HomeMy WebLinkAboutSubcontractor Agreement Oq f VOD/�'
PERMIT# � - ()®`l ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
D
- Bi.;ILDiNG PERMIT
SUB-CONTRACTOR AGREEMENT
AC Advantage Inc have agreed to be
(Company Name"Individual i`amc)
the HVAC Sub-contractor for R&W Properties
(Type of Trade) (Primary Contractor)
For the project located at 5206 Paleo Pines Circle
(Project Street Address or Property Tax ID 9)
It is understood that, if there is any change of status regarding our participation with the abovejnenti oiled
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.
CO�TRICTOR SIGNATURE(Qualifier) 'S CONTRACTOR SIGNATURE(Qualifier)
• M�tt � Scott Camire
PRINT NAME PRINT NA)fE
3'—'--}61 CMC1249807
COUNTY CERTIFICATION NUkiBER COUNTY CERTIFICATION NUMBER
State of Florida,County of S T State of Florida,County of St Lucie
�Li /C
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this 24 day of
F C_ .2021,by &7 7- 1-N�
��1 Nov ,2o_,by Scott Camire
who is personally known A or has produced a who is personally known or has produced a
as identification. as identification.
STAMP
STAMP
Signat.re of ' to! nbl[e Signata a of Notary ublic
Jamie Perna
r(Anlc-i T LLw15
Print Name of Notary Public Print Name of Notary Public Jatnle Perna
Olt,,
NOTARY PUBLIC
Notary Public State of FlodCie « ESTATE OF FLORIDA
Nancy Jean Lewis Comm#GG287323
�U�esm()6105i2025mission HH 138625 Expires I0/28/2022
@X,K,
Revised I 1'16 2016
PERMIT# (� V -. 0 ISSUE DATE
PLANNING& DEVELOPMENT SERVICES
Building& Code-Compliance Division
ID
v -
--- BUILDING PERMIT
SU.B-CONTRACTOR AGREEMENT
f
have agreed to be
(Company Name/IndividualName) It
the `� I l,�U Sub-contractor for
(Type of Trade— (Primary Contractor)
For the project located at
(Project Street ddress or Pro erty 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.
CONTRACTOR SIGNA'>Il URE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
H,
PRINT NAME — r { PRINT NAME t
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICAIrION NUMBER
State of Florida,County of jt�,Z'e State of Florida,County of
aC.L
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me ibis��day of
�N0 20�j1,b}' 77a✓ 20J/,by 13re_-H �Je�, �•l �(!= £-ate
who is personally knob_sn L or has produced a who is personally known or has produced a
as identification. as identification. (�
STAMP -ems_ ` 1 STAMP
Signatbre of Noory P12blic Sign ture of Atary blic
!�u!c 1 S 4- r=w)s '4 T4 t h L A/ S
Print Name of Notary Public Print Name of Notary Public
} 01r r Notary Public State of Florida
Notary Public State of Florida '� iP 1N Nancy Jean Lewis
.. °: Nancy Jean Lewis My Commission HH 138625 ,.
•' My Commission HH 138625 ' Expires 0610512025
w' Expires 06105/2025 or a
Revised 11/16:2016 !��t�..
PERMIT# ISSUE DATE
s = PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
9cyg ynvi. if�, rF
t - BUH DING PERMIT
SUB-CONTRACTOR AGREENIE+NT
/e,�5 `ate, ��� 1y'�✓!�Z lG /� s' hoc✓<'TZ have agreed to be
(Company NarnethMividud Name)
the 119/ymA I,7!y Sub-contractor for
(Type of Trade) (Primacy Contractor)
For the project located at
(Project Street Address or Prapecty 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 Suh-conhactor notice.
CONDUCTORS]" (Q-51111 r) 6WRAtTbR SONA (Qlil )
Q�A®� PRIIN1T NAh7E
2-q CFr✓ HRZ380 l OR o- R 37;
COUNTY CERTIFICATION NUMBER CoUNrY CERTEWATION NUMBER
state of Florida,County of State of Florida,County of
The&br�mstwatatut v as sued before me this dap of The forgpiog i r tit urns sued before no this day of
vilho is personatly lmaiiiEr" or has producd a v&o is petts*uatty 1ai n or has produced a
as i
de
ntification. as identiimtion.(�
d. STAMP � :F-�,, !� STAMP
s*= of N46W tic Stnature of Ndtatirftbrk
N C-
Peat Name of Koftq Public Print Name of No"Pubic
�r Notary Public State of Florida otery public State of Florida
y4 Nancy Jean t evwis �;r1j
Nancy Jean Lewis
My Commission 25 138625 ' My Commission Nli 138625
' ' Ezpires 05►p512025ora y Ezpires06(0512025
Revised 11/16/I0I6 �Oi f'