HomeMy WebLinkAboutgoldstarPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
1 Building & Code Compliance Division
M
e
a BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company \;line indiOdual \aloe)
iilc Electrical
of Trade)
Sub -contractor for Brian Bean
(Primary Contractor)
For the project located at 5109 Birch ? 3402-608-0375-000-8
(Project Street Address or Properly 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.
1
COt'NT\PERTIFICAT O
NERI
Stale or Florida. County o
T for m instrument xas si halo h y M
1. h)
who Is personalh know-n X_or has produced a
STAMP
RACHEL ANN VOSSEN
%t lg, Nctmv F.lobc-Stateofrlvida
sOlMssor, a GG 189932
�•.��:' My Conn. Expires Apr 16.2022
0.ewsod ll/t6/At "" 5011dad through National Notary Assn.
st'R1 ciNTRACFOR SIGNATURE (Qualifier)
John Cavner
23575
COUNTY CERTIFICAI'lll71 Nl NtBER
Slate of Florida. County of St • Il,c t e
The foregoing instrument was signed before me this 19- da) of
Octu be ✓ .2alf. h) cSo hr) Cou rlo. t '
oho is penonalh known _or has produced a
as identification. e
� I�¢VT y NC�1�✓-� 11'n
VSignmure of No Public
LL ofp
�O
Paola (',arrfoa p=o
Print Name of Notary Public
a
PERMIT # ISSUE:DA:TE[
aFMl�f�l
COUNTY
F L O R I D A -.�S
i
the
Al Air
(Type
PLANNING
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Southern City Development INC.
(Primary Contractor)
For the project located at ( 5109?) Birch Drive- 3402-608-0375-000-8
(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 o ub�--co�tor notice.
State of Florida, cowry
foregoi m:numeot was sill bV1. m 'dLy of
24 b3'
wbo is personally (mown 9-,o1 has produced a
STAMP
EL AN VOSSEN
EM-
blic-Sate of Floridasion r GG 189932
, Esplres Apr 18, 2022Revised IIllh/?Olh Aa;mnal N"I"Y Aan.
CZQk�A-c IA190q �
f&EI{r ICATIo� �N,�n/h1BER
State of Florida, County off/ cy
The foregoing instrument was signed before me this 13 day or
O s 20�s by QC. jj /. „L 2
who is personally known _orbasprodueeda FL `JL
STAMP
DEVONYTHOMAS
MY COMMISSIONA HH 024138
Bonded Ten,
Scanned with CannScanner
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- = Building & Code Compliance Division
- -- BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ameri-Tech Plumbing Inc
have agreed to be
(Company Name/Individual Name)
the Plumbing Sub -contractor for Southern City Development, I_N_C.
(Type of Trade) (Primary Contractor)
For the project located at( 5109?) Birch Drive 3402-608-0375-000-8
(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 B a d Co a Regulation Division of St, Lucie County will be advised pursuant to the
filing of'a C u actor ce.
C. NTRACTOR SIGNATURE(Quanner) SUB -CONTRACTOR SIGNATURE( uelJer)
F1,1k T. aun McLy k 0, Luol+e
PRINT NAME PRINT NAME
� LC�
COUNTY RTIFICA ON ER.
State of Florida, Counry�,AW,.
for °' �g instrument was si War m
ai Hy of
wl 24, by
who is personally know'n,Yor has produced a
STAMP
RAC HEL ANN VOSSEN
Notary Publ'¢ - State of Florida
Revised 11/1&2016
My C,,wj. E, pbue A,, 16, 2022
` Bonded throuCr Naocrut Notary Assn.
COUNTY CERTIFICATION NUMBER
Stateof Florida, County of meLY r)
The foregoing instrument was signed before 1me this LCday of
� X ,2g2k, by l�� IL. C), LO0 L*-ee
who is raonelly known or has produced a
as Iddtentificatio�nr1 /�,, Q /_
A,n _ & Y r L: xi_J �.aI� STAMP
Signature oY Noten' Public
Prol Namc of. olary Public
.Nr Notary PubXc Stele of Florida
P Gary R Mounon
1 g mycor 0aonH 106790
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