HomeMy WebLinkAboutSub-contractor AgreementISSUE DATE
PLANNING-& DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Kellett & Sons Plumbing / Jesse Kellett
(Company Name/Individual Name)
the Plumbing
(Type of Trade)
RECEIVED
APR 12 2021
P-2rmitting Department
St. Lucie County
have agreed to be
Sub -contractor for Dana Smith & Sons Constructiion, LLC
(Primary Contractor)
For the project located at 3534-502-0071-000-8
(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
filing of a Change of Sub -contractor
(Qualifier)
Dana Smith
PRINT NAME
COUNTY CERTIFICATION ER/nJ State of Florida, County of • L- 3(?tU
ision of St. Lucie County will be advised pursuant to the
Thk foregoing instrument was signed before me this L42! day of
N4�1 X , 20�,1by. �j\1i al._ YA 14AN_
who is personally known or has produced a / V
as identification.
k 0 AA ILA
S MP
Signature of Notary Publfe
Name of Notary Public
KAREN S. NIELSEN
=°�P ,,,-,:State of Florida -Notary Public
*= Commission # GG 207484
= �oFF��°c MY Commission Expires
�niii1`1June 12, 2022
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
\Le �t*
PRINT NAME
(fF-C I«7 q FO �r
COUNTY CERTIFICATION NUMBER
State of Florida, County of �I/V 7G
The foregoing instrument was sign before me this Zayof
A61-I 20Vi b esv— I
who is personally known or has produced a O%U [X
.aAY�q� JESSEDO$$
Commission # GG 263069
A Expires September 27, 2022
�$OPh,OQ UundedThtu Budget NotetyServlces
PERMIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES RECEIVED
Building & Code Compliance Division APR 12 1011
BUILDING PERMIT NWMItting Department
SUB -CONTRACTOR AGREEMENT St. Lucie Cournty
RfiC6�lle'cki have agreed to be
(Company-Name/Individual Name)
the Electrical Sub -contractor for Dana Smith & Sons Construction,LLC
(Type of Trade) (Primary Contractor)
For the project located at 3534-502-0070-000-1
(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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of M6, rtt'-�
The foregoing instrument was signed before me this day of
Jaf%A-"! J . 20.9�,, by pe'Arl �(A
who is personally Imown _or has produced a jy,\.A L-C,5
as identification.
/ '�� a '•wr � "`� � STAMP
Signature f t Publir_�
ONTRACTOR SIIG-N/A (Qualifier)
PRINTNAME
. ► � 1510 5
COUNTY CERTIFICATION NUMBER
�
State of Florida, County of �� t . z_u C 1
06- p
The foregoing instrument was signed before me this Zo day of
(Jpy�d.d 20 : f, by � d✓> (?,4
who is personally known or has produced a
identification.
Public
NpER, �Q,ta�-� 2 C
Print Name of Notary Public ��`!`%'�joTgR •%o Print Name of Notary Public
My Comm. Expires: �0
September 17 2022?
e N ,• No. GG 259588 ;
t
Revised 11/16/2016 'i3OAF OF F ; a OQ.` %`�w
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Notary Public - State or ;'(rr•..
r
Commission = GG
My Comm. Expires .fur• 1, p
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