020Signature of NBonded Thru Notary Public UnderwritersG-
Print lame of notary Public Print Name of Notary Public
i'aula S.Breler
M, Cominlaft # GG03W3
Expirm September 15,2020
Revised 11l1620I5 ~'`h,•„ Rd�o�� Bonded thru Aaro►a Nattily
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R E C E I D SE?
PERMIT# ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
�- J . Building & Code Compliance Division
BUILDING PERMIT
- SUB-CONTRACTOR AGREEMENT
��A, y n " 't'� lTt ti_L U►�, O:i(Y1 `f haue agreed to be
(Company Nam g/Indivi ual Name) Ut /
the G Sub-contractor for
(Type of Trade) (P ' ontractor)
For the project located at
(Project Street Address or Pr perry Tax ID#) r
' 1
It is understood that,if there is any change of status regarding our participation with the above mentioned
project,ct, the Building and Code Regulation Division of St.Lucie County will be advised pursuant to the
Ping of a Change -contractor notice.
r
O,' R R S Qualifier) S CTOR SIGNATLRE(Qualifier)
P I N PRINT NAME
Q;;4R4ICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of6'°.W f-� State of Florida,County of i ~
The foregoing instrument was signed before me this�_day of The foregoing instrument was signed before me this4 dray of
'
20 iky
who Is personally known�or has produced a �1" �� who is pers( y known 1%r has produced a
as identification. as identification.
HENS �pt1 � �i';jy�
Signature of Notary Pub 1SSION#GG 022023 nature of notary Publsc � �Q••�,.,•�•
:*= EXPIRES:December 16.Z tern C
k pryy co
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• t;-,_ _. Underwn SABRINA L. BLACK o u a y
IL Ck \f firs onded Thru Notary Publla
Print Name of Notary Public Print Name of Notary Public
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y. #FF195337 • '
��9 g�entdedinm �. �O�
�rolinntlr►v�
Revised 11116P-016
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RECEi'.
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PERMrr# j: ISSUE DATE
i.
PLANNING&DEVELOPIVIM SERVICES
Building&Code Coi*t fiance Division
` UUMDING PER*!`
5UB-CONTRAC rOR AGREEMENT
Total Roofing Systems Specialist have agreed to be
(Coxwaay N=etfh&vam1W=e)
.the Roofing Sub-contractorfor Gem Builders
(Type of Trade) '•`: (may Contactor)
For the project located at 1308 Lone Pine Dr.,Ft.Pierce
(Project Street Address or Property Tam ID#
It is understood that,if there is any change of status regarding vur participation with the above mentioned
proje t,tha Building and Cade R agi&fion Division of St.Lucie County will be advised pursuant to the
filing of a o nb-contractor notice.
OR SIGNATURE' Sa8-C CTOR SIGMA
I7R L
uan Martin
PRMNAlm
OUNTXURMCATIO.NNOYMM COUNW CERTIFICATION N A R
i;
State of Florida,County of State of Florida,County of �w
i,
The foregoing iectname_n1 FYaS si f¢ed before me t2dsday of Tr}afotrogaing fnshvuaentwas sigzce+I t+efore me this d4
of
St ,zee1 by S�s.,ti, �t c_ 1 zo�t�y JteCt�tl
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who is a �" wL'o is personsily lmown rorhi<s produced a
Personally 1bkrc +sue NENS
=* �. = w,(COMPdISSION#GG 022023
asidentWeatlon as d
EXPIRES:December 16,2020
F�q. Bonded Thai Notary public Underwriters
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Signature ofNataryPnb sjbnTlore ipmotaryPnb i
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Dint Name of Notary Poblio N f Ptary Public
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YR 4, UZETDBRACERRS
NotaryPublic-State of Rarlda
Comm4pon#GG09M
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evisal 12/16201tr s h4YComnt, y 202t
• 8°"d�dt�fiNe6enatNo:aryAssn
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