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Home My WebLink AboutSub-Contractor Agreementt PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT RECEIVED SUB -CONTRACTOR AGREEMENT DCT 0 0 >OrU St, Lucie �;ouniy Permitting �'iG /7 ti t!�G�1r'tC� have agreed to be (Coni pany Name/Individ - I NName) the )�C Fw i L Ct-f Sub -contractor for 'St -.'Lucie Habitat for Humanity (Type of Trade) (Primary Contractor) For the project located at 8007 Hibiscus Road, Fort- Pierce, FL . (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.. CONTPACT .SIGNATURE (Qualifier). . PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of Thefor�egoiinngg instrument was -signed before me this day of O/))7VL ,.201, by Df /"D_ l �f ou" who is personally known 4or has produced a as id i�ca yn. to 040fa Public rK.YL�cs Print Nam of Notary Public S B-CONTRACTOR SIGNATURE (Qualifier) PRINT -NAME .COUNTY CERTIFICATION NUMBER State of Florida, County of (;,l;il:k The foregoing instrument was signed before me tthis day of 20a) by who is personally known —4or has produced'a as identification. STAMP STAMP slgdature.of Notary Public. i. Azt, ine A). rQ,�tson Print Name of Notary Public TONYA R. MILLS =o cam. Notary Public -State of Florida _* * Commission # GG•918275 yI�ol' °�� My Commission Expires October 01; 2023..' Revised I1/16/2016 OVP% Notary Public Stale of, Florida Arlene N. Ferguson - My commission 1 HH 168245 ov• EXp. 812312025 ., PERMIT fl ISSUE DATE PLANNING & DEVELOPMENT SERVICES BtflIding & Code Compliance Division BUILDING PER\II'1' PEPEIuED Slll3-CU�'1'RA(:'1'OR A(:RGIa11iiV)' OCT 0 a LO St. Lucid Uourlty Permitting Cs� lu�,�l. rlq have aurecd to be n)truly v. me/Individual Name) J the U _ Sub-contrac:tor.Ior St.. Lucie Habitat for Humanity (Type ol" 'rade) (1'rinlary Contractor) For the pr:).ject located at 8007 Hibiscus Road, Fort Pierce, FL (Pro.ject Street Address or Property'fae ID 11) II is understood that. Willem is any change Of'status regarding our panicipation with the above nlentioiled proJect, the Building and Code Regulation Division of St. I:LICiC County will be advised pursuant to tile' lfl.ing ofa Change of'Sub-contractor notice. ('O\ I'R: ("I'Olt tiIC\.1'I'1'I(h (Vunlirierl --^ -- i'ulxrx\an: Form)lcl_ FIVI ',\'floxNFIBER tihue of I�IuritEr. ('ounfa of � �-Lt�✓L L:. • Hie ffii -craning iumruuu•irl ausei�ncd'heforc mr Ibis day uf. w.1 v_�z . 2d2� �� ho i, prrsonrllr I:nor� n _ur bus produced n til'It•(' .c,00l' ��:��\��Cy�I�l)R . \;\ I'l_liF 15,—., lir rol'Abry) PRINT NAME. coo ('bl'X'1'1' ('I:RI'lhl(:•\TIOX \I'\1131iR tifnlcufFlurid:r,('mml�'uf��` i� ''f/irhee ff-7o1i-ego�i ig iinslrmneni una:+igiml Inf�..0 lllmr.lb's �dm' ur 1.1�11JlJli( . 21 �--,//h,: 1Ll_�� n fill I% Ilenouolh• laansn or has produced a as rnlnir:f0uo. ✓ :h idrnlifiroliou. STAMP " ro: of \ulo i�l9rblic Sittunlurc oft ary Puhlie --- - Ih•inl \mol1luf \ul:n•)• 1'ublir I'i•iol \:rmc n \rilnn• 1'ohl{c TONYA R. MILLS Notary. Public -State of Florida otiP�Y °�e�� JAt:OUELIDJE ANPJ 80t1JA _• *' Commission.M'GG 91.8275 ' ° Notary Public; State of Florida Re%r,N 11. V, My Commission Expires t.I Comm; Expires March 1:7, 2023 'hrrrrr�`. October. 01, 2023.�. 'q .° 'F � Commission No. GG 312401 OF fr' .. .... . ....... PERMIT #. ISSUE: DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance :Division BUILDING PERMiT SUB -CONTRACTOR AGREEMENT OCT' 0 0 2020! St. Lucie bounty • Permitting T,,,,�: car l ��::c►.�, v..� Zse VN`izr.�. have agreed to be . (Company Name,Tndividual Name) the: V i0.C__. Sub -contractor for .. �' 0 e (� Co (Type.ofTrade) intact°r) For the project located at :ff 07'J1 (Project Sheet Address or Property Tax ID It is understood that; if there is any change of status regarding our participation with the above.inentioned project, the Building and Code Regulation Division of St Lucie County will be advised pursuant to the filing:of a Change of Subcontractor notice.. `' SIGN (Q�&W) c0�[N7R. -roxs1GMIVR�(Q—Ufi-�) . CACA00 )ri PM"rNAME E • COUra CERTIFICATION NL"d=R.: . COUNTYCMMF7CAT)ON - Stare of Florida. C-Mly aC Shlo arFlarida. Coauy d ... .. . r G The for�aiog inmr=wnt aas skaed Wom am of The for"ng imtrankeas ot w' wm me 1h� �_Aay�o,f, S� n�5`L�.za�i.hs l�d�L��•l�. CAk*eL>t l srlio a peraoentty:mci:ra � htes.ptodaeed a . w� is Ind✓- � Proda°°d a or - .. Ann' . STM1P' S' o No PatiIIc Print Naae.f V WuS.PabTu Print Nam O�Tntars Pabtie r TONYA =o''� ,Notary Public State of Florida ■_ Commission#. GG 91827i Rmiwd;111160.A16 '' spar• BUfldldltfilliC�yFlf�ClMd�s1� :'� �`� .:My Commission Expires:. '++...r October 01, 2023 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT: SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT RECEIVED OCT :0 8 St: Luele wunty Permitting have- agreed to be - WompanyName/IndiOdUal Name) the Sub -contractor for St. Lucie Habitat for Humanity (Type ol'Trade) (Primary Contractor) For the project located at 800THIbiscus Road, Fort,:Pierce,.FL (Prqject Street Address or -Property Tax ID 4) It is understood that, if there is any change of status regarding our participation with the above mentioned projcct,.tlie Building and. Code Regulation Division of St. Lucie County will be advised pill-Suant to the fi:.Iin,—, of a Change of Sub -contractor notice. CUNT ACTOR SIGNATURE (Qualifier) PRINT NAMP PRINT NAME COUNTY CF11TIFICATION NUNIBER lilati -of Itlarlda, County of. The foregoing instrument wits signed . before me this day (if' who ispersonally known Y has produced it STAMP Fy Public _F01W/A- W[lj,S Print Name orNotal& Public "S NJ,; TONYA R. MILLS Notary Public -State of Nota Public -State Florida of ®* : Commission # GG 918275 1 027 5 MY COMMission Expires p! Expires, October -2023 Revised I I 01; q COUNTY CERTIFICATION NUMBER State of Norlda, County. of (Mf th The far dayof egoing Instrumerif wits signed before me this who is personally known LI)r:lias produced its identification. STAIMP Signaturv.of:Notary Public mtkaQ k4w� Print Name of'Notary Public lic jo NOWY Public SLate of FWda Mefisse Hruby MY COMMISMon HH 075534 EV... I VM024 PERMIT # ISSUE DATE PLANNING. & DEVELOPMENT SERVICES Building & Code Compliance Division ... . BUILDING PERMIT R SUB -CONTRACTOR -AGREEMENT . ECEIVED OCT 0.8 2020 St.. Lucie younty ...... ...... Permitting St. Lucie Habitat for Humanity have agreed to be (Company Name/Mdividual Name) the Insulation Sub -contractor for -St. Lucie Habitat for Humarity: (Type of Trade) (Primary Contractor) For the project:located at 8007 Hibiscus Road, Fort.Pierce, FL (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 pursuantto the filing of a Change of Sub -contractor notice.- CO�CTO TURE (Qualifier) CA PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida; County of, . 3 . LX 11 The foregoing instrument was signed before me this G day of 64-%7 zo21 by who is personally known 11aY hasproduced a as identification. STAMP Si a of ubGc - Z)KVA- �.. '�Ak u.s Print Name of Notary Public SUB -CONTRACTOR. SIGNATURE (Qualifier) �QQc.�VV� \J, CipLb4Cur✓ PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrumentwas signed before me this day of Ol�i"Oi3 20' 1 by ��S�S.2-T 17, eArll��Jla who.is personally (mown or has produced a- as' en 'ficatio STAMP o -Nota Public TotcyA- g.- wu.s Print Name of Notary Public TONYA.R. MILLS W-4 ,TONYA R.ILNotary Public -State of Florida,-NotaryPublic-State f Florida Commission # GG 918276; Commission # GG 918276 . My:Commission. Expires.. ,, My Commission Expires October:01, 2023 October 01. 2023 Revised 11/16/2016