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Home My WebLink AboutSubcontractor Agreement 1 0 PLANNING AND DEVELOPMENT SERVICES DEPARTMENT • Building and Code Regulations Division CA 4 BUILDING PERMIT SUB-CONTRACTOR SUMMARY will be using the following sub-contractors for the (Company/Individual me) project located at �6 U (Street address or Property Tag 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 License Number Electrical '17 �. DJ1� Plumbing / Q CIO• ©/O( HVAC/ / rd Mechanical 0,/1/# Roofing Gas Q� (?FFICE�USE 4NI.X PERMIT —Ps- SSUE DATE: NUMBER: Revised 07/29/2014 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT X�"/W hm— have agreed to be m y ameAn ividual Name) the Sub-contractor for (Type of Trade) (Primary Contract For the project located at 1:ftt; A�- (Project Street Address or Pro erty 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) A OR SIG (Qualifier) PRINT NAME 'PRINT NAME ie COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION ER State of Florida,County of State of Florida,County of �Q G/ e foregoing instrument was sigopo before mee th' _d of a foregoing instrument was signed before me t ' day of 20 ,by / 244 RY who is personally known/or has produced a who is personally known_or has produced a as identification. as Ttification. STAMP STAMP Signo ta re of Nory Public Aigatdre of Notary Public /Aig )Q Print Name of Notary Public Print Name of Notary Publi jAY PY•.. " FRANCES DONZA `?q,�PpY PUA�ri- FRANCES DOW =:4� =: MY COMMISSION#FF 014076 `C� -'` ¢- 'EXPIRES:July 27,2017 *: MY COMMISSION#FF 014070 ?o�: aoA'•: .a EXPIRES:July 27,2017 .;F••• d Bonded Thru Notary public Undenwdlers fq;` Bonded Thru Notary Public Underwriters R ' -PERMIT# _. ISSUE DATE PLANNING & DEVELOPMENT SERVICES Buildinlg & Code Compliance Division REC EE,IVED �r a BUILDING PERMIT A P RI 2 O 2011 SUB-CONTRACTOR AGREEMENT BY: T► - l d`1�o\`lam C:::;,t-�N c3(—`j:)t _TY_CCS. C-.oQ have agreed to be (Company Name/Individual Name) the Q l_x�V`t t— Sub-contractor for (Type of Trade) (Primary Contractor) For the project located at (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) PRINT NAME PRINT NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of A6V�&�_ State of Florida,County of V-1 XK�n Thy foregoing instrument was signed before me t h i s day of The foregoing instrument was signed before me this �-)day of 2011 by /�/�� / .f'Ll � 1 I ,20{1,by_Y�01 spy Y b`IQ�jG who is personally known or has produced a who is personally know or has produced a as identification. as identification. 4ZV� Z� STAMP STAMP Signature of Notary Public U ature of Notary Public Print Na Print Name of Notary Public uu„ 4 ,,``1Y P� , PRANCES DONZA SSpp•• ° MY COMMISSION#FF 014070 , ,'� EXPIRES:July 27 2017 _ a: c 4Fq`` Bonded Thru Notary Public Undenvrders Y'a' LAURIE URY 1pR U MY COMMISSION#FF 210664 ±;.. EXPIRES:July 16,2019 Revised 11/16/2016 ;o: °` Bonded Thru Notary Public Undeiwrifers PERMIT#` � �:; ISSI)E DAjEBoom .. N h F PLANNING $c�EVEL1PlY[ENTE12VI� ' ' Suilding& Code Compliance Dlv�son a: W 5US=GON7 RA CTUf�ACRtlI;11II;N'Iz M w �`` ► t b i1 N have agreed to be (Companq`NamelIndtvtda (Name) theQ (! Sub contractor ford�N11C �' u �ume5 �rC TYPe of Traded (Pr►mary Cox tractor) For the pro,{ect Iocatedz ��Ip � (�} 'n=�°• �S�e� S�j ��at (Project,Street Address or Property Tax 1 D#) It is understood that,If there rs any change ofstatus regarding out particpatton;wtth the above mentioned pralect,the B�rldtng and�pde Regulation Qlvtstori of StLucte bounty uuatl be adutse„ct pursuant to.the = filing of�Change of Sub corttracfor_notices V <. ARTRAC7 OR SIt;IYATi'RE:(Qunhrier SO QUNTR,CCTUR SiG�ATURC(Qaabfi`'� PR!\T NA17E PRINT NA\IC CoA. on lJNT1:GERTIFIC NIo\ f ER ;; COLk1'71`GEt TtF1CA7lOhaf�t[418CR State of Ftor�da �ouptf of C State of Florida,Cnanty of� � ........insirumct kas signed before me thug day of 7 be foregoing islrument eras signed before me this day of zo ,h 5 ', Toby , r�Ti16rn� ,�+ who is persenapy known vr,bas produced a H bo�s personally.kaur►n�ar bas`praduced�a i0� asld ahtigahon _ as�deahfcnUon _ u matureQ;Notar�Pu41i � ! store atNatarsPubbc` ST�11tP' lu > x - {n� M - 1'rtat l+�amq oflota.'. _ • �' X'rin lamcatj\otars Puh c FRnricEspoNza °� MY Commis510N#FF 614070 %EXPIREU.-.JuY 27,2017 S o bonded TnU Nataty Pub c Undetr+rtters .. _ Itc�►sed l,il162016 x r' . ! • PERMIT# ISSUE DATE Y � f PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division -- BUILDING PERMIT SUB-CONTRACTOR AGREEMENT MaAAeI Iloui., WAIA lecipr^,y ,fin have agreed to be (Company Name/Individual Name) the noor'A I —Sub-contractor for Aoe'-i� 12'1 � Nrs t (Type of rade) (Primary Contractor) For the project located at (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) SU!3-CCNTRACIOR SI NATURE(Qualifier) PRINT NAME PRINT NAME �V- a-%g a&M COUNTY CERTIFICATION NU BER COUNTY CERTIFICATION NUMBER State of Florida,County of State of Florida,County of (A -rt� Th regoing instrument was signed before me thiis JI-1 day of The foregoing instrument was signed before me this 1�,',=play of Ag",by L8� 7.U!/`- t-�i"� �- t—ct n ,Zo�,by M i r Gel a,SY who is personally kn4_wn_or has produced a who is personally known� or has produced a as identification. as identifica' �n. ri, ./,— STAMP STAMP Signatu a of Notary Public Signa a of Wri Public Print Name of Notary Pub is :iF:?y's�, FRANCES DONZA Print Name of Notary Public MY COMMISSION#FF 014070 EXPIRES:July 27,2017 .�::e; ,- MATTHEW JOHN SAFFIOTI Bonded Thru Notary Public Underwriters MY COMMISSION#GG 039979 'sue M EXPIRES:October 22,Z020 Bonded Thru Notary Public tJndemwdten: nn,ua Revised 11/16/2016 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division o � - - BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St.Lucie County Contractor Certification Number: "—® 6 State of Florida Certification Number(If applicable): $1'41TE 4vegmse OoSS94 Cou have agreed to be the (Company Name/Individual Name) LP - G?.,a, _% Sub-contractor for (Type of Trade) (Primary Con actor) For the project ect located at ��✓ 1 L (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) . NOTARIZED SIGNATURES ARE REQUIRED Business Name: A �( (IOU"ay 77�qn 1JAt4 E- Address: 3 ,p/ Y City/State/Zip: L L . 9 0 Phone: : — - email: F/►. 0 f Cps to��o/Q i!�/�,. 1.v� g Ail �'� L BLS aril �/_dj�a / SIGN RE PPINT NAME DATE STATE OF FLORIDA,COUNTY OF THE FOREGOING PJSTRUMENT WAS SIGNED BEFORE ME THIS DAY O 6� 20/ BY elK&� � / WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. �'�"' " PRANCES DONZA :gig'" �'i MY COMMISSION#FF 014070 EXPIRES:July 27 2017 t(-', /✓ les / v Bonded Thru Not 11 ers SIGNATURE OF NOTAR UBLIC PRINT NAME OTARY PUBLIC SLCPDS: 08/06/2014