HomeMy WebLinkAboutSub-Contractor AgreementPERA
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have agy-ced;to'be
$*--.c00bP Air DqV0-,Gol - deh: Homes. I
For lhapro jtligjodotea At 5205 Dow RUh, Drive, Fort Plefte. 34951 i 1313-5
Vr0ject'l8trdgtAddivssjbrP
g t4s'le''i dinqrgp wi, the aba..ve mentioned
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Project, the�PWlchn&.arfd St,'Lu'01' '.Catw ou bie'-�, "-g-& 14,
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HEATHER —g --UR_--. p---O�-3 --
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state Of. Florida-Notaty Publi
Comillission # GG 1133217
A4Y ' Commission Expires
e'ruarY.
06, 2022
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V YCERTIFICATIONINUNIBEk
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PERMIT # ISSUE DATE
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WELDING PERMIT
SUB-CONTRACTORAGREEMENT
the
For the project located at 1
('Project Street A(
have agreed to be
Sub -contractor for ' t ./e � 'ade z
(Primary Coritractor)
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 ofgChange of Sub -contractor notice.
CONTRACTOR SIGMA (Qualifier)
PRI T NAME
e136-/z5'3/i'f
COUNTY CIERTIMCA,TAON NUAIRER
State of Florida, County of S'r-4VC.-
The
fro-rreegoing instrument was signedd before me this _� /�daay of
who 1s personally known or has produced a.
as identification.
STAMP
S' t e of Notary Pu ti
Print Name.ofNotary Public Q
tpSHp WINOMM•♦IMMIN
L•*:IpjS6060
WCOMMMIpenbet 20, 2022
Revised 11/16/2016 ,',rEo" ogpodpdna;;; Puwu
...ice
r'
CI 50ONTRACTOR: SIGNATURE J �tfaMkr)
PRINT NAME
z
COUNTY CERTMCATION. fNLEAS , R
State of Florida, County of41
Thee forreego ng f "ustrument was signed before me this Z ` day,of
2Q by
1as
u personallylozo n or has produced a
a 0111 Ica.
Signature of Notary -Public
ea'i'�
Print Name of NoteryPubad
&� e of�on-
-Zanida
ndersGG 25fi22
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
-1 i 1 "t/ t �i C., I reC . /L) 4.n.;,r_P Lpulb&s have agreed to be
(Company Namelindividual Name) ` l
the i..t c �- r 1' c 52 Sub -contractor for.,
➢ J-+tie'j a l..�4• f'7 0'�'�►J
(Type ofTrade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax ED #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Divisions of St Lucie County will be advised,pursuent to the
filing of a ge of Sub -contractor notice.
CO CWR�S16wATURE+lQwaiifier)
L�d Uf
PR[NT NAME
COUNTY CERTIl CATION NUMBER
State of Florida, County of 6�1—z&fw '
The foregoing instrument was signed before me Ibis � day of
Ld.�_..' 2fl AY
who is personally kno"ML.&rbasproducwd s
COUNTY CERTEBiCA'TION NUMBER
swe of morlda, County of —Sh L.. t:3 C. I e.
The foregoing instrument was signed before me this ,_q_+ of
0c4--puss^ ,2oaby s�1 vbbs
taro is personay )mown or lass produced a
as identification. as. Identification.
1
_ ST 1P.IP ✓ STAMP
Sig�twgfoowye QPttbiie Signature fo N Public
Print Name otNotaary Public Print Name o Notary Public
HEATHER B U Rf O R D �, NoWy Public mft of Florida
`2o1P State of Florida -Notary Public �, �inyErPNeer
Revised 11116124I6 oQ` Commission # GG 183217 a ZSg
9 �� My commission22res
%a,°;,°,���` February 06,
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Cool Air Solutions of Florida, Inc have agreed to be
(Company Name/Individual Name)
the 'HVAC/Mechanical Sub -contractor for Dave Golden Homes
(Type of Trade) (Primary Contractor)
For the project located at 5205 Deer Run Dr, Fort Pierce, FL 34951
(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 C a ge of Sub -contractor notice.
CO C OR SIGNAT E ( ualifier)
PRINT NA
,1 G / z 5 `31',0
COUNTY CERTIFICATION NUMBER
State of Florida, County of'5t_LJZ�{
The foregoing instrument was signed before me this !4 day, of
20 �' by
who is personally known _or.has produced a
as identification.
m✓ STAMP
Signature of Notary Public r
VCJ1�,J1
Print Narni oNotary Public
HEATHER BUR -FORD
��1p0.Y PpBi
s Yc;State of Florida -Notary Public
=► •= Commission # GG 183217
5y ov?
9 My Commission Expires
February 06; 2022
Revised 11/1.6/2016
SUB -CONTRA TOR SIGNATU (uafifier)
Shyan Wojtczak
PRINT NAME
30167
COUNTY CERTIFICATION NUMBER
State of Florida, County of '9t lie,
The foregoing instrument was signed before me this Vt�day of
L_JCAC el V 2tk , by Ci n
who is personally known or has produced a L
as identification
deantilioI - STAMP
Signdtur'6 of Wiry Public
A(C_%ACL 1 NnA110---
Print Name of Notary Public
p4PR qmichem
!Votary Public
o ,'''State of Florida
z. r Cornm# HH025672
Expires 7/30/2024