HomeMy WebLinkAboutSub-Contractor Agreementthe
PERMIT #
(Type
ISSUEPATE
YNING & DEVELOPMENT SERVICES
Building & Code Compliance -Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
1 q i ) 0-01 J , ' �6t have agreed to be
Sub -contractor for 1^rJz"H ' FL LL.C.
(Primary Contractor)
For the project located at '-7 Lp 13-7 - i- . )G'n-rnC4'4 Ayp,/ ) 301 - t001- 0070 X60 1
(Project Stte d Address or Property Tax W #)
It is understood that, if there islany change of status regarding our participation with the,above mentioned
project, the Building and CodeRegulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
G&C. 151-1
state of Florldo, County o[
The foregoing Instrument was signed before me this ,dday of
� 114 1J,5 . iO bY-Ik01'CL'—t2C'd'L-t
who b erso known _or has produced a
as Ideatificatloa. '
�J STAMP
signature orNatary Public
Print Name of Notary MR,
q MAR
tYrAMr PYOfG 81tb d tsNflsti
NN 020mo
Fx0w fll0lS M4
Revised I1/1ti2016
Et
COUNTY CERTIFICATION.W.M phi
State of Florida, County of l A I I o Qjj I "e
The foregoing instromaatem sleaed before me this I sday of
IO, by U (�7
vybo is penomiiy Imown or has produced a
w u„
SAMANTHA STANFQRD
�•° commission a GG 48974
;L
My Commission Expires
November 20, 2020
hlpll\\
PERMIT # I I ISSUE DATE
& DEVELOPMENT SERVICES
Building & Code Compliance Division
' I
I
i
One Stop Cooling I& He
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
LLC / Zachary Boera
have agreed to be
(Company Name/Individual Name)
the Mechanical Sub -contractor for d" ' i - LL_C
(Type of Trade) (Primary Contractor)
For the project located ate l t2 O I cat- LQ ` �' + t 3C31 (Q01 . ('�'i p� � ��
(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.
G&G 1517'-45$
COUNTY CERTMCATIONNUMBER
State of Florida, County of sdeck pt7,
The foregoing instrument was sigued before me this J6 _ day of
Jig(201!-
by MCr_C'- -DO ) t�
who Is personally known or has produced a
as Identification.
_YF_1� A .2J�. � �� STAMP
Signature afNotary Public a
Print Name of Notary Public
pptrry teitbfe Sts� af'oitetU
t11� HionrC DO&
:. • Emy Co wrAsion.MN 029010
Revised 11/1b/2016
SUB-C OR SIGNATURE (Qualifier)
Z7acrZac ry Boera
PRINT NAME
i
CAC1817652
COUNTY CERTIFICATION NUMBER
State. of Florida, County of O RAN G E
The foregoing instrument was signed before we this 16th day of
September 20�20by Zachary Boera
who is personally known X or has produced a
as ldentificado
STAMP
Signature of N
Kelly Ashlock
Print Name of Notary Public
Kelly Ashlock
*CS
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG969901
Expires 4/4/2024
PERMIT # I I I ISSUE DATE
INNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
t C- (ef 'i ada L, LG, i J all , Alai-504ftave agreed to be
(Company Namellndrvidual Naine)
the r iy4h n(-( Sub -contractor for W-- h , l'L .L.LG _
(Type of Trade) (Primary Contractor)
For the project located at % (o D`7 A--L I A/1P) _. I W j - L00) - OC)-7(,0Guo
(Prwject 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-contr1actor notice.
G GG 151-) L15$ i
COUNTY CER'rIt, CATIONNiiMER "
state of Ftoridn, County of J&oe.-a
The rorcgoiug knstrumen@wsf sigued.befaro mo lbisil—C+dnyof
who Is. elm Imowp_orhas produced s -
us Identirkadon.
STAMP
Signature of Nolary-Puliae
/.-
sosa�u . s[cNA , (Qiuunee)
PRINTNAME,
CM t�
COUNTY CERTIFICATION NUMBER
Stele of F7orlds, County of
The foregoine,iestromentwse signed before we thisdsy or
who is pmauogy known , _ae bas produced a
as tdeadficudon.
STAW
Signature of N" . ,;P Alle
^y w
Price Name of otery Public
Notary Public Stele of Florida.
Yesenia Perafta
y My Commission GG 251702
or Expires 00/2212022
PERMIT #.
COUNTY
FL0R,,u.A;.
the
For the project located
It is understood that, if there is
project, the Building and Code
filing of a Change of Sub-conb
GGC. 15I74518
ISSUE DATE
NNING & DEVELOPMENT SERVICES
Building & Code Compliance Division ..
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
0
have agreed to be
Sub -contractor for Zr-H. * FL LL.G
(Primary Contractor)
--2 rn , r n rvJ) F A,rt---- ► n I
Street Address or Property Tax ID #)
change of status regarding our participation with the above mentioned
ulation Division of St. Lucie County, will be advised pursuant to the
notice.
COUNTY CERTIFICATION NUMBER
state of.Fiorida,Countyof jr` x'L1,rD�
The romping instrument was sf . cd:beforc,:rte tHke,�.• day of
who is ersouai ---jor has produced a
as Identification
Ia Ci EL, — STAMP
Revised i U1612016
c�cA.
SUB -CONTRACTOR SIGNATMM (Qualifier)
PRINT NAME
3i.52 I
COUNTY CERTIFICATION NUMBER
State of Florida, County of,.cA�
The foregoing instrument was signne'1\�
d before we this �//d``ay of
✓! 20�c y orn C�^�'C-Q£A:ff
who is personally Imowu 7✓ar has produced a
as Identification: .
STA6IP
Signature o Notary Public
Print Name of Notary Publk
t1QaD10
o��`Y °ue4
TIFFANY METZGER
Commission#GG356108
lift
Expires April 26.2022
FFO
goaded itouaudoelNaUrySWC95
i
PLANNING & DEVELOPMENT SERVICES
I Building & Code Compliance Division
j BUILDING PERMIT
GALE INSULATION
(Company Name/Individual Nacre)
the. INSULATION
(Type of Trade)
SUS -CONTRACTOR AGREEMENT
Sub -contractor for WJH FL LLC
(Primary Contractor)
have agreed to be
For the project located at" 7L,,0-7 lYlt>�rrll�r,Y/�Y PJ J-W1 • LOOI.0010. ODD S
(Project Street Address or Property Tax ID #}
It is understood that, if there isi any change of status regarding our participation with the above rne.ntioned
project, the Building and Coder Regulation Division of St. Lucie County. will be advised pursuant to the
filing of a Change of Sub -contractor notice.
GGG 151114518
COUNTY CERTIFICATION NUMBER
State of Florida; County of
the foregoing instrument was signed before me this :31 day of
20_�Lgby MC=C4� !90Id i
who is enona known _or has.produced a I
i
as identification. I
I
STAMP
Signature of Notary Public
Print Name of.Notary Public
NO" Pubk Stab d ibdft
H*Ww C; DttiW
Oort+nIion MM QZo010
Revised 1 U1612016
COUNTY CERTtnCATION NUMBER
State of Florida; County, of �L(6-4
The roregoing instrument was signed before me this day of
September.. 20 by T.ak W , (S
who is personally, known for has produced a
°s " JENNIFERSWEET
• Notary Public-Stateof Florida
Commtuim#GG50011
a ,, My 6mm. Expires Jan 29, 2021
STAMP
PERMIT # I I ISSUE DATE
(C.2 any Name/
the 1 it su %t ) i
(Type of Trade)
PLANNING & DEVELOPMENT SERVICES
Balding & Code Compliance Division
BUILDING PERMT
SUB CONTRACTOR AGREENffiVT
have agreed to be
Sub -contractor for WO-H ' FL LL..G
(Primary Contractor)
For the project located at -7(002 r r� � ��� 130 t ' (Ddt' 00719 ' OQQ ' 17
(Project Street Address or Piro" Tax ID N
It is understood that. if there is any change of status regarding our participation with the above mentioned
the Building and Code IYt project, g egulatioa Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
G.GG 151-1 L456 j
COUNTY CERTMCATTON NUl1RER
State of Florida, County of �h
The forggola8 instrument was qt 6
� 1� 6 j, signed before ate this tL day of
1 Ila 1- =O�by- " LACII+1, VC111t70
Who b QeewaaUy_ko_` or has predated a
�as IJdnlilks"
STAMP
SIpstareof Notary Public
ArfetSam orNobry POW
UP �d�
N..b,:• c D.trN
'a%rq Cani+rssim tw o7l01a
E>on•,osloeao�
Revised I I/1fi2016
CrOR SIGNATURE (Q=Unw)
PREYI' NAME
pSL /SD V /
COUNTY CERTTFICATTON Numma
State of Florida. Cosntty orzMY06
T'he foreSoiq WMee at wn tLted sae tbla dry oP
who b Pmoti r ft"m . tw produada
�00 •" Notary Public State of Florida
Brittany L Rubino
+� • My Commission GG 271879
�tar,d� Expires 10/28/2022
ISSUE DATE
I PERMIT # . F7 1. 1
PLANNING &'DEVELOPMENT SERVICES'
45T-Amarsli
Building & Code Compliance Division
COUNT
F L D R I D A
BUILDING PERMIT
SUBCONTRACTOR AGREEMENT
A
the
For the project located at -7 Loo
(Project
have agreed to be
Sub -contractor for EL LJ.0
(ftmary cbnftctor)
3MMICK10TA&A
It is understood that, if there is any change of status regardingourparticipation .with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be, advised pursuant to the
Ming of a Change of Sub-contraL notice.
countyV�
Sig-hiredrMildfP01h,
SUB-'YA—CAM SMATME (Qmfifffler)
'Ar"k-D,ear/o
PH" NAME
Usd"- a- 4
C0UMffM1rMrA'R0NrA"MM
-ak
The fdftgftg Inshmommatwu signed bdm on'this—L day of
wh a Is pmo%W [mown or Wo produced a
tE-
LORYA. EDW,
M78640
MYCCi1M1$S10N#
a,,d,?7hP1RES: May 7' 2021
pW
PERMIT # I I I ISSUE DATE
NNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
/ "i'"74"55E r (,ES r )A) C
the 7f4eW
u
For the project located at
Have agreed to be
for 1Aj__r { ''Pi _ LL.C:
(Primary Contractor)
or Property Tax m
�1
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.
GG 151-1 `{
$t3tcotFtartdo,:Coudtyof
who Is;persoanUxknows --or has produced a.
t %
as Identificadom
.—L,��— `�' STAMP
S)gnut®raofNolniyPubttc 4
SU&GQNT CTOAsrGNAr=Miuuner)
FA
COUNTY CERTIFICATION NUMBER
State of Florida, County of g, far
The foregoing instrument was A before me this� day of
y� a
who is pknown ar has produced a
Hllcatbn.
Ll"AMP
�00 xi4 Notary Pubic State of FlorWa
`t� Brittany L Rubino
My Commission GG 271878
Expires 10/28/2022
COUNTY �
F L O R I D •A —46
0-1
i
PL!,ANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for WL7H ' F'L LL.C.
(Primary Contractor)
For the project located at pq "1. po- -q� Af r 2 f 3 D( - Wt M 7o , 6W - E
(Project street Address or Property Tax ID #)
I
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.
GGG 15t7 45t�
COUNTY CERTIFICATION NUMBER
i
i
'StstroLFlortds;Cuaatysf..,' 1`� 6+
The toreetilag ItistrasneaC wuislQn'ed 6efarg•air: tlitr�diY of
20A5y 1401 C C %)C1)j11-6
who is naB dmowo or has produced a
as Identification,
STAMP
signet— Wriotat7 public,
{-1�t1r` F�ahli�1 .
Print Nante of Notary
ttllrlr,Pt�e Slily d llrt�
HaiUwC (*I A t.
• W C fiantlimi 1111313dpt0
Revised I IlitiR0l6
- lk4�
SUSCOTItACTOlt SWNATM (Qusliller)
PRINT NAME
C &-bw 36 O
COUNTY CERTIFICATIONNUMBER State of Florida, Couatyof ,-o,5k
The foregoing tnatroment was shoed before we this / day of
20 —*_),by Women ftenrildi lLJ
who Is personally (mown :;Z--. r has produced a
u ldeaNficadon.
STAMP
Sigaatur Notary Public
G( l 'r rl]/> Gc7l�'7i
Print Name.of Notary Publk
r r/y Notary public State of Florida
Qf'
Merri Lou ShankwitzMy Commission GG 283557 Expires 02I12I2028
PERMIT # ISSUE DATE
�T;AjU- :;-H-- '�
COUNTY
F L O R I D A
P"NNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
For the project located at =7
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Project Street Address or Property Tax ID
have agreed to be
VVX4 , Fz LLG
(Primary Contractor)
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.
PRllYrNAME J
GGC..151.1466
COUNTY CERTIFICATION NUMBER
Slate or Florida, Canary of +e"
i
The foregoics instrument was signed before me this�day or
wbo to rso kapwn _or has produced a
as Iddeentiiication.
l
.AD A - •% STAMP
Sfguatare ofN ary Pnbllc
H cal'' Nal- F ahI to
Print Name of Notary Pubik "
ltplry,Pl�ie me d n oft
w;, tl2
Revised I I/itif2Ql6
COUNTY CERTIFICATION NUMBER
State or Florlds, County ofbraom/
�%JI 4'
The foresoing lnrtrument was slgped before me this I day of
�=0�bs' �bYbu I�GtV�YD,V�
who Is personally (mown ✓ or bas produced a
as Identification.
M STAMP
Signatutt of NotaryPablic
APRILM. HARTMAN
Print Name of Notory PabU ;.: :.;TWmmissioi0GG19N68
. F EXPIRESs Match 16.2M
'''?o: fl4• Bonded Thru Notary Public Underwdlers
PERMIT # ISSUE DATE
'S-TTI-AU'0+t.
COUNTY
F •L G R I D •A
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
in
have agreed to be
Sub -contractor for
(Primary Contractor)
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.
CONTRACTORSIGNAT„ er)b
1SJ AWV
PRINT+NAMB
GGG 1517 4_5$'
COUNTY CERTIFICATION NUMBER" '
Stgtaof,F(or(dn;.�ouaty of:Ai'�P�y"CI�'
• try: .
The:fgr4goll►g;in�trgmenC'wal�tenY�t:ticfpec;tnd�t4is:�� dayoY
who Is pepgrially known. or has produced a.
as Identification.
-ys�D,.L�.t �J STAMP
Signature ofNotaryT,,gbltq,
PrintNdmeol'Noliary Pa611
7. a PMiwi
MIy,ComdlflWon;NH0004/0
LA,, Eypiwe;owoet�oaa
Revised I I/162016
COUNTY'CBRTIFICATIOD�� -
Slate of Florlds, County of
Th forcgoingJInsurnent(w�aaai before is d y f
who is pen 4y Imown JZ6 has produced a•
-f%0V &N Notary Public State of Florida
Brittany L Rubino
My Commission GG 271878
+�jpnoll' Expires 10/28/g022
i
PERMIT # ! ISSUE; DATE
PLANNING & DEVELOPMENT SERVICES
1 Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ut�
have agreed to be
the �( it Q (in w Sub -contractor for W TH , FL LLG
(Type o Trade) U (Primary Contractor)
For the project located at-7 (D D-_�- 1 _t i n
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.
rmw z smu,"rs r/
I
GGG 151-1 L4518
COUNTY CERTIFICATION NUMBER
State of Florida, County of '�P�,rQ ,
The foregoing Instrument was signed before !me lhis � day of
hit " 9 :aA;gby MC C=C4ti 'QC, )4 L@_,
who Is perooaallY known or has produced a
as identification.
STAMP
Signature of Notary Public
LPQ")eJ_ 1 t r1
Print Name of Notary Public
/ Moiety PYhrc Sw of Plato
FMIAl+K C DMW
` l � w+tn+amo
Revised 11/16R016
SUB -CONTRACTOR SIGNATURE (Qualifier)
Saran. Kuhn
PRINT NAME
COUNTY
Q�TT ION NUMBER
State of Rori "Tounty ofP,
The foregoing imtrumenlIt��was signed before me this _&L day of
�9db by Ar tm& 1! tU io
who p�own Zor has produced a
ao ldentificattan.
STAMP
Signatura orNotary Public
Wo, %auw -
Print Name of Notary Public
JAN.;
16 �*
20AI Q:
PERMIT #
I
COUNTY
F L D R 1 D A
'el f e '
theC G Ct
(Type of Trada)
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
I
For the project located at 7(pO
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for 1" L`{ ' �" Ll...G
(Ninary Contractor)
Av( I ► - Cf-► - tW-� )
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.
I
GGc is17L45$
COUNTY CERTIFICA Flout NUhBER
State of Florida, County ofP_.
The foregoing instrument was s gAed heforc me thl, 316 d y of
A&aA*L, i0_9Aby
who Is erso V kuuwu_or has produced a
asidentiNcaHow
Signature oflyvtary Pubt[c �� STAMP
.I
rrwrrame a(Notary Puhhc
r OwNy Pw1e SMo tI IN ti
[AAAA
Hwllt r C Dtt+I�Ytt
tiAy Ca�rniaeioii tiFf tIQY010
��� EiBitas QH06f1lQi1
Revised I 11I&20Ib
rim
SUB -CONTRACTOR SIGNATURE (Quaufier)
� I C,C �UtC.C,d (us
PRINT NAME
COUNTY CERTIFICATIONNUMBER
State of Florida, County of TAin River
The foregoing Instrument was sipaed before me this t day or
. � er>-►bC�' 2�0 by �I'k C�. I = 11J1 cG.E.I �2�
Who is'personal(y Imown Z.11 has produced a
as l a Lion.
Sire of Notery Pnhile j� STAMP
' L ji 1Ci��ci'1
Pr(ntNAme 0iN Public
TIFFANY L FELTHOUSEN
Notary Public •State of Ftortda
a`; Commission+. X HH 035282
`y?'a� Ay Comm. Expires Aug 23, 2024
Bonded through National Notary Assn.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
H WC1 have agreed to be
ompany Name/Individual Name)
the CONS IL Cn r,4r4n,. ej Sub -contractor for W__rH ' FL LLG
(Type of Trade) (Primary Contractor)
For the project located at '7 (COQ i M I r-n — n. t Arc I
(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.
GGG 15179450
COUNTY CERTIFICATION NIAMRR"
State of Florida. County of , rPlr"
The foreeoin". instrument xnssigned before me this day or
I
who Is Msanauy known _or bas produced, a
as Identification."``
D A STAMP
Sfgnatime of Notary Pubtie
�Pc1�t�ter T�.� t in
Print Name of Notary Public
EM W I Purtie ma d FhsW
Hw�w' C,l?M>rin
' mV,commAm WH 020010
`M Ert;+iw Otil08/I021n
Revised 1'1/I6n - - -
�� AtV
SUff-CONfFKCTORSI ATURrrE..(Qudlaer)
PRINT Na11IE
COUNTY CERTIFICATION NUMBER
State of Florida, County of
Theforee _nginstrument%ros
20 , bi
who is pe o Ry futowa
as
before me this day or
a
EDUARDO a 7JiFT:
Notary Public _ S:�:e of onee
Ccr,missicn Ir Hit N08 i7
11sy COMM. USpa85 As 2>, 1074
ad throu;h NjtiG r_; N;;;ry 1S:r.
._�g
STAMP
a VD-UUN 1KA4_;T0K AGREEMENT
have agreed to be
�(-ucnpany 1�ame�lnQtVUtual Name)
the LX' �r��C��� Sub -contractor for
(TYPe of Trade)
(Primary. Contractor)
For Ehe project located at Z 1p D '7 �.I t (�� r� A(r, j 7301. W1, )(5-716, (D�2o
(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 r .._: _ r___. __
filing of a Change of Sub -contractor notice.
i _ I
G�GG 51 -2 L45$
COUNTY CERTIFICATION NUMBER
State ofiFlorlda, County of
The foregoing instrument was signed before me this day of
A1 •Zryt�Q' by e''� r a,,
Who
Ispersonall known or has produced a
as identification.
d STAMP
signature of Notary puhllc
i
Print NameoCNotary Publk
o ry MtwPHMe "a dt kAft
s ! iFlllidtir C Oti11W1
E Cortrn a MN 0100f0
i M
Revised ttllbR016 04^041
i
ca(, . / �Sst/
COUNTY CERTIFICATION NUMBER
state or Florida, County ofr� � �qL
6e fOrregoing Instrument was signed before me this yy T day of oJ� 1R�, by �1 C� filO2rf�
who i ersonolly known or has produced a
de Ilcatlon.
STAMP
atare of No ryP lic
Print NatnE of Notary PahaC
'ZYpuB • CINDY ROSSWURM
?0. Notary Public - State of Florida
Commission N GG 9375
oFF, My Comm. Expires Dec 5, 2023
Bonded through National Notary Assn.
PERMIT N ISSUE
t
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Crte Sim .,, �" S Grvocis C' zc'have agreed to be
"Le(Company N meffndividual NarnO
the plumbing _ Sub -contractor for WJH FL LLC
(Type of Trade) (Primary Contractor)
For the project located at 7 U 0-7 M i C-Q nn=n C A 130 ' l061 ' 0_'*_-�_2 Lf $J
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
r
CONTRACTOR SIGNATU 11crj
NLo
PRINT NANI6
CGG 1517445$
COUNTY CERTIFICATION NUMBER
State of Florida, County ofzLed^"
The foregoing Instrument was signed before we this. �F7 day of
1113ELL) .mdAy_
who Is personally known or has produced a
as Identification.
a li- � RJ �i � 3TANIP
SiRnoLure of Natory Public
Print Name of Notary Public
. Oterrbm
ar p
c
`- �tdy Camra von FWi 029010
ii'rWrfma alIOaI2044
Revised 111161Z-16
S R SIGNATURE (Qomliticr)
PRINT NAME
CFC143006
couNTY C E RTIF I+CATION WNDER
Stele of Florida, County of ORANGE
The foregoing Instrument mu signed before me this 4_
_ a day of
Co(Irrjn ,yam by Jason James
who Is personally known i-or ham produced a
amldenfificatlon.
SITi of N ary P lc
)� Am, rrP Cc�rcclaai 10
Print Name of Notary Puddle
Nit JASMINE CARABALLO
Notary Public -State of Florida
21 Commission y GG 927680
My Comm. Expires Oct 29, 2023
Bonded through National Notary Assn,
STAMP