HomeMy WebLinkAboutSub-Contractor Agreementgun-UU IWACTOR AGREEMENT
b10,`MY- OeCtrt C
(Company Name/Indlvldual Name)
the Sub -contractor for
(Type •of Trade)
For the project located at
have agreed to be
(Primary Contracto -"
(Project Street Addressor Property Tax ID 40
It is tmderstood 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
fling of halrge of Sub=contractor notice
CONTRACTOR SIGNATURE (Qualifier)
60 Li ' U L
PRINT NAME % O
COC
CUIi!LTY CERTIFICATION NUMBER
State of Florida, Countyof
The for Qoi • ,tr lent was signed before me this �LD day of
30.'�J by
'Who is perspnally known _or has produced a �(r has produced a
as identification.
Signature
Revised I 1 16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
Y� ?�1a, �''V-
PRINT NAME
COU'\TY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed beforeme this �,� day of
Mau ')0a, bb, 1 �F�il��I'.
who is personally known •! or has produced a
as identification.
SWAMPJ
blic "' v STAMP
gnature of Votary Pu tic
lublic L L E N V Print Name of Notar►• Public
_Stale of Florid
UGHN
Ca Notary Public
Ommissio
i4Y CommissioGG 270079
,
Octobar 22 Expires ALISON HANSON
�•• `�B�t:•:
2022 . _ MY COMMISSION N GG 970043
P EXPIRES: March 16, 2024
•••;�01 FL�.`• Bonded Thru Notary Public Underwrite.
the
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name/Individual Name)
(Type of Trade)
For the'project'located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
have agreed to be
I
(Primary Contractor)
(Project Street Address or Property Tax ID H)
_�
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.
CONTRAty'rOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County off" lluK
The foregoing instrument was signed before me this l 9ay of
20 a—,Aby
who is personally known _or has•produced a py-1 JD�
as identification.F, /�
l � A STAMP
Siggature of Notary Public "
U0u0_XAyhk)
Print Name Of Notar. ile
q S F=
be rat F< a�
m� Of
MY o�ss,o�aa.�� /G
Revised 11/16l2016 Oct bP`SSpGG2 Ub,
/ClUB-CONTRACTORISIGM(flRE (Qualifier)
~� act � _o'-! (0i \ .
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of,Blorida, County -of G C l
The foregoing instrument was signed before me this 6+ Iday of
11 L 20Q,by ;�-_KX'rt l LA C11
who is person lly known JLor has produced a
1 •}
as id frfication.
o AS LISA LESTER
NOTARY PUBLIC
gna re of Notary Pu Iic o STAt FLORiDA
Gomm# GG127647
5 w% Expires 7124/2021
Print Name of Notary Public
V
i
PERMIT # ISSUE. DATE
.�J:Lt
0
t~ E 0: 9, t►5
DS Air Conditioning, Inc
PLANNING & DEVELOPMENT SEi2VICES
Building & Code Compliance Division
(Company NamoAndividuai Name)
tale HVAC/Nlechanical Contractor
(Type of"Il•ade) —
BUILDING PER,ti11'1'
SUB-CONTR.%,c'TOR AGR> EXIEN'C
Sub -contractor Por Delahunty
(Primary Contractor)
have agreed to be
For the project located at 8801 S Indian River DRFort Pierce, FL 34982 3519-502-0004-000-1
(Proiect Strict Address or Property Tax ID 0)
It is understood that, if there is anv 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
fliino of a Chang
e of Sub -contractor notice.
t.
CONTRACTOR 5[CtiATURE (Qualifier)
Colin Delahunty
PRINT NAME
COUN rY CER'1'lRiC;1'I'!ON NU\1!)CsR
State of Florida; County of mC{Li1O')
The ftmgoin(; Iustrumcut was si{;ned before me this day of
t _, 2t1-12f b
who is personally knowwn ?. Cor has timili ad a
as identification.
.a
rt�slderd, `ti`R-
Si£naturc of Notary Public s o` My Cammiss en GG 179677
4•io� M1y' Expires 01:2&2022
r
,n
Print Name of Notary Pub c
P evked 1 I , 16.201 fi
SIGNATURE (Qualifier)
Daniel Shawver
COIJ�"1'1' CISR'fEFIC.:�'1'{ON NUDIRE:R
Stale of Florida, County of »f i i 4' t V\
Thc7oretitibt� inslrmncnt ww:cc s{gnct{'Itrforc nte'this� ✓ 43y df
1
IO:Z� by'�tt'1
who is personally known Xr has produced a
as idcntillcatinn.
-tiigcw�rt'c �j'.J�rcarj Pubh♦ � ;`B++rcr J a4...,
�i o 4*Y CGrir�+sin_ -
ornCi xpv-y. •.!. -•
Print Name of Notary Public