HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# 2104-0934 ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
PALM HARBOR CONSTRUCTION / CHARLES P. ROGERS have agreed to be
(Company Name/Individual Name)
the BUILDING
(Type of Trade)
Sub -contractor for PALM HARBOR CONSTRUCTION
(Primary Contractor)
For the project located at 21790 GLADES CUT-OFF RD PORT ST. LUCIE FL 34987
(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.
;Lk"&
CONTRACTOR SIGNATURE {Quali1
NATHAN HAYFORD
PRINT NAME
COUNTY CERTIFICATION N MBER A�
State of Florida, County of—�G�' "'s i4—
The foregoing instrument was sig ed before me thisy- da(ny� of
k1d 20s7`'i, by ��1°iG�� t� Y
who is personally ow or has produced a
as identification.
..,,.. �� STAMP
Signature of Notary Public
Print Name of Notary Public ttY
+'
KITINA A BLOOM
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Commission # HH 090334
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Expires February 25, 2025
4lFOF f�.
BorWed Thru Budget Ndmy Sw*n
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (unlifier)
CHARLES P. ROGERS
PRINT NAME
CBC1253434
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument lwas signed before me this _ day of
20 art by�G� +5
who is personally' or has produced a
as identification.
__ _._....................—
Signature_ of Notar Public STAMP
Print Name of Notary Public
K[iINA A. BLOOM
Commission # HH 090334
m < Expires February 25, 2025
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PERMIT # 2104-0934 ISSUE DATE
COUNTY
F
R I i3 A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ENVIROCOOL / DAVID BL.UMBERG have agreed to be
(Company Name/Individual Name)
the MECHANICAL Sub -contractor for PALM HARBOR CONSTRUCTION
(Type of Trade) (Primary Contractor)
For the project located at fl GLADES CUT-OFF RD PORT ST. LUCIE FL 34987
(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
NATHAN HAYFORD
PRINT NAME
12011
COUNTY CERTIFICATION U }M1BER
State of Florida, County of j lS r L 4
The foregoing instrument was signed beforQe� me this (c�f da of
who is persona know ____.or has produced a
as identification. 1
41 STAMP
Slaoulure of Notary Public
Print Name of Notary Public rPur
KfnNA a BLOOM
'�*'''
Conrt>resbn # HH 090334
V-:9
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Expires February 25, 2025
BCndedThu&idpet Nolr!'StlYIOi�
Revised 11/16/2016
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SUB -CONTRACTOR SIGNATURE {Qualifier}
DAVID BLUMBERG
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of _bia �_��
The foregoing instrument twas signed before me this
oz day of
ti1*' , 24�t, by JidlU i Ll V
who Is personall own or has produced a
as identification.
STAMP
Siannh,re of NotnHy Public
Print Name of Notary Public
pUB�,�
KITINA A BLOOM
2ote��
%*
Commission # HH 090334
*
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Expires February 25, 2025
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the
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
PALM HARBOR CONSTRUCTION / NATHAN HAYFORD have agreed to be
(Company Name/Individual Name)
PLUMBING
(Type of Trade)
Sub -contractor for PALM HARBOR CONSTRUCTION
(Primary Contractor)
For the project located at 0 GLADES CUT-OFF RD, PORT ST. LUCIE, FL 34987
(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.
NATHAN HAYFORD
PRINT NAME
IH1122082
COUNTY CERTIFICATION NUU IE_R
State of Florida, County of "��JU�U►
The foregoing instrument was signed
� before me tthis j j day of
209 by ! "`�` L q 6rj
who is personal) own or has produced a
as identification.
STAMP
Signature of Nota►<y Public
Print Name of Notary Public 2ol...�84-7mwx BLOOM
Commission # NH 090334
a c� Expires February 25, 2025
9�OFl���` BW1d•dTI1NBYdQ6tN0l81ySBfYl08i
Revised 11/16/2016
SUB-CONTRACIbRSIGNATURE•
NATHAN HAYFORD
PRINT NAME
IH1122082
COUNTY CERTIFICATION N ER
State of Florida, County of
The foregoing instrumentwassigned before me this�drdd` y�of
l , 20g'y by
who is perso y Imown _has produced a
as identification.
6A2��� STAMP
Signature of Notary Public
Print Name of Notary Public 400t;�eGc
KITINA A. BLOOM
* *
Commission # HH 090334
�o
m��Orl1A`'e
Expires February 25, 2026
d•nA•AThNil�getN•taryServkes
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
BARNES ELECTRIC OF CENTRAL FLA / JOSHUA D. BARNES have agreed to be
(Company Name/Individual Name)
the ' ELECTRICAL
(Type of Trade)
Sub -contractor for PALM HARBOR CONSTRUCTION
(Primary Contractor)
For the project located at 0 GLADES CUT-OFF RD PORT ST. LUCIE, FL 34987
(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 (Quali er SUB-CONTRACTO URE (Qualifier)
NATHAN HAYFORD
PRINT NAME
IH1122082
COUNTY CERTIFICATION NUMBER
State of Florida, County of U 'q
KO
The foregoing instrument was sign d b fore me thiso9 d y of
203'd by �Lit
who is perso ly known _or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public .•..� NA
�.A BLOOM
Commission # HH 09M
Expires February 25, 2025
9�OFF�OQ� Bond�dThNBudgettiotarysarises
Revised 11/16/2016
JOSHUA D. BARNES
PRINT NAME
ES12000724
COUNTY CERTIFICATION NUMBER
Pip
State of Florida, County of L—
The foregoing instrument was signed before me thisa�ay of
20A, by V
6&y r —.
who is persona known or has produced a
as identification.
rNw�z�_
STAMP
Signature of Notary Public
KITINA A. BLOOM
Print Name of Notary Public trgY Pia
* *
Commission # HH 090334
�9, woe
Expires February 25, 2025
FOF FLn�
Bonded Thru Budget Notary services