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.