HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: n qr q
State of Florida Certification Number (if applicable):
Name/Individual Name)
(Type of Trade)
For the project located at
M
Sub -contractor for
Street Address or Property Tax ID #)
Contractor)
have agreed to be the /
ca
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by fling a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRE, D
Business Name: kLDifl l V i bY33 C'�
Address: 3 R a 10'lyNX i C �A yoq
City/State/Zip: I?idca �?Ink+'�(���1
Phone: Ala l • qrJ' �c��� email:
S NA RE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF'Ico m P c rl
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS _DAY OF � P a-C!'Y1 hf.Y , 20
BY S � ey t r_ a� ► Y >✓ WHO IS PERSONALLY KNOWN OR HAS
ICED AS IDENTIFICATIO�NN..
(STAMP)
TURF O BLIC An ft$
r* MY COMMISSION #PF050071
8/0 2014•••••• �*;e EXPIRES September 2, 201T
407) 398.01 Floddallotaryservice.com
I
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
`/
St. Lucie County Contractor Certification Number: 4 9 � y
State of Florida Certification Number (If applicable): 496 1260,5959
have agreed to be the
For the project located at
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNA
Business Name:
ARE REQUIRED
Address:
City/State/Zip:
Phone: -
117 6 a F-
email: /h;eEL01-dig- R
4SIAkTLTktPRINT NAME DATE
STATE OF FLORIDA, COUNTY OF—��
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS Z�9 DAY OF `�(yS� , 201
BY / - t t VyL pzl ?f c C[4e WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
I�:•FP.i�Fg��p�2�)
PRINT NAME OF NOTARY PUBL••• My��Ig.P�9�N sHSeN\`�5
a , � xQ\R gpd6E
Srera�a��'
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building &.Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): CFC 1426109
J.A. Croson LLC
(Company Name/Individual Name)
PLUMBING a. c`5 Sub -contractor for
(Type of Trade)
For the project located at
have agreed to be the
KAST Construction
(Primary Contractor)
(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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: S f}. Cr-osoa LLC
Address: 31550 CR 437
City/State/Zip: Sorrento, FL 32776
Pho 352-729-7100 email: bids@jacroson.com
-� David A. Croson
SIGNATURE PRINT NAME
STATE OF FLORIDA, COUNTY OF Lake
9/3/14
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 3 DAY OF September
BY David A. Croson WHO IS PERSONALLY KNOWN X
PRODUCED
—A4L��
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
Andrea Cuba
PRINT NAME OF NOTARY PUBLIC
399.0153
2014
OR HAS
ANDREA CUBA
MY CCWA #FF116181
EXPIRES April 24, 2018
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ;'7 1 1 31"1
State of Florida Certification Number (If applicable): CAC 1815 7 8 0
The Airtex Corporation
(Company Name/Individual Name)
HVAC Contractor Sub -contractor for Kast Construction
(Type of Trade)
(Primary Contractor)
For the project located at 1916 Perfect Drive, Port St Lucie, FL 34986
(Project Street Address or Property Tax ID #)
have agreed to be the
— I''D "I o D6 a
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: The Airtex Corporation
Address:
City/State/Zip:
Phone:
1450 B Skees Road
West Palm Beach, FL 33411
email: jbrown@airtexcorp.com
I ATURE PRINT NAME
STATE OF FLORIDA, COUNTY OF t
561-683-3446
11-12--/4
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS -Lg— DAY OF Atiti0r,i6a— , 20 I
BY --�00 I t-Q-_ WHO IS PERSONALLY KNOWN OR HAS
PRODUCED (/ AS IDENTIFICATION.
ZZA (STAMP)
��17C�i Vc�GC l Glii 1
S GNATURE OF NOTAIZeWBLIC PRINT NAME OF'NOTARY PUBLIC
SLCPDS: 08/06/2014
�•sPR!p�.,,� MONICA A. VARGAS•BARRIOS
Notary Public - State of Florida
_•: : My Comm. Expires Oct 27, 2017
Commission # FF 035337
Bonded Through National Notary Assn.