HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: a sc ff g s�
State of Florida Certification Number (If applicable):
(Type
For the project located at
' havg agreed to be the
Sub -contractor for All) 0,;�
(Primary Contractor)
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:
Address:
City/State/Zip-
Phone:
SIGNATURE
L46(- qn� o email:
STATE OF FLORIDA, COUNTY OF
44 le _ ILA
1 A Ile_
RIN ME
d. t
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF
G
l
y • I �, IL(
DATE
, 2014
BY e L� WHO IS PERSONALLY KNOWN OR HAS
PRODUCED AS IDENTIFICATION.
(STAMP)
�ve� `�• I�i else
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS:12/16/2013 KAREN S. NIELSEN
�•° °Commission # FF 115637
�f 7
My Commission Expires
%�o<«°; R°June 12, 2018
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2360 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
rRA0.405 oi S'r'eW G �) O J will be using the following sub -contractors for the
(Company/Individual Name)p
project located at Z`Fi� TLp N'i L 1 ��» 73t-JD, , (,T . 1) I;YLC.b
(Street address or Property Tax ID #)
It ,is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical-
s-T K CA— 4F .G C-11L i c.
EL. 13�o4�Zz
Plumbing
DiwtSn1Slo4s ELumpwn1C
cF� O�']SZCo
HVAC/
�e�Fsrut.6o C. �`%6G�tl,�n1�GAC�
189 $0
Mechanical
GPc.. l$l i��S✓
Roofing
Gas'
PERMIT - I ISSUE DATE:
NUMBER: ILIOT t) ?j�
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: -G 1 ce-4,
State of Florida Certification Number (If applicable): F C_I &W 41 ZZ
have agreed to be the
(Company Name/Individual Name) V U
Sub -contractor for &a h6 wL&+Cc X`
(Type of Trade) 11 II (Primary Contractor)
For the project located at z S t'`2 n'r1 'L t: Ay8 —1436- 601 • oD69 • ow -a
(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:
Address: \"y Q�[, '-1 U, (p v
City/State/Zip: ��`I( �- LU61k EL 7&Ci f S
3AfURE_
%1Z- �q�' 94+q email: 611,af-�r -dju k;C_, _f�
&e) )ti�+:�•L`
V V PRINT NAME DA E
STATE OF FLORIDA, COUNTY OF !ET (, L uC-L,L
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OFJ(I , 2014
BY a'a rL.,L9(onakt.— WHO IS PERSONALLY KNOWN ✓ OR HAS
PRODU AS IDENTIFICATION.
(STAMP)
_/y,
SI &Xid UIR E OF NOT PUBLIC PRINT NAME OF NOTARY PUBLI
;��"wf CHRISTINE CRAVE IRO
SLCPDS: 12/16/2013 ;R? MY COMMISSION # EE8b9431
EXPIRES December 19. 2U16
4 �, loe.wm
407i'3980153 Flmldallo�tySet�
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):
Name/Individual Name)
(Type of Trade)
have agreed to be the
Sub-contr ctor for G tend e, Cons P U c-� i on
(Primary Contractor)
For the project located at a415 akLoL Ink. 32rwcj1 Byfa
(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:
Address:
City/State/Zip:
Phone: y
email: CL n S 7-1 P_C0•c BYY�
SI N ��L PRINT [T NAME DAT
STATE OF FLORIDA, COUNTY OF 0__ ,
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 190DAY O , 20-Lq-
BY `� Iv \ ± U 6 \ U WHO IS PERSONALLY KNOWN � OR HAS
PRODUCED AS IDENTIFICATION.
UN �qy
(STAMP)
SIGNATURE OF NOTARY F@BLIC PRINT NAME OF NOTARY PU LIC
SLCPDS: 12/16/2013
;►""� RHONDA LAFFERTY
=' MY COMMISSION # EE854297
EXPIRES January 08, 2017
(407) 39&015I FlorldalloterySenice.com
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):
P(ef(apcf- AID_ (4,M
RAT
Name/Individual Name)
Sub -contractor for
(Type of Trade)
For the project located at
1" / (:: have agreed to be the
omro-
(Primary—Contractor)
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
K)ech- Lcsw(
W.
SI ATURE PRINT NAME
DATE
STATE OF FLORIDA, COUNTY OF 14 . Ty ( j p
%mod
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF , 2014
BY l 161 uon WHO IS PERSONALL KNOW I, OR HAS
PRODUCED
�Aodv, �)onAk:
S G ATURE OF NOTARY PI
SLCPDS: 12/16/2013
AS IDENTIFICATION.
(STAMP)
PRINT NAME OF NOTARY PUBLIC pv
NICOLE DEANS
NOTARY PUBLIC
STATE OF FLORIDA
COmm# EE217824
9iE-VreS 10/3/2016