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HomeMy WebLinkAboutSub Contractor AgreementsPORT ST LUCIE PROPERTIES
Quality Home Builder CBC1263072
SUB -CONTRACTOR LIST:
A/C: NISAIR AIR CONDITIONING- CERT# CAC041199
ELECTRICIAN: AAPEX ELECTRIC- CERT# EC13009343
INSTALLATION: DAVIDSON INSTALLATION: CERT# 2140
PLUMBER: AQUA DIMENSIONS PLUMBING: # 18628
ROOFER: CARDINAL ROOFING: CERT# 9072
Planning & Development Services
Building & Code Regulations Division
COUNTY2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553 Fax 462-1578
CHANGE OF CONTRACTOR
Or Subcontractor or Cancellation of Permit
Change of Contractor is to be completed by the property owner, and the new contractor of record for the
current permit, A new permit application must also be completed with new contractor information,
signature, and transfer fee. A new Notice of Commencement must be filed in the new contractor's
name for job values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must be
submitted prior to commencing any work. Subcontractor changes can be completed by the general
contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the
owner and qualifier of record.
Date: 11/11/21
Site Address: 85 Pinewood Lane
Permit Number: 2108-0716
Air Conditioning Unllmited State License CAC1818688 SLC License 20-28438
Original General Contractor (or Subcontractor)
NisairAir Conditioning State License CAC041199 SLC License 10363
New General Contractor (or Subcontractor)
Reason for Change Poor Performance
The undersigned does hereby agree to indemnify and hold harmless St. Lucie County, its officers,
agents, and employees from all costs, fees, or damages arising from any and all claims of action for
any reason, which may arise as a stilt of this change of contr ctor/subcontractor or cancellation of
permit. A per ca t be c elled if work has been perfor e .
SIGN OI" O1JNE (or ownertbuilder) " SIGNATM OF NEW NERAL CONTRACTOR
0
State of Florida, County of St, Lucie County
Th following ins ent was acknowledg bcforo me this
d day of 2oZ( by r
or Awho ' e V M o a WY know to me
rr-
o has produced as ID. Y"F
�Z l
Signature of Notary Date
FRINTNAME PHILIP VISA JR
State of Florida, County of St, Lucie County
The following instrument was acknowledged before me this
0—day of NOVEMBER 20 21 byPHILIP NISAJR
who' ersonally know to c
ZA
sl nature of Notary Date
*On MR 00 nge of subcontractor „ KRISTIN BAITSHOLTS
SHANNONMITRER=
a State of Florida -Notary Public
Ravi 0 COMMISSION #GG203869 - - Commission it GG 278627
°•rd EXPIRES: June 11,2022 My Commission Expires
B011ded7hrUNoWyPublicUndeWrflers `r Febrowy 19, 2023
ou
TY
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual Name)
the _ F1"t"/Yl
(Type of Trade)
For the project Iocated at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for ` ` L_ r— `Q f
(Primary Contractor)
(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 Sub- ontractor Co.
CONTRA OR SIGNATURE (• ualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
_l &4' k �'l 4&4-f � 6�
PRINT NAME PRINT NAME
,-))11��0
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 10A day of
U 02011byffiare j , jya 17i
who is personally known ly or has produced a
as Wentifca n.
K1goaturWQf Notary Public
Print Nalne of Notary Public
._ 1 �67
COUNTY CERTIFICATION NUMBER
State of Florida, County of 0.5' t . C ai
The foregoing instrument was signed before me this 4 day of
Zo?! by?Att.�-L 4m ,%OD ..__
who is personally known ✓ or has produced a
as identification.
_
STAMP _ 1 1 ) , �(_J l l uo
Signatu
Syr Notary Public State of Florida
Dena M Fellwopd
Print N __ j ry t0148l202�
HIE
Public State of Florida
Revised 11/16/2016 L Bowen
mission GG 298212
4210A12423
STAMP
PER IT ISSUE DATE
OUNTY . '.
F, L o a ,I D A
PLANNING & DEVELOPMENT SERVICES
Bitildiug & Code Compliance Divisioii
--CA
— {Camne/Ilulividual Name?
tht:
(TypL t)f Trade)
fo For the project located at ___/-` 15
13UILDING PERMIT
SUB -CONTRACTOR AGREEM ENT
�r)_E-
9-
_, have agreed to be
Sul?-cot>trac.tar, for 11 �l " ' r/�jf l I j65
(Primary Contractor)
ect Street Address or Property Tax ID N)
It is tinderstood that, if there is any change of status regarding our P,111icipatiolt with the above mentioned
project, the Building and Code Regulation Division of St. Lucic County will be advised pursuant to the
tiling of a Change of ' b- ntractor le
,z
CONTRA . RNATunr alifier) -`
PREN"
: nnrl:.
31 U0
T:ou;v c RTIFICATION NUMBER.
State of TforEda, count3- or,,. C,I e
The rorrgoing insirumem wnN signneed,,befom roe Nri.sIyL-rt'���: y at
�Q--' 10r Gy'�4 rx
+vho Is pommllly known ,k_01' has Itroduecd a
SUA CONTRACTOR 51GNAT ; (Quntitier) - —
r�d
PR NTNAMF CT� --�
9D92,
'EOUNI ' CUR'rIPICkTION NLtNM x
SIt,teofFlorida, County ofg�.azi Gl� //
The rortgoing instrument �sassigned hcfare me (his/& day of
av_Z',.1cr'� Ii, 3 -
-11 J-1ken
%Vhn Is personally know" _01-111Ls pa-odnred a
ns I ' cation• ns tdenflneation.
STAOIP , S1'AAft'
Sigoat re atnry ub1IC ignature of Nolaiy Public
Print Name of Notary Pumfe print Name orNnlan 'uhlic -
dnr. Notary PuB1'sc Stsle of
Flon a Sva '
JENNIFEIt DAVIS
Robin L Bowen MY COMMISSION # GG 9534i8
Remed I l/1612016 M Commission GG 298212 e;
p Expires 0210412023 �� Or EXPIRES; February 29. 2024
or c4°� Y�P' Bonded Thru Notary Public Underwritera
PERMIT# ISSUE DATE
...... .. ..... ...
PLANMNG & DEVELOPMENT SERVICES
Building & Code Compliance division
BUILDING PFP. lrr
S lIJ,B-C©NTR.A.Ci'OR AGREIEIYI:NT
c_1 have weed to be
(Company Name5hdivi&al Nme)
the _. � S t�C �`.6�\- Sub -coat actor for S 1'e /- 'ems > C
(Type of Trade) (Primary Contrador)
For the project Located at
UfIMM
ect St3reet.A,ddress or Propsrty Tax 0 9)
It is understood that, if there is any change of status regarding our pardoipation with the above mentioned
project, the Building and Code Regulation Division. of St. Lucie County will be advised pursuant to the
fig of a Change ofSub-contr or notice.
CQI+ITI�ACT S)r AIYIRI^sk TdFcrj
31 d 10
COUN"ICLIRTMe
RTMe
Statc ofttoriE4 CGuafyof, t'r- ku'
The foregoing iastrament was skned before laze ibis -U day or
who is pexsonaEy lmowa Lr 1W produced a
AS !d0MtifiC"1DM
r
l
Signaturg'af Notary Pabiic
_ :16(uw
h iat Name of o�Public
Revised 11116.2016
E-'IRWn
Notary Public Slate or Florida
L BowenMy Cornrnissian GG 296212Nly Cc. fflisv Z G
SUB-Ct7.NTRACIOR MGNA TUBE (QuaWcr)
MINT NAME
_ a :2`46
COXWW CERTIFICkTION NUl4SER
t
State ofFlorida, County of a ` 6
The foregoing h strumeut wwas signed before me this.! dsy of
.�J]A 2,i1 b, E A 1�Iaytc ko-v&, Z�—
who is persoaaUy lmovm 4°r W produce d a.
as idea " canna /
STAD'fOP
1gaa ea NotaxyPablic
a""'
Print N2me a f Nota.ry Pabl 2
t�� rup��c SHARON ANDERSON
* Commission R GG 97026
t Ares April25,2024
��of�o�D Bandadiluu6„dryMrSa�rY��
M(INTY `+k`
F L Q R l D A40
PLANNING & DEV ELOPMENT SERVICES
Building & Code (Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
' y r � � �i '' have agreed to be
mpany Name/Individual Name)
the ) onLo e • Sub -contractor foi �S
(Type of Trade) {Primary Contractor)
For the project located at '65 1 i'n e w o cD L
(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
Ming of a Change of ub-c tractor otice.
CONTRAC OR SI � ATUR)E (, alifier)
PRINT NAM
~ l C)
COUNTY ERTIVICATION NUMBER
State of Florida, County of 4[ e
The foregoing instrument was signed before me this -i i day of
—��t't(1 _zo__j_,hy._ i,'11l'�i'k- y1lCYlTrilllc_,
who is personally known 1—or has produced a
UB-CONTI2ACTO SIG T RE, (Qualifier)
In6zit Iuyn-
PRINT NAME
19)G Q
COUNTY CERTIFICATION NUMBLt'R
State of Florida, County of c I
�
The foregoing instrument was signed before me this A� day of
Ve i 2021, by �L t.- U NVI
who is personally ]mown l�pr has produced a
as}dentification. as iden 'f�cation.
LISA LESTER
STAMP NOTARY PLIDUC
4S111--t- Notary Public gna re of Notary ub iC
�STMM FLORIDA
Comm# GG127647
eS+4 Expires 7/24/2021
Pri t Name of Notary Public Print Name of Notary Public
�pY ell
No1ary Public State of Florida
iicvised 11JIG/2016 Robin L Bowen My P"e'()2IU412D23 298212