HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISS.QF- DATF-
",Uj�'V CES
ELOPMENIPS.1
Iguildiq &
RECEIVED
9111.1 'JAN, I PERMIT OCT 2
SUBC N*;I'rl.�i.(;'..7rORAGREEME?.q'),1!-
ST. Lucie County, Permitting
MER Entr:�rpdse lj.::�' -d. to be
have a !�,ee
( _'qijjpany Name/I;�JivjdiTa! Tlafhe)
the !r,,,-ujcifion Subc 6n. -actor for GEN) Bi.J1:::1brs
Trade) Pririn.20-v Q owractor)
For tbe project located at Silver Oak Ddvfn, 1:`ciii Pierce Floricia
(Project Street Address or Pfoperty Tax ID
It is 1:10&TStood that, if theire i� �j.p 'change of status riegirding out partigipalip.tj with the ab'' `c i y oird im -in-lioned
prqjj-qt, the.T�uildin and Code Ruqplation DMsioii of St. Lucie County will be, adviSed pursuan't to the
f : -
g of
Change
fi1jin,c,,,; of a Change of ub,!r, 31,lo-actor notice.
The i�qqjnU h4orament was signed4efqr1:p. nj--�WS �fQdacy f
0
2 by U �__ — W
who is p��salllaLqyknow
W9011 al
MPIUNT Lj� _M1
COUNW-CERTYFICAWON NUMBER
State of Florida, 6;atnply, of
The foregoing ipstrurpnt was signed before n4e thiii L'-fthdav of
OCtCber b�'
who is persona4y knciw 1Lor has prodtked a
. . a
............ . ...
STANIP
PERMIT # ISSUE DATE
LOUN,TY .�
LL _':O iR' 11+ 'O"i` -+
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RKEIVED
BUILDING PERMIT OCT 212021
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
ic�rj S,IINA. I umhl n a F pl Li e b . 1 NO— have agreed to be
(Company NamcAndividual ame)
the `i l u m h i n Q Sub -contractor for &DA &1( _pE_gs ' WC. -
(Type of Trade) (Primary. Contractor)
For the project located at "158 Myer Oojk FLt-a Pence
(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
filing of a
ing and Crpde Regulation Division of St. Lucie Co- u ty will be advised pursuant to the
ctor notice.
COUNTYCERTIFICATtON NUMBER,
State of Florida, County
T toregoing instrument was signed before me tl ay of
�,by •�' LL �4 A_�'Wh �
who Is personally known as produced a '
as identification. n
STAMP
el
,►ar NNotary Public state of Florida
Melanie A Barber
M e My Commission GO 026292
�?or pdk' Expires 10/27/2023
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
(0( CIe CC1n 2
PRINT NAME
2l.P(1U 1
COUNTY CERTIFICATION NUMBER
State of Florida, County of�a `oLt49
The foregoing instrument was signed before me this 1�j dayof
()C -V , 20 2 i" by�t�C,6 e �QG IF -,who is personally known ✓ or has produced a
as identification.
of Notary Public
KiPhrlll i'.040.
Print Name of Notary Public
Notary Public state of Florida
,P � Michelle 7totta
MY emission HH Jole A
Eicpitee o3i07i2025
STAMP
t
�a
I L AJN[NII G & .D--1A' 11�i1I..:ii,J'S1�/11.1�'.,f�7 S' 8ILi' ; `i��.�1 ES _
ivf��
:SuRding 6&- lt"Icp' ic;.ompfla�nce ]I Clirli'1i�; i+�D c��CfV
ii1U Rt ;.t 'i dtGN PERIMIT O C T 2 12021
SUB-;C0?e —VAA(!":0')R AGREEM.EPI'F
sT. Lucie County, Parmltting
aPtydt ►'';: C,'oclfing and Heating, Inc. have a:0errI to be
the _... ..... Sl.Cv-c;cinlractor for �' `� �,_ �lf� lJ lit ih ..�J�'LG•
T'yOe of Trade) (?prima tl-}, t. arltractor)
For tl'al�.Ea.t'tairt t located at
TI: is u1:l�V.s`.r.{_I:t that, if ther+� :i;; ay..:<g Change of stauv,, Rtl,gvittlin; ou pal'tir�ii7�tit��di:� with the ,ab, I w;rklfftioned
proj�ept, H.-Le B1.1ildin�a.n.d G io T; e - lation I7ivisiai ri ' St. Lucie. Count � =,,�i1�. l:>t�� advised p>,irsi:latit to the
:[`fling C harlp
notice.
Stiltaal: l rcirl:t, $.aunty Oc �
The tor, i rEn grit 'ument was signed h.cdore nue I' r
by
bvho is p,vr qj nity.laiown Ir has prn,.',10,eaA.a,
tL5 ip'krttttil`e.�itio.u;, -
STAMY
Si;n Fwig ref Ptc:rnl}' Public
Print Nanitiat'P.M.
�.►+"•L� Notary Public State of Florida
Melanie A Berber
�P� My Commission GG 926292
44 1, Expires 10/27/2023
Revised 'Il;Y6P-01u
James Sn y/,J(;,i
PRINT NAINI
264141,
COUCTYCr,B:�'L=r�.i..�IONNUrvIDER --
Stale oi';t'lovid;i, C'9tLitir or St. Lucie _
The foregoing in it:fnip' it was signed befo?e rile tliii.• 1.1 day of
U 1
►vho Is personalip iula. M ll __or ling Produced
� l- 6 +w
M
' t�FtigRUA���I'���_
gym;
C, NIP sn
�. sae
6�°hru
Undetviideq:• zr r
as identificatioli.
SABRIN�A L. BLACK
R
I
PERMIT 4' I } ISSUE DATE
ra-.. enWsr�.••-..••, _ .s,-�e-^;arW aa�--...._�zz.�s:m-x::csrx.z~.=:��_•••^•^^-r-::�
Pa:..A INIT§ri1: r� B.li i rrT s ?� I to y j
11"Idl-ding & Code It"43 friplianee Divi!!1ort
21 2021
!;I1 R-COI�"iRACTt71t A13,It.EEMENT LOCT
ie Coun Permitting
tY, rmitting
1------ ac*r� ed b�.
(Cola�p::; :• i�LnritiJIn4ividual hlaare ;
the -{ /� 1 Ct� Seta-cunlr .,.l4tr for GEM DtIiI;J�=rl�, Inc.
{T}vc c("I'r!!tlr_t (Primary Col ;t.:.rl
For the prolecl :.r..a>-;� a 5458 SA LNE R ®AK i�F�IVE, f�'ORT PIERCE, E"! +C,R]DA
(Prttjr. r.Slr c..AddressorP.op-ni'. Tjv:1i3ff)
It is understoric. dull, if there is alay �, �ong ofstattis rog-urt.ilfll! our participaticfi "G,'ith the abovr 111c3`li:`n tc.
IT the u; infra iirlc Cod.c.Rq;uIr.ii r Division ct S. Lji,.io County will h., ad,t,1sed pursuant to i_-,
riling Of at�lli.ii_"tC ',T t�7 onuacto,, :1(7' l,:•E!.
-011 SI C.i`.: i'I' _ T:E ((}lua{itier) _ _ l tc GONTftAC l'Uit [ . h,t"I't_ e E (Qu [I • } ___.__ ,
PRos_;�WIVMSR �?� -i'Ftlt;1'NA11E
16T I
htateof> t€�r1liu.Cn u;il �,P
The fore g ix3h'w
rtr tt ier 151
(
.aI, Ity_
who Is pem;. ZL2ll3• It rn r
as IdeniftICrulon.
use
hefore r+te 0A2 f
I
S L 5 C'i r-,.._.'eA, CV-
produw" a _ _
My Commission
f Nut-, / . -_ t
Melanie A Barbe
Commission GG g28292
Expires 1012712023
C. is NIN CERTIFICt1 IlON NUNIBER
z: ai It of norlda, Count.,, H' _ 5�.�t.&(-
" Tv rbregaing Imirunte a .=as of ted before the this jL— kt3 of
,la; is personstl)• known I us produced a —
tiflcotlon.
'n
��Ey
;ii .Mature of at t t'uhli \.\N Wy1S510ey
�G�ZAy 16,zo. •. • o
< 5s�
1"rI1rC1VArn1•o(N`rtt rpr'St �1,+• _ 4t.
O�. � rSiH 03{J117
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�eGc Undar+; • a,' \tea
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