HomeMy WebLinkAboutSUBPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
r
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
BROWNS AC
have agreed to be
(Company Name/Individual Name)
the HVAC Sub -contractor for GTS MOBILE MODULAR
(Type of Trade)
(Primary Contractor)
For the project located at TBD ULCRICH RD FORT PIERCE FL
(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.
CONTRAC OR SI ATURE (Qualifier) SZ11-RACTOR S E (Qualifier)
JEFFREY � AGNER JS BROWN
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of �► 1 1S 4 U
The foregoing instrument was signe before me this 1� 1 day of
20 7 by 1
who is personally known.,JL_or has produced a
as
Signature of Notary Public
Print Name of Notary Public
Revised 11/16/2016
PRINT NAME
COUNTY CERTIFICATION NUMBER yy
State of Florida, County of of O V�
The foregoing instrument was signedd before me tthis lday of 20?,�,Iby� iY �' � nj,-p r /� J
who is personally known _or has produced a
as uaennucar!q
Nota lie State of Florida
rose
6%c nHi gigss4 n Signat of Notary
Fyn. 8/1212026
Print Name of Notary Public
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- 1 - Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
GTS MOBILE MODULAR
(Company Namdllndividual Name)
the PLUMBER
(Type of Trade)
have agreed to be
Sub -contractor for GTS MOBILE MODULAR
(Primary Contractor)
For the project located at TBD ULRICH RD FORT PIERCE FL
(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
kHIo2SL( 3g
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing
iostrumm ent was signed before e this � day of
�y
who Is personally known V Or has produced a
as identification.
STAMP
Sigmtureo 'efts Public
Ta i')rc c
Print Nome of Notary Public
t°�•�,, Notary Public Slate of Florida
Tia L. Grose
My Commission
HN 164684
w'0r^ Exp. 8/1212025
Revised 11/16R016
I H 10'ZSu 3y
COUNTY CERTIFICATION NUMBER
State of Florida, County of IA 1 II$g1raA�_
The foregoing Instrument was signed before me this JJQ_ day of
1Vi0✓txde/zo2.1/by �4 i��/l kQhri✓
who is pMonaffy Imowa=Or has produced a
as identification.
STAMP
SignatlGe of Nalli y,Fabac
-f) o. (A rr,S 2
Print Nerve of Notary Public
NOW;Public State of Florida
TIs L. Grose
MyMN 164a64Crisslon
Exp•811znozs
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
-I = - Building & Code Compliance Division
P
I t' 0400 BUILDING PERMIT
EMINNINEW SUB -CONTRACTOR AGREEMENT
BARNES ELECTRIC
(Company Name/Individual Name)
the ELECTRIC
(Type of Trade)
have agreed to be
Sub -contractor for GTS MOBILE MODULAR
(Primary Contractor)
For the project located at TBD i,VyiC� ?p� If'=Q RT PIERCE FL
(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.
CONTRACrYVW
1 ATURE (Qualifier)
JEFFRAGNER
PRINT NAME
11-I (n ZS (-13R
COUNTY CERTIFICATION NUMBER
State of Florida, County of _� V
The foregoing instrument was signed before me this day of
2Zt, by
who is personally knodvn k or has produced a
as identification.
Not ��y Public State of
�'fMGrose
Signaof Notary Public �y Commission
��cap- E p Bit2 HH 2025
h a
T u C
Print Name of Notary Public
Revised 11/16/2016
SUB -CO CTOR SIGNATURE (Qualifier)
JOS ARNES
PRINT NAME
� l L ( 0 '-7 2- I
COUNTY CERTIFICATION NUMBER �^
State of Florida, County of�Aij 1 Q r oo 0J 1
The foregoing instrument was sign before me this
Z r 1day of
1--A-1--A- r n Q
, 20—, by ' (�me
J�10
who is personally knowor has produced a
as
of Notary
Q
STAMP