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Home My WebLink AboutSUB-CONTRACTOR AGREEMENTl PERMIT* 110 r t, /A, f„ 2 n T ISSUE PLANNING & DEVELOPMENT SE 5►- Building &�WL- iCaint iceFD s, • ' BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (CompanyNa e/i AvIduat Name) Sub -contractor for the 0 (Type of Trade) , For -the project located atTax ID #). (Project Street Address of'Pin j_; y It is.understood thatr if there -is any change of status regatd t►g'our partic project, the Building and Code Regulation Division of St. Lucie. County nugge of a C nge of Sub -contractor notice. 4 V _ fti. The:fitssgoinglnArogtedtt�tias. _ befolrenie;thie. /6 dayof GY $TAW IORGE MARTINEZ Notary Public- State of Florida CommiWan aGG 154019 My Comm. Expires Nov 5, 2021 RECEN SEP 191 ST. Lucie Countng haveaWeed to be L m with the .above mentioned be'advige+dpi s'ttant'Withe 7U flowgdng 10SWMIs vm,dgW bWme.M!" +i cuf modem t`�.P nY4 FiIOYVY.GUZ1•1011 (pprsOtiGllNOW b'ii4b E ��r �fptarc.6tpHcskm`1.xU121 +,yo 1iYir.' v pp�Rfp�iiAtd�llbii�jlifs». srAW Revised111/02016 PERMIT* 110 r t, /A, f„ 2 n T ISSUE PLANNING & DEVELOPMENT SE 5►- Building &�WL- iCaint iceFD s, • ' BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (CompanyNa e/i AvIduat Name) Sub -contractor for the 0 (Type of Trade) , For -the project located atTax ID #). (Project Street Address of'Pin j_; y It is.understood thatr if there -is any change of status regatd t►g'our partic project, the Building and Code Regulation Division of St. Lucie. County nugge of a C nge of Sub -contractor notice. 4 V _ fti. The:fitssgoinglnArogtedtt�tias. _ befolrenie;thie. /6 dayof GY $TAW IORGE MARTINEZ Notary Public- State of Florida CommiWan aGG 154019 My Comm. Expires Nov 5, 2021 RECEN SEP 191 ST. Lucie Countng haveaWeed to be L m with the .above mentioned be'advige+dpi s'ttant'Withe 7U flowgdng 10SWMIs vm,dgW bWme.M!" +i cuf modem t`�.P nY4 FiIOYVY.GUZ1•1011 (pprsOtiGllNOW b'ii4b E ��r �fptarc.6tpHcskm`1.xU121 +,yo 1iYir.' v pp�Rfp�iiAtd�llbii�jlifs». srAW Revised111/02016 PLANING & DEVELOPMENT Building & Code Compliance BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual Name) the Sub -contractor for (Type ot Trade) Pri=6 contractor) For the project located at 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 wi�l be advised pursuant to the fJ4;g-Qf_a Change of Sub -contractor notice. PRINTNAME 0 uj of g� COUNTY CERTIFICATION BE State of Florida, County o t The fforegoi®g instrument was s ued before me this.l9__ day of who is personally known Jor has produced a as identification STAMP Signature of Print sun of Notary Public JOHANNAPINA Notary Public - State of Florida Commission t GG 138095 My Comm. Expires Aug 27,2021 Revised 11/1612016 a8s78 11 COUNTY CEIRTIF57ATRON NUMBER 0 State of Florida, County of The foregoing instrument was signed before me this � day of ` Df C gffi`o f j 120U4, by who is personally known _�_or has produced a ram. as Isifie u. or ?1 "1 MAT MEW JOHN SAFFIOTI MY COMMISSION # CIN 0399d9 EXPIRES:Odolw=2020 s�a.9„;tS°0. �dedThruNo" Public Urs9.sertfttrs STAMP .47 i PERMIT # /7 /I ISSUE DATE11 vv r' c 3o I PLANNING & DEVELOPMENT Building & Code Compliance BUILDING PERMIT SUB -CONTRACTOR AGR E1 (Company Namd/Individual Name) the �:>\U.. M\P1 Y1G Sub -contractor for (Typo of Trade) For the project located at (Project StreeqI6t Address or Property Tax 1ER*ICES . ECEIVED j SEP 16 ?0119 I ST. Lucie County, Permitting _ have agreed to be i' Tv-'TTWFMO, 'ry 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 a iac foregoing insiruileelia was.'gn¢d inefore me 111is � d— day of 2fi1g, b who is personally known or has produced a as identification L STAMP Sign _ __ ubli i Print Name of Notary Pablic Y'pu'' JOHANNA PINA c a°� .,� Notary Public -State of Florida • Commission .1 GG 138095 ?eaFFo° My Comm. Expires Aug27,2021 Revised 11/16/2016 State of )Florida, aeon The foregoing iustru, T— 0-V I, who is personally kni of Notary of Imo- ILY) ✓ol t was signed before m¢ thi day of v _®r has produced a ary Pubtio State of Florida inces Donza commission GG 092440 Ares 07/27/2021 STAMP i PERMIT ISSUE DATE � �7 PLANNING & DEVELOPMENT SERVICES BWRdi ng & Code Compli2nee Division • BUILDING PERMIT RECEIVED SUB-CONTRACTOR AGREEMENT ! S E P 16 � 1 ST. Lucie County, Permittino I r— �� have agreed to be (Company N e/lndividual Name) the Sub -contractor for (Type of Trade) / (Primary Contractor For the project located at l q /� `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 �e advised pursuant to the ring of a Change of Sub -contractor notice. PRINTNAME IN NAIJ,IIE cm Z&UNTYiC1ERTdFICAT➢ON NI B ER i COUNTY C1E➢ TI FICATRON N ]B1E➢t State of Florida, County of \/ i h" l State of Florida, County of The foregoing instrument was AsIned beforeme this � day ofi®straaeuse t saes sig®ed before me t@uis daqoff byO M i ��-f 1( CJ1, , 20! , by who is personally known ]Lor has produced a who ➢s personally &noes I or has produced a I as ➢dentif-Atiom as identification. STAMP of Notary .'c Signature of Notary Public STAMP Privet Name awl l�blic Print Name off Notary ?Wic 3-h JOHANNAPINA ub11C Stateof Fladdtt Notary Public -State of Florida �fYwyNoinryPCommission 9 GG 138095 ;�rane yCt,etoo 00 002440 ov�o'' My Comm.FxpiresAug27,2021�xplros0712712021 Revised 11/16/2016 07 u PERMIT# I /��, 065� I ISSUE DA' PLANNING & DEVELOPMENT; Building & Code Compliance C12r ( omnan Name/Individual Neel the f��--em s (? Cc22:� = (Type of Trade) For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT i Sub -contractor for (Project Street Address or Proper(y Tax ID #) CES RECEIVED SEP 16 291119 ST. Lucke County, Permitting have agreed to be Contractor) 3q `95 l 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 �aange of Sub -contractor notice. I1H PRIEN-r n ('t.,'V`L / CJG ff-(,- COISWrY CERTIFICATION MBE State of Florida, County of CPyl_(\� The foregoing instrument was signed before me thisv�day of 201L%� 1by��`t who is personally known has produced a — as identifAtion. STAMP tore of No P<—�--- nnt Name of Notary Pu c JOHANNA PINA _;�•' = Notary Public - State of Florida Commission k GG 138095 "FoF�o?° My Comm. Expires Aug27,2021 Revised 11/16/2016 �5 strument was signed before me this 4 9 _ day of ___, 201 by A JAIi ,QA4 = ci a paa. j r known JPLor has produced a I t;��►q MARGUERITAHERBERT MY COMMISSION # GG 168046 <; EXPIRES: January 9, 2022 Z?t'% c; °Q • Bonded Thru Notary Public Undwwiters STAMP Planning & Development Seri Building & Code Reg 2300 Virginia Aven Fort Pierce, Florida 3 (772) 462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STA F.S. 489.103 (7) EXEMPTIONS Department RECEIi/ED APR 2 5 2019 ST. Lucie County, Permitting State law requires construction to be done by licensed contractors. You liave applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You may build or improve farm outbuildings, a one -family or two-family residence for your use and occupancy. You may also build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is for your own use or occupancy. You may not build or improve said structures for the purposes of selling or leasing that building. If you sell or lease a building you have built or improved within one year after construction is complete, then a presumption is created that it was built or improved for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is your responsibility to make sure that people employed by you have licenses requried by state law and by county or municipal licensing ordinances. You may not delegate the responsibility fort supervising work to a licensed contractor who is not licensed to perform the work being done. Your construction must comply with all a laws, ordinances, building codes, and zoning regulations. Initial I I understand that the building official and inspectors are not there to design or give advice o w eet the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub:contractors and I must b d in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial I understand that if I compensate any person or company for work performed they are req ' to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and ab he cost of the license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my constructio p o'ect- they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and rel ed cost, which could include loss of wages during recovery from their injury. Initia To qualify for this exemption under this subsection, an owner must persol nally appear and gn the building permit application and initial the above. I hereby acknowledge that I have read and understand the above disclosure statement and that I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and Zo_y¢rr' g Deparim nt to the Florida State Department of Professional Reg Signed and acknowledged on this �J�' � day of STATE OF FLORIDA J COUNTY OF S-- . \►plc The foregoing instrument was acknowledged before me this a5 day of _!� by SAS e its' A v, a who is personally known produced 1, ` as ide Signature of No Type or Print Name of Notary ' Title: Notary Public Commission Number SLCPDSD Revised 05/15/2014 to 20AA , DEANNAMARIE GIVENS MY COMtdISSION # GG M023 EXPIRES: December 16, 2020 Bonded 7hnr (Vbiie Undenvi it