HomeMy WebLinkAboutSub-Contractor Agreementwu-L;VfN I,KAG IUR AGREEMENT
`" 4, -t' � have agreed to be
.(Company Name/Individual N=arise)
the e('�Yi!'.
Sub -contractor forj� ' 1.
(Type of Trade) (Primary Contracto
For the project' located at
(Project Street Address or Property Tax ID
It jS understood -that, if there is any change. of status regarding ourparticipation with the ;above mentioned
project, the Building and'Code Regulation Division of St. Lucie County will be advised pursuant to the.
f ling of , 'hATTgo.of Sub -contractor notice
a -
CONTRACTOR SIGNAT. RE (Qualifier)
L t -✓ L
PRINT' tiA14E r %
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The fore oii�' tr entwas signed before me.this ()day of
1
,'0� bvT
V110 IS Pgrspnally known -or has produced a. L L
as identification.
Revised 11,]02016
'1r
PRINT NAME
UIOV� I�'
COUNTY CERTIFICATIONNUMBER
State of Florida, County_of
The foregoing instrument was signed before me this ,p day of
,'-off, b'
who is,personally known ✓ . or has produced a
as identifIcation.
STAMP' ��✓-;�f STAMP
lie _...
gnnturc of Notary Public
Sby')
iblic Punt Name of Notary Public
State Of of FloridUHN
Commission # C -Notary public
F`�Y Commission EX70079
October Zy, �'°• ALISONHANSON
Aires :r•.,
"� 0?2 ._ MYCOMM{SSfON#GG974043
d' EVIRES: March 16, 2024
1FO•!�°P BondedThruN*ry Public Undaniirilen
TE
PERMIT:# LISSUL�IEDATE
PLANNING& D-EVELOPi%lfNT.St:RV.ICE,,S
Building & Cock C6mo.lillnce Division
BUILDING PERMIT
SUB-CONTIO.CTORAGREEMENT
OS Air Conditioning, Inc have agreed to be
(CO61P,111'y N'Im&Indivi(Jm (Name)
kvAClm' echanicaltontraddr Sub -contractor for Delahunty
(Type of-rra(tc)
Fortheproject located at, 8801 S lridian.Rivor DRFort-Pierce, FL 34982 351-9m-502-0004-000-1.
'(Prqjeet,si)-eet Address oi-ProI)criyTix,ID'Jl,)-
It is undci!stoo&that, if them is any change of status regarding our panicipation with the above menti9ned
project, the Building and 'Code Regulation, Division. of, St. LucieCounty will be advised pui-suaPt-m-the
filing of a Change: of Sub-conti-actornotice.
su
Colin Delahunty. Shamer
FRINTNAME IIIIINTNAME'
COUNTY cEm,mcvRoN.,N.umjjMT COIJ-N*FN'Cl;,71t'i'll;[CA!1'10,NN NUMBER
Sint orFlorldm, County -of..MCLL—JlJ) State of F orida, Cmilityor
An of
ocv1d I IN Wow" X-Ir has produce , (I a
Who Is lursona
as Identification.
.10677
Rc%,I$cd IM612016
}
COO NTY
lr L 0 R 1 D A
ML
the
('Type of Trade)
for theproject'located-at
PLANNING & DEVELOPMENT SERVICES
Building,& -Code Compliance -Division
`BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Project Street Address or Property Tax ID #)
have agreed to be
Itis-understood.'that, ifthere is any change of status regarding our -participation with the above mentioned
project, theBuilding and-Code:Regulation'Division of St. Lucie County will'be advised pursuant to the
filing -of a -Change of Sub=contractor-notice.
CON- R SIGNATURE (Qualifier)
COL/ �'� 19 1
PRINT NAME
(fJ3C 12�UG3y
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this / �ay doff
20 by _ \ �_ ���l )
who is personallyknown or-bas-troduced'a
as identification. ��
�«--:- -A
Signature of Notary Pubhc "
�l�nUa,ugkh
Print
CO
/Ljy /ssa�q 06
C° /VOr �1V
p # ar
Revised II/16f2016 cr�bPIssi°�'G' 2jpUb,
�!0 �9
STAMP
/CilUB-CONTRACTORISIGNXT)lRE (Qualifier)
PRINT NAME
I. V W. v' -
COUNTY CERTIFICATION NUMBER
State of•Florlda,�Countyof a `' E .
The foregoing instrument was signed )before me this-6+/hday of
20�/, by - ! ! t LJ !d LUYi`L
who is per n lly' known )!�_or has produced n
;R U1A
LISA LESTER
NOTARY PUBLIC
STRW FLORIDA
Comm# GG.127647
Expires 7/24/2021