HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 25113
State of Florida Certification Number (If applicable): CAC 1 815725
Jack Frost AC of South Florida, Inc.
(Company Name/Individual Name)
HVAC
(Type of Trade)
have agreed to be the
Sub -contractor for 60 0t'j
(Primary Contractor)
For the project located at I 1 12-2- OoAkWr Ayc- J✓r
(Project Street Addressor Property Tax ID
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
Phone:
1716 SW Biltmore St.
Port St. Lucie, FL 34984-3417
(772) 336-9030
email: JACKFROSTFLORIDA@AOL.COM
Jacques C. Stiegelman
PRINT NAME
11/17/110 —
DAT
SATE OF FLORIDA, COUNTY OF , St. Lucie /J
FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS (DAY OF 20-Ag
BY Jacques C. Stiegelman WHO IS PERSONALLY KNOWNXX
OR HAS
N/A
.TURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
Kristina R. Parsons
PRINT NAME OF NOTARY PUBLIC
(STAMP)
qpa KRISTINA R. PARSONS
e NOTARY PUBLIC
-STATE OF FLORIDA
= Comm# FF007935
Expires 4/23/2017
- - - -- - -- PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: oG 6 971
State 9f Florida Certification Number (If applicable): C % 3 DO 5-85 9
Z'YM4=2 have agreed to be the
Company Name/Individual Name)
2 /Q Sub -contractor for o c
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Prolferty Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip: !t� e gliz�
Phone: 7 - - .2 ? 7 77
email: %���i7.'c%-��RC �cc�aL• eor.
S A URE PRINT NAME DAT
STATE OF FLORIDA, COUNTY OF _ 5 t
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS ` �J DAY Or, �( ��'\ 9 , 20 C
BY Ntc-(vowe(
"I_3rc de. WHO IS PERSONALLY KNOWN /1D OR HAS
PRODUCED
SIGNATUAE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICAN.
PRINT NA BLIC
� � e
'�ArEOf
(STAMP)
PERMIT# ISSUE DATE
1'h,
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: /) 0 1 z
State of Florida Certification Number (If applicable): C �� S
V GO,/ 10K �"\S\2, \ `(\� K•J 1-P AAAt -have agreed to be the
(Type of Trade)
For the project located at
ividual Name)
Sub -contractor for
(Primary Contractor)
(Project Street Address or Prope?tf Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQ
Business Name:
Address:
City/State/Zip:
Phone:
— J
SIGNATU
email: IAA (.K-2. & \qN 1Q�COCi�ooJ•e��
STATE OF FLORIDA, COUNTY OF �' - �_ U C
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS Q-O DAY OF U V ni , 20_�Co
BY �/ l I I
i V -� lc � Yl� �-�. WHO IS PERSONALLY KNOWN 1/ OR HAS
PRODUCED AS IDENTIFICATION.
2-
.t/4SIGA URE OF NOTARY �UBLI�C� PRINT NAME OF NO ARY PUBLIC
SLCPDS: 12/16/2013
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