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HomeMy WebLinkAboutSubcontractor Agreement RECEI!'rD. MA`f 0 9
&:DEVELOPMENT SERVICES DIMION
BUILDING&CODRREG.ULATIONS DIVISION
2300 Virginia Ave ..
_..._._�_v____. "Fort Pierce;FL 34982.
B TA
LDING PERMJT '
Q .SUB-CONTRACTORSUAWARY
�C /✓ ©n'J will be:using the followtngsub-contractors for:the-
(Company/Individual Name)' .. .
L!ect lotat* 5S Lpro
,(Street address or.Property.Tax'ID N)
It is widerstood that if there is any change.of.stains regarding the participation of any of the sub-contractors
lisfcd beiow,I w�71 immediately advise the Building end Zoning Department of Sf.Lucie County._
-
St.Lucie:Gonnty/. .. '
Trade lame of Company/Contr ctor : State of Florida
License Nunn.ber
Electttcal /'ta:'
Plumtbing. . e. ':' . V uc G.
HVAC/E Roofing
Gas
.., . .' -
2.
I OFFICE:USE 414Y
PERMIT ISSUE DATE
ivznvlBER. t 705.: 3S
9f�
RE k'rD MAY 0 9'2012
PERMlT# ISSUE DATE
PLANNING&..DEVELOPMENT-SERVICES.
Building&Code Compliance Division:
BUILDING PERM .
SUS-COA'TRACTOR AGREEMENT
St.Lucie County Contractor Certification Number: -
State of Florida Certification Number(If appticabtej: � r� t?03
�/1 R rfG.: ,� Z/I?G have agreed to he the
(Company NameAndividual.Name)
Sub-contractor forC _�j�s✓l5
(Type of Trade) (Primary Contractor)
For the project located at. `/73p1wee
(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,.I will.immediately advise the Building and Zoning Department of St.Lucie County by filing,a
Change of Sub-contractor.notice.(Form:.SLCCDV(No..064-00)
BUSINESS QUALIFIER .(Name of the Individual shown onthe Contractor's License)'
NOTARIZED SIGNATURES ARE REQVIRED .
Business Name: a,11-yw
Address: /4rt/ sw 'bey- 0. C d"
I Citylstate/Zip:
` Phone: C77 M3!V2 97l3 email: �i"4/�4'ali%Ib 6 ��it�i00-:eVq;r.7
Fc--. Curia- 1/r1 /y
Sf(;N—ATUW. PRINT NAME D .. E:. .. .. .
STATE OF.FLORIDA,:COUNTY OF.
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS .3 DAY OF
BY Dlfo9L .' �iRrllto�f'/�d WHO.IS PERSONALLY KNOWN. OR PAS
PRODUCCD AS IDENTIFICATION.
(STAMP)
S ARY. PRINT NAME OVNOTARY PUBLIC
SIGNATURE OF N PUBLIC
SLCPDS::08/06/2014 s yP�,, dOSE FRESNILLO
Noisry.Pubilc-State of Florlda
Ny
iIrr
5 0
f a•- Coinmissian>r FF`184850'
=r>o`..8�n C d ih�cugri t tonal Not Assn.
yy
RECEI ' WY G 9 7017
PLANN G &DEVELOPAMNT SERVICIS
z - Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number:
State of Florida Certification Number(If applicable): C/S ' / k2n y12
have agreed to be the
(Company Name/In 'dual Name)
r�rv ��11 c sub-contractor for y C �d
(Type of TradO (Primary Contractor)
for the project located at e�22 X- C,, /, ,<7`' lf,,a J
(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,I will immediately advise the Building and Zoning Department of St.Lucie County by filing a
Change of Sub-contractor notice.(Form: SLCCDV(No.004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ND d+�1ZIZ1JD SIG-NATU.-RESi A. RE,QUIREI)
Business Name: ,*"Se %-?r
d
Address: _?f��3
City/State/Zip:
Phone: 3?6 22,-2 email:
SIGNATURE PRINT NAME DATE
STATE OF FLORIDA,COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 20 E
BY� WHO IS PERSONALLY KNOWN OR HAS PRODUCED
(STAMP)
SfG t1 [JRE OF NOTARY PUBLIC PRINT NAME OF NOT
oo+�""�e�•., JOSEPH R RYAN
Notary Public-Slate o1 Florida
My Comm.Expires Nov 6,2015
Commission#EE 144606
OFFICE USE ONLY:
CPEP.MIT# ISSUE DATE
/DV
MIT
REC
PERMIT# .' ISSUE DATE
PLAP G&_DEVELOPMENT SERVICES
Building&:Code Compliance Division:
' BUILDING:PERMIT
` SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number.
State of Florida Certi33catioa Number(If appiicabte): JI qG 40f 6
a�Q fqi G.. All' d��4p7��n 9: . JCA;C have agreed.to be the
(Company Name/Individual Name)
EC- Sub-contractor:for fhls
(Type of Trade) r [ (Primary Contractor). .
For the project located at: _"5 .J`P�✓i _z J2�. y r Fl 3�.4727J
(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,I will immediately advise the Building and Zoning.Department of St.Lucie County by filing.a .
Change of Sub-contractor,notice.(Form: SLCCDv(N6..004_00).
BU.SINESS..QUi�LI1FI R ..(Naive of the Individual shown on the.Conttacfor's'License).
NOTARIZED SIGNATURES ARE REQUIRED,
4 Business Name: ,v /ta / �z /"
Address:
City/State/Zip: s/953... :
Phone: email: f/.�lOd-[ '7
I
. SIGNA PRINT NAME.. DATE.' .
STATE OF FLORIDA,COUNTY.OFt rf� �
THE.FOREGOING INSTRUMENT WAS SIGNED BEFORE ME.THIS 3 DAY OF. 44it Z ,20
BY. WHO IS PERSONALLY KNOWN OR HAS.
t.. PRODUCE _ AS IDENTIFICATION:
E r (STAMP). .
SIGNATURE F TARY PUBLIC PRINTNAME-OF NOTARY PUBLIC
SLCPDS:0310G12 4
JOSE FRESNILLO :.. .
Notary Publlc-.'St of Florida
Commission#.FF 184850.
y Comm Expires.Oec 22.2018
2andedttum:ghNagonal NataryAssn
( _._..�..._._ _ .� ..���_...���...-... r...__....r. -.�._._..._�.—.-...._..ten.. -.. r—..-..._ sr.._.__.�..s.....__�.�..... �._._-_.,�....�.,........R...._»....,.�+...-..+..
PERMIT# / F`]/� �f ISSUE DATE
, PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
s v
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
(��t✓,�yy�i j�//�-�o t� r L L G have agreed to be
(Company Name/Individual Name)
the ti dr Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at It 7 3,f- -S /2 d A'7wr 7--
(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.
`CONTRACTOR SIGNA (Qualifier) /WiZONTRACTO SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION ER
State of Florida,County of ,—" State of Florida,County of71�
e foregoing instrument was si ned befor me this day°� The foregoing instrument was Sig�ed before
me this L(� day�of1n�
�J��� �\���j�_ 20�,by_�`��• F 6�U 1 yUZ
who is perso all known or has produced a / who is personally known_or has produced a
as identification, as identification,
i
STAMP STAMP
ure o No ry is Signature of Notary Public
Print Name of ry Public Tin ame o o ry u ism
{`
KAREN S. NIEI.SEN
Commission ti FF 115ti3"/
My Commission Expires
No ANGSC '% oeet� ''` June 12, 2018
.; tary p A Nj HUFF
-ub F
'' * C llc.
n State ofFlo
Bogde omm-Fxp. ��pF 23973 rich
dtbroU es May 2 0
7 9h Natiogal ?019
Not�yAssn
RECEIVED MAY fta"L?017
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
s
BUILDING PERMIT
SUB-CONTRACTOR.AGREEMENT
MER Enterprises LLC/dba Leed Insulation have agreed to be
(Company Name/Individual Name)
the insulation Sub-contractor for 7C& Sons
(Type of Trade) (Primary Contractor)
For the project located at 4735 Selvitz Rd
(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.
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
Michelle Richarfis
PRINT NAME PRINT NAME
11324
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of St Lucie
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this 4 day of
20_,by May ,20 i 7,by Michelle Richards
who is personally known or has produced a who is personally known_or has produced a
as identification as identificatio .
STAMP STAMP
Signature of Notary Public i ature of ary u lic
L +�
Print Name of Notary Public PiFint Nam of Notary Public
r� •ov w�"r KELLY L YOUNG
Notary Public..State of Florida
Revised 11/16/2016 �'�- My Comm.Exp es Ju}1,2016
KX
Commission #FF 138101
a mm�,