HomeMy WebLinkAboutSubcontractor forms PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
O I -
-- - — BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Av'OnkIl— CZC, lave agreed to be
( ompany Name/ ndividual Name)
the t Sub-contractor for
(Type of Trade) ^ I (Primary Contractor)
For the project located at
v
(Project Street Ad ress 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 f a Change of Sub-contractor notice.
CO RACTOR SIGNATURE(Qualifier) A0A)
XSe r s
PRINT NAME —PRINT IqAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of% �.� State of Florida,County of c;
The foregoing instrument was signed before me thi PH
g g' g s�v�day of The foregoing instrument was signed before me this L day of
�J zl ,by_�*�►�c,\ o rod;�-e3 ,20 9 by Sasru e/ T
who is personally known_or has produced a 1. L who is personally known has produced a
as identification. as identification.
STAMP STAMP
Signature of Notary Pu is Signafure of Notary Public ,aEtt;i�YPSPY6d0//;0;
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Print Name of Notary Public Prin lYame of Notary Public v ��2tY 21,2o�a.e
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-,�•.a'"�`�'b' IVIARIE GNLNS
DFA' GG U22023
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Revised 11/16/2016 'Q" /`�l/�Od
PERMIT# 4 q ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
is WOM
A In-,----- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Coastal Plumbing Services, Inc. have agreed to be
(Company Name/Individual Name)
the Plumbing Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at 12416 Indian River Dr. Jensen Beach, FI 34957 (4504-603-0016-001-2)
(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-contra for notice.
CO ACTOR 9VGNATURE(Q lifier) SUB-CONTRACtI GNATURE(Qualifier)
Chris Rogers
PRINT NAME PRINT NAME
CFC#1428462
COUNTY CERTIFICATION NUMBER COUNTY CERTIRCATION2JUMBER
State of Florida,County of %_ c ' State of Florida,County of
The foregoing instrument was signed before me this_day of The foregoing instrument was signed before me this day of
,v dJ 203L),by t a...l\� G ®c. }a� 2 by ll vin J
who is personally known_or has produced a L L who is personalty known or has produced a
as identification. as identification.
STAMP STAMP
Signature of Notary P61ille Signa400taryry Public
_ ,_ -� �• �
F"Y''9,,• DEANNAP,AARIEGII/c;QS
MY COMrr115SiON#GG 022021 j?
Print Name of Notary PublicL"?;flF:;R�
PIKES:December 16 20:i1 Print Name of No ry Public
r' Bonded Thru Notay Public Uas7enm;1
TRACY CARVALH®
MY COMMISSION#FF968795
Revised 11/16/2016 EXPIRES March 22,2020
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PERMIT# ISSUE DATE
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Air PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
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.a._...........T_...�.......-'._'..w..s:�.-.w..�_�u,,. BUILDING PERMIT
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SUB-CONTRACTOR AGREEMENT
PE 13WHI-l'IiHIG
St. Lucie County, FL
have agreed to be
(Company Name/Individual Name)
the Sub contractor for
(Type of Trade) (Primary Contractor)
For the project located at �C—C. �'S'o y�o�ool�oo�Z
(Project Street Address or Property Tax 16#)
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.
CO C TOR SIGNATURE( a i er)'' SUB-CONTRACTOR SIGNATURE(Qualifier)
COJC
a�Jet Leo �i� �����r✓s �o��
PRINT NAME PRINT NAME
2347 #_ Q'0
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
_ State of Florida,County of51f.1.Oe\ State of Florida,County ofJ J • L..Wcxx_'
10
The foregoing instrument was signed before me this�_day of The foregoing instrument was signed before me thhiiscK day/off
a� ,20�,by \)d►w\9.\ drR.Ot !Skb] .20J7.by0
LYt(— 1,b _
who is personally known or has produced a_ L who is personally known /or has produced a
as identification as' tirication.
11n&A
I STAMP STAMP
Signature of Notary Public Signature of Notary
o�tary P li
F CON � J
■34 lT .�°% !V L V plpp(IARIE GNENS
Print Name ofNotary PuI c .�s 'va�o p G�^pf�iss, N#GG 022023 Print Name of Notary Public
F�CFI'nES;perember 16,2020 5N, o` TIrN plc�ry public Under-Otern
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ph."' tr4W MCIVER'
�. Notary Public i Stati of Florida
Coltu11141M fy FF980096
My Comm.Exillms Jul 29,2020
Revised 11/1612016 ��� � � ``�� 9ondt4.throuahllationalNNNYAssn.