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HomeMy WebLinkAboutSubcontractor Agreement (2) i PLANNING AND DEVELOPMENT SERVICES DEPARTMENT .s Building and Code Regulations,Division M _ �f JfLi�f1��"�f�i�vlIfi SUB-CONTRACTOR SUMMARY ProTech Professional Services Inc will be using the following sub-contractors for the (Company/Individual Name) project located at 3224-1 1 1-002-0'0-0-2 (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 LI&W Niimher Electrical RV Electric 30099 Edward Rose EC13005738 TP li' Rlu", firiq\LLA,�r 236 . UK ffS S �W, 6 Waer t a 5,, / 57V5Y i w Roofing Best Cholce Rooflflg D I Fernando Gomes CCC058276 .� yl F X 4. j V/ OFFICE USE;ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division COUNTY BUILDING PERMIT SUB-CONTRACTOR AGREEMENT have agreed to be (Coma �Name/Individual Name) Pr*5"�10-na_l SevY,cesthe ��G�'0 G Sub-contractor for (Type of Trade) I (Primary Contractor) For the project located at Z 4 Cana a-t��{ (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. CTth OR GN (Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier) rn h-�'GV-.r- F,7al wa.�� PRINT NAME PRINT NAME 30 (® t� 300q COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of , /tuaeState of Florida,County of Sri The foregoing instrument was signed before me this!`� day of The foregoing instrument was signed before me this /U day of 20D,by t NM f'7 SGG�r Y ,2017 by ba(NGG�'Gl who is personally known Y__or has produced a who is personally known / or has produced a as iden'fication. as id tification. STAMP STAMP Sig ture of Notary Public S' nature of Notary Public r�rn A/Voplq.5 �/(P" if Ald TrYi:S Print Name of Notary Public Print Name of Notary Public S1' � KIM A NO-'OR" aY ,' KIM A NOTORIS Pµ V9�'i� .LP ^�''. Notary Public State of Florida =:a°.`�+��,s Notary Public-State of Florida +�y My Commission Expires May 9,2017 =My Commission Expires May 9,2017 ''4# a Commission#EE 884154 �'9� oe Commission#EE 884154 Revised 11/16/20 ���F OF � "..;0 ,� PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division tOLINTY - -- BUILDING PERMIT SUB-CONTRACTOR AGREEMENT G�Sf C��D G� �jYLG� have agreed to be (Compa Na e/Individual Name) p the l<o0f7�1�j Sub-contractor for (Type of Trade) (Primary Contractor) For the project located at y-1 w� l C(/� 00LOL (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. CONT TORSI URE(Qualifier) -CONTRACTOR SIG E(Qualifier) PRINT NAME PRINT NAME 16o !vl 3oIgl COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of SLr l/�WGf(i State of Florida,County of Jt• (,Li L/L The foregoing instrument was signed before me this 10 day of The foregoing instrument was signed before me this_(0 day of zo/7,by �/ � hh f'7 SGhe-r �✓r" ,2P,by rCi-qa*7 dd 6,lmey who is personally known K or has produced a who is personally known V, or has produced a as 4entification. as identification. h"iff a6w aA4Z� STAMPLo� STAMP gnature of Notary Public ignature of Notary Public KPI? 1"1-147 A, Print Name of Notary Public Print Name of Notary Public KIM A NOTORIS osier: m Notary Public-State ofD t . 4 ,•tray"%o'''., KIM A NOTORIS e2 My Commission Expires Ma Notary Public-State of Florida Revised]1/16/2016 � `` Commission#EE 88 My Commission Expires M4t542017 4 :s F°F �o,.• Commission#EE 8