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HomeMy WebLinkAboutSub-Contractor AgreementPERW # ISSUE DATE _F � O't1NTY PLANNING & DEVELOPMENT SERVICES Building & Code Compliance (Division. BUILDING PERMIT SUS -CONTRACTOR AGREEMENT (Company NameAndividual Naive) have agreed to be the Sub -contractor for- Coastal Construction and design, Inc. (Type of Trade) (Primary Contactor) For the project -located at (Project Street Addressor 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 Chan e o S b-contractor notice. CONTRACT01,SIGNAWRE(Qpaliller) SUB:CON CTORSI (Qualifier) Ma ri o A r b ure PRINT NAME PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of Ma rtl n .. % The foregoing instrument was signed before me this & f)ternber22Bby Marto who is personally 1wown. � or but produced day of ArbttCC i as iden ' is lion. �L Signature of Notary Public. )` risti n a n4cith ►so n Print Name of ]Votary Pub)cc A� KRISTINA MATHISON h* 6 Notary Public, State of Florida Commission# GG 913030 My comm. expires Sep. 20, 2023 Revises 11ii6 STAMP COUNTY CERTlWCATIONNU\MBER - State of Florida; County. of-s�j, I GL V-:(-- The.foregoing instrument was signed before me.this.7f>Etl y of Who is persona-Rylmown)_or has produced a. as identification. STAMP Sitare of Notary Public Print Name of Notary Public 0 9� PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERIV rF SUB -CONTRACTOR AGREEMENT " (Colnpaiiy Name/Individual Name) the Sub -contractor fort Coastal Construct (Type of Trade) ; (Primary Contractor) For the project located at. y015a 11111_yl�q (Project Street Address or Property Tax ID W) have agreed to be and design, Inc. 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 Ch e of b-contractor notice. CONTRA OR SIGNATURE (Qualifer (V�aYlo Ay PRI'N'T NAME COUNTY CERTIFICATION NUMBER NN State of Florida, County of ' " 'aY-H Y--) e The foregoing instrument was signed before me this 15 day of 'PD-Prnber,201g by QYib Ay-bbiCC i who is personally known Y or has produced a as identit`ca aion. y"" &��_ Signal c of Notary Public �rlahra %�c 1Q-fhiSon Print Name of Notary Public �qr a� KRISTIN; ZHISON _ Notary Public. State of Florida Commission# GG 913030 My comm. expires Sep. 28.2023 Revised 11l16/2016 COUNTY CERTIFICATION NUMBER State of Florida, County of inn t— The foregoing instrument was signed before me this 5 day of —' 20_rzj�' by 4 w 6ne-(� Q who is personally known or has produced a a. L as identification/ . r STAMP-i 3 / STAMP Signature gf Notary Pub rc T ,•�yx P' ,.. LYNE S. DORCELY ' = blic - State of Florida Print Vi ame of Notary Public Commission # GG 965826 orn My Comm. Expires Mar 4.2024 Bonded through National Notary Assn. 3:84.PM Tue Sep-1.. Done 4800 WATERSONG WAY -. SUB.pur [T] PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT NISAIR AIR CONDITIONING - PHILIP NISA JR have agreed to be (Company Nameftdividual Name) the MECHANICAL Sub -contractor for Coastal Construction and design, Inc. (Type of Tmdc) (Primary Contractor) For the project located at z% S' �� _ ul.SD.6 (Project Street Address or Property Tax ID t 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 Ch e f S -contractor notice. CO CTOR SIGNA.TM (Qualifier) Movio Aybuoc ; PRM-rX ME COUNTY CMnRCATION NUMBER State of Florida, County of MQ Y ti n The foregoing instrument was signed before me this I S day of Seftw%ber.2ga,y N4ano Arbuce Who Is personally known. X or has produced a as identification. 141— STAW. Signature of Notary public sii ric, rVlatht wn Print Name of Notary Public or AG KRISTINA MATHISON m� Notary Public, State of Florida Commissl00 GG 913030 My 90mm, expires Sep. 28.2023 Revised IYIti?2 0 SUB-CONTWORSIGI (Qua ler) PHILIP NISA JR PRINT NAME 10363 COUNTY CERTMCATIONNUMBER State ofFlorlda, County of ST LUCIE The foregoing instrument was signed before me this I ST day of SEPTEMBER .20,Zy PHILIP NISA JR who is personally Imown or bas produced a a9 id tiff on. . `� tnro of Notary- bllc KRISTIN BAITSHOLTS 52 3 0 �1 PrintNemeofNotaryPublic c y. o Z -ca3_,�atp �m�QD a 0 Ch NX �� x a �a m OJ J 6 cn ;. xN, PLANNING & DEVELOPMENT SERVICES Building.& Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT J.A. TAYLOR ROOFING INC have agreed to be (Company.NameMdividual Name) the ROOFING Sub -contractor for Coastal Construction and Resi n,- Inc. (Type of Trade) (Primary Contractor) For the project located at '} 0672 WA AT E✓? _ Uj)q (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 Chan of Su -contractor notice, C01TR4CTOrt SIGNATli • er) SUB-COINTRaCTOR SIGNATURE (Qualifier) Mo,rio Arbucei PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of Marti n I St - The foregoing instrument was signed before me this day of J2p4ember 20!?- bv. MCL"O 4-r-b ec; who is personally linowrr or has produced a as identification. r aftc" Y4- b3911111111feof Notary -Public ) 1Ylst; no rMt fh;3on Print Name of rotary Public �d eG KRISTINA MATHISON Notary Public, State of Florida Commission# GG 91303D My cDmm. expires Sep. 28.2023 Revised.1111620 KYLE WHITE PRLti-T `iAME 23018 COUNTY CERTIFICATION NUMBER State of Florida, County of ST LUCIE The foregoing instrument ►vas signed before me this 1st dayor SEPTEMBER ,2D20, by KYLE WHITE who is personally known XX or has produced a. as identification. STA'•IP STA:IIP t f\ i ure o : otar? Pubhc Y NAOINEMANRESA A Commission 0 GG 355203 NADINE MANRESA Exp �Vember 15 2023 Print Name ofNotary Public JCOF�OQ 8 �d�drtuubudpotHoW.ySorvlcas PLANMNG&DEVELOPAMNTSERVICES Building & Code Compliance Division 1Bi "ING PERUfr SUB -CONTRACTOR AGREEMENT t (�� iJt�zu rz l� �j 5.2 Y1fiS,'srlC have agreed to be (Company Nameftadividual Name) the L Q S - Sub -contractor for Coastal Consfrvc#ion and design, Inc. (Type ofTrade) (Primary Contractor) For the -project located at YA_S_Z _ _- '1N,47_�-_=A-5QXd WA (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 Coin vAR.be advised pursuantto-the filing of a Chan of Sub -contractor notice. COCT R SIGNATURE-(Qualifie Ma ayio Arbure i PR NT_NAAJIE COUNTY CERT"AWKION-:NUMBER State of E7orids, County of : Y nI a ri'1 t "" 5he foregoing instrument eras "signed before me this dsv of �tenibeir .2obby MOV_io NbuCC who is personally imowe'l or has produced a as id catpio�n- ySignatu of Notary Pubic I^ �V01j)qC4 PrintName of Notary Public r fL � .tom PRINT NAME COUNTY. CERTIFICATION NUMMER State ofFlorida,_County of �i_ ik w i Thefare9ftiu0mme»twassignedbefore mmee.this } day of. who is-persWAY known . V or has produced a . ns id cation. STAMP 3` \ " STAMP Signature of N lit KRISTINA MATHISON =~�m� Notary Public. State of Florida Commission# GG 913030 My comm. expires Sep. 28.2023 Revised :l 1/16/2016 cam t �- Ono_, Print Name of NotaroPa6Gc i PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGRQA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, 25191.�4560-00's-8-non (Parcel IM/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I fin-ther acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. Mario r/ - (Please Print) 3 Zo� Sig� Owner nature Date STATE OF FLORIDA, COUNTY OF 3�. i ACKNOWLEDGED BEFORE ME THIS 3, St nev nF SLCPDSD Revised 04/1112011 COMMISSION NUMBER F=�07KHISTIN BAITSH0"Florida-Notary Publicssion #GG 278527mmission Expiresruary 19, 2023 OR WHO HAS AS IDENTIFICATION.