HomeMy WebLinkAboutSubcontractor Agreement (2) ER IT ISSUE DATE
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wilding& Code CoMpliance Division -- ---p?- +N-+,�+p
- - BUILDING]PERMIT i A U G 2 4 "2 5
� .........:... SUP CONTRACTOR AGREEMEN d +i+
' ST. Lucie County, Permitting
�f 1 r/ ) I � have aD eed.to be
(CompanyName,7nhd VW Name) (� t
the I GCm bi rt: � Sub-contractor for �) *-V-4 Du 2 4
(Type of Trade) J (Primary Contraetor)
For-the.project located adi ` a L `zL U1.1 . ''�r'`G
{Project Street Add ss or erty Tax ID ff)
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It is understood that,.if there is any change of status regarding our participation v ith.the above`mentioned
project;the Building and Code Regulation Division of St.Lucie County will be advised pursuant-to the
film of a Change o ub-contractor notice.
TRACTOR i1 NATURE( ualifier) SUB-CONTRACTOR'SiCNATURE(Qualifier)
W K en�
PRmTN&IE �— PRM NA1V1l: —
CFC rya. 87�
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida.County oiLKde State of M66da,County.of I il.. , tt G- I
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�regoing instrument was si ned before me this�� day of The foregoing in%ummentwas signed before me this�duv of
GK M �2n by
who is perm Hy known_or has produced a-a Y� wlio is personally known, or hasproduced a .
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as idcntiticaliort. as identification.
STAMP ST. V P
Signature o afar}PnbHe Signature of Notary Public
G 1 t!c rt Fk i� C�vc n
rint Name of Notate 'biic r Print Name.of Notar+'Public
� \\1g11111H//����
�41,
�lssion •c�,
VtWKy Ashley Jones
NOTARY PUBLIC
Revised 11l1G1dU16 STATE OF FLORIDA = s
Comm#GG969944 '"2 msoa
• Expires 3/16/2024
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PERMIT 4 ISSUE DATE
Ci s �� �0( �IN _ (y_ �^ea '�/�{���t y(y� 1a T SERVICES
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S..lJSA1��,4tZ-V���r�.C/J Y•�'f�.f V�191J�Y ..T��6 Y7��Ll�.J ptFFptss
`~t t 'Building Code C a p�aance Division
BUMDRI r-ERM-1 T" AUG 2 4.2021
_ss. a`�r� �ss Sd, ^CliTI2AC€�3P.'p1�-3 "* iF iE T
ST. Lucie County, Permitting.
ictztzr tt_C--irks lhaveagreedLobe
jCompan;iiami~-Ytidividualltiame)
tan C4 Sub-contractor for (?nra,�� i
{Type of Tea a, ! (Primary Contractor)
. � �,} n 1 11��
'Far the ppi-o ect tocated at. 00 D�,(1L �r Y� �'cit��t�t�PA-7` !:tt -e
(Project Street Address or Noperv1'7ax ID ft)
it is understood tha¢ if there is atit'chat}ge of status regardiftg our participatiot}with the abo?a metitioneii
project,,the Building audl Code Regulation Division of St.Lucie Count=irrill be advised pursuant to the
ding of Change of Sub-contractor notice.
�1Jttdl�yt __�•_:�
CO\rE{e4C � IGA'r(;RE (Qualifier)
�? AJ oo", Mom �%,rt}T h
PRII rr N&Mr. 11R-MT N.VVIE
CCC i 33--L,4
COUNTV.CERTIFICATIONNU11iR-R. CY16i\T1'CF.RT(FI`;tstU!\VLiAtIIEtt
Stair of rtnrids,i'omug of �� state of Iorida,County of 02VIg.2_
before tut this 10 day of Thu foregoing imstrutnent nas signed bbef's�re iie this (O d m nt'
The foregoing instrunwat".ssignua
Do' d .0tcerl n c t :w t•oy Ad-n SM r4\
Who is persomily t nnirn or lugs produced a who is p,isauailp(,vown or bss produced a drt vul t1G( R
. as idetKiliCaiiats. II identifieation.
igwnir�otnry Public Si lint'
Siguatnr iNotar_rTnLlic
Lfn9 K�,r,Q G—tit{� Lira Mari {
Print Maine orlttotary Public I t Print Name of Noiurg Public' I i
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titstYP�e LINAMARIAGOMQ etYP�G UNAMARIAGOMQ
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Commission t#HH 076897
* * Commission HH 076897 4
Expires January 4,2025
.� resJanua 4,2025 -
Rec3sull.:tk^frtli� petNotarySeMoes �OFFto� BmdedTlwBudgetNotatySrtrvtaea
OF FL
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PERMIT# I ISSUE DATE
PLANNING & DEVELOPMENT SERVICE
Building & Code Compliance Division
4-UG 2
2021
BUILDING PERMIT LD
SUB-CONTRACTOR AGREEMENT ST. Lucie county, Permitting
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ASSOCIATED AIR OF PORT ST LUCIE, INC have agreed to be
(Company Natne/Individual Name)
the HVAC MECHANICAL I Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at LRace.A i®-W- I l�b$ "10 3- 0090- ()M—
(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. a
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNA (Qualifier)
MICHAEL A KRENCIK
PRINT NAME PRINT NAME
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CAC057622
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County Of State of Florida,County of ST LUCIE
The foregoing Instrument was signed be��for`�e me this�� day or The foregoing instrument was signed before me this�,J+,,�daay'of
20 1 by 6��7 � '� 202d,by fJ1 Lf fir► f' �.{&(At
who Is personally known_or has produced a I-- who Is personally known or has produced o
as i titleatiom as Identification.
STAMP C..��/LL/ STAMP
nature o tary Public Signature of Notary Public
j a
Print Name of Notary bUc Print Name of Notary Public
Sao Ashley Jones
oQ NOTARY PUBLIC ��" Nolmy Pubk 6W&of Rwkla
DaYM
STATE OF FLORIDA f p• sn 290M
Revised 11/16/2016 Comm#GG969944 �iq Fdo S�Piroe Ot117/a083
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Wes, Expires 3/16/2024
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