HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT #
ISSUE DATE
BOUNTY`
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Namc/Individual Name) _
have agreed to be
the "Qy4r� Sub -contractor for t�Yo zw & �t S
(Type of Trade) (Primary Contractor)
For the project located at -1-'t(3D t,Lk,, ; �, - �yt�� _ �I
(.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.
CU\T CTOR SI(, 'A,V 'ORE ( a ,f o
PRINT NAME
court fY crurriFlCATiON NUMBER
State of Florida, County of La, l In Z_
The foregoing instrument was signed beforemethis (-D day of
��. Pr• ,20�i1 by -
n•ho Is personally knot% n Virus produced a -
Is Identification.
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signature or Nota ublic
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COUNTY CERTIFICATIO A NUBER
State of Florida, Comity of `Mjjjj
The foregoing instrument was siNo
efore me thi_W&A s day of
20�, by' 1 � as
a91l is personally known ✓or has produced a
as uentifica on.
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Ya_.--r PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Aqua Dimensions Plumbing Services
(Company Name/Individual Name)
the Plumber
(Type of Trade)
have agreed to be
Sub -contractor for GROZA BUILDERS
(Primary Contractor)
For the project located atTBD ULRICH RD 3410-243-0001-020-8
(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 ofa Change of Sub -contractor notice.
(IL �4 ozo�)
CON ' 2ACTOR SIGNATUR ' ualifier)
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PRINT NANIL
COUNTY C.ERTtr CATION NUPIBER
State of Florida, County of-la�t_U?
The foregoing instrument was signed before me this Le
day of
who is personally known✓or has produced a _
as identification.
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Signature of Nota v Pu Elie
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Revised 11116/2016
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SUB -CONTRACTOR SIGNATURE, (Qualifier)
Robert Ludlum
PRINT NAME --- -- --
18628
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 3
day of
December ao2+1,�ZOV`} �J1.tOJ 1t,�
`hy
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who is personally known or has produced a
as iden�tiifii�ccattion.
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
-� Building & Code Compliance Division
s
BUILDING PERMI`i
SUB -CONTRACTOR AGREEMENT
?� k &X-c' have agreed to be
(Com any Namc/Individual Name) /� n
the Sub -contractor for 19' Vll ►Ow Jet
(Type of Trade) J (Primary Contractor)
For the project located at , ki l ✓ is -L "- S` 1 u '
(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.
dz lyvl."�7'�
C TRACTOR SIGNATU E ( ualifi r)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of !Skk.-LLJC_
The foregoing instrument was signed before me this day of
(l. c,t...la,. , 2021, by tom.. A.<e�v,7ze.
who is personally known ✓r has produced a
as Identification.
Signature of:'ot: ry Public
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Revised 11/16/2016 �pD d
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PRINT NAME
11N9
COUNTY CERTIFICATION NUMBER
State of Florida, County of•(�u,u�
The foregoing instrument was signed before me this (O day of
'>�.t � , 20 g , by 3, A. (�Yyozo
who is personally known has produceda
as identification.
STAINIP
Signature of Not rry Public 1 t N,
Print Name of N t ry Public 00 Z �
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it
PERMIT # ISSUE DATE
Aii
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the Ch,-;cly -- Sub -contractor for te Sys lcL��
(Type of Trade) (Primary Contractor)
For the project located at _gyp Q�,dl V_c -A7 3y to - a 1-4'S-ocs,�1 -
(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.
CO RACTOR SIGNAT E (Qualifi
PRINT NAME
1 U2 ►kA
COUNTY CERTIFICATION NUMBER
State of Florida, County of .L%A cam- I
The foregoing instrument was signed before me this 1 day of
►�zc.w.-1 — , 2o:t, by 53... A.
who is personally known � or has produced a
as identification.
4 Q uA
Signature of Nu ar)ublic
Print Nanie of N tary Public
at A Kelly Finley
Notary Public
a -State of Florida
r Comm# HHOS2506
Revised 1 r/ 16'2016 O*cE I9�Expires 1/19/2025
STAMP
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SUB-CO RAC\TOR SY911TURE (Qualifier)
f7 V\✓1 - tZ cl Ct C. F C�
PRINT NAME
31 i L) (�
COUNTY CERTIFICATION NUMBER
State of Florida, County of iiV t-t
The foregoing instrument was signed before me this �J day of
zo2� ,by �S,
who is personally known ✓or has produced a
as identification.
of
¢� y STA(1P
Signature of Nota ublic
Print Nanie of Not y Public
kW Kelly Finley
Notary Public
c L ' State of Florida
$ Comm# HH082506
ys/N E 1D9 Expires 1/19/2025