HomeMy WebLinkAboutSub-Contractor AgreementOCT-21-2014(TUE) 14:42
P. 002/002
A_�) 1 In •s�
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Buildina & Code Compliance Division
BUILDING I'LrIt UT AZP004ss
SUBCONTRACTOR AGREEMENT
St. •Lueit•County Contractor Certification Number:. c) 4S
State ofTlorida Certification Number (lydpplicnbto): EC13005534
Essential Electrical Solutions, Mc./David Wermerskirchen ,have agreed to be the
(Company.Neancldndividual Name)
t=lgccriclan• Sub -contractor for Olin. Wayne Companies Inc.
(Type of Trade) (Primary Contractor)
For the project located at 6189.N. US Highway 1 Fort: Pierce, FL 34946
(Project Street Address or Property Tax ID #1
it'is'understood that, 'ifthere- is any change of status regarding our participation with:the-above mcntioncd
project, I will iimnediatelyadvise the Building. and Zoning Depm1ment of St. Lucie County -by filing. a -
Change of, Subcontractor notice. (Form: SLCCDV (No. 004-00)
BUSES ESS QuALTM, R •(Namcofthclhdividual shown oti the Contrnctor'r License)
NOTAM'ZED SIGNATURES ARE REQUIRED
RusinessName: Z; sswrb-g a tc.-fii CG- jl.L�7 tXJf"1S C.,
Address: 2633 SW 47th Terrace
'Cityl a' tdZip:. Cape Coral, FL '33914
Phone: 239'263"3339 • email- info@dynamicsouth.net'
David Wermerskirchen
A PRINT NAME DATE�� _
STATE -OF FLORIDA, COUNTY OF C
THE FOREGQ;NG INSTRUMENT WAS SIGNED BEFORE- .ME•TIIISj3 AAY'OF •
WHO IS PERSONALLY KNOWN __ _:OR'IIAS
-PRODUCED
aRri_ OF NOTARY PUBLIC
SLCPDS: 08106C014
AS :IDENTIFICATION.
�i WlAr1 . �'IeY. (STAMP)
PRINT NAME OF'N • AXY 1'UELIC �
SHANDA LYNN HERROTT
MY COMMISSION:# EE113841
EXPIRES -July 18, 2015
(/0y) n"M Penmr k*,wm
PERMIT # �'� C �Cl -.- 01 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance DivisiMECEI�f `ED APR s 7011
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Vernon A . W>' I rlrc y1 ca 1 (WrAc ors �/UG - have agreed to be
(Company Name/Individual Name)
the E-11° C-/VI (,; Sub -contractor for Gl otell _77/► c .
(Type of Trade) (Primary Contractor)'
For the project located at 6 l g9 A/. (%S N wY :1 1�07 rr P1 Uee r—Z, 3 y9y (�
(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.
CONTRACTOR SIGNATURE (Qualifier)
on n
PRINT NAME
C G C_ l LE-L? 1
COUNTY CERTIFICATION NUMBER
State of Florida, County of dr
The foregoing instrument was signed before me this H day of
_ 4(1 L , 2( ) , by Aft CC 1 /fir N 44
who is personally known ✓byor has produced a
as identific ion.
DIA�
Signature o Notary Public
Lir
Revised 11/16/2016
kWA
DENISE RODRIGUEZ
MY COMMISSION # GG 084538
EXPIRES: March 16, 2021
Bonded Thru Notary Public underwriters
z 1"44 4
SUB -CONY CTOR SIGNATURE (Qualifier)
Ue✓non A . 9aAl
PRINT NAME
d033y/Z::,
COUNTY CERTIFICATION NUMBER
State of Florida, County of Ft
hd
The foregoing instrument was signed before me/�this � day of
MaVA 20� by I %P,�M m A . W !d
who is personally known )Oor has produced a
as identification.
STAMPV./d
1�0 l0
Sigfiature of Notary Public
A- Macee�,gn
Print Name of Notary Public
LA A. MACPHERSON
NotaryPublic - State of Florida
• : : My Comm. Expires Sep 19, 2018
I°' 1 `oP�;� Commission # FF 157915
Bonded through National Notary Assn.
STAMP