HomeMy WebLinkAboutSubcontractor Agreement F:.
PERMIT# ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
F r Building &.Code Compliance Division
a - a BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
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Pride Electrical Services of Florida
have agreed to be
(Company Name/Individual Name)
the Electrical Sub-contractor for Grist Construction'Co
T e of Trade
( yP ) (Primary Contractor)
t.: Road for the project located at 2083 W Midway
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(Project Street Address or Property Tax ID#)
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It is understood that,if there is any change of status regarding our participation with the above mentioned
ro ect the Building and Code Regulation Division of St. Lucie Count will be advised to the.
E P J g gu Y pursuant.
filing of a Change of.Sub-contractbr notice.
is
(' CONT CTOR SIGNATURE(Qualifier) T ..RACTOR SI N URE(Qualifier)
Ji Grist Michael Prid"e.
i; PRINT NAME PRINT NAME
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EC13005859/ 29875
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
k' Florida,
State of Coun of.
Y: t}'' State of Florida,County of 1.ClPt ,.
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The foregoing instrument was signed.before me this day of The foregoing instrument was signed before me this 117_11h'_day of
20u,by s, ,20 4by �ll.CSt-
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who is personally known for has produced a' ... 17, who is personally known v or has produced a
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as identification. as identification.
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STAiVtP
STAMP
€: Signature of Notary Public Signatu a ofNo'tary Public
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i'. OJAI
i• Print Name of Notary Public Print Name of Notary-Public
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David Raymond Prue
REM
N6TARYPUBLIC
THER BURFORD STATEOFFLORIDA
f Florida-Notary Publicission # GG 183217 Comm#GG287052
111110Commission ExpiresExpires 912B12Q23
t Revised I:1/16/2016 ebruary 06, 2022
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PERMIT#' tSSUE`DA7E
PLANNING'&D�VELt3PNIENT�SERVICES
Building 8 Code Cu10)u ce Division
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BUILDING PERMIT
SIM-CONTRACTQIt AGREEMENT
a Sd�S... J r:u c K Mtn c
: ,c r
have agreed to be
(Company Nameftdtvidual hame)
the c j,v�, �;7 e -t.c Sub contractor for o rig i U C �7f �n1 C
Type o£.Tradb
(I't�mary Contzactor)
For the prolectlocatedat p' 3 ►^f� 1 ' � ; r-t p, -�'c e , 7 ,:
E'ro�ect Street Address dz Property Tax:ID#)
unclerstoocl that,if there s any change-of status regarding our pa t cipaf on with the:al ove x>ientio ed
pioject;the Bu. dT ng and Code Regulation Dlv sign of St;Lucie.Cotu by will be advised pursuant':ta the
fling of a:Change of Sub contractot notic'.e
J
Co OR SYG1Vr1TtTIiE:.(Quaiifier); S ONTRACfO SIGNATLII2E(QpalttTe)
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PRINT NAME
PI2i1�T NAME::
Ct)iJNTI'::CEBTIFIGATIUNNUAiBER CoUNTYCERTIFICATIUNIUMBER
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Sta'tc oflPi6id&,Coiinty of t, tt( State of Floi'l la,.Connty of 't_tom)l
TlieforegoinglnstrumentwAs§1 nedbgfirxeme � .3h[ss ,d ayuP Ttefotegofug insirumtnt Was signed 6efoi^e me this'; i tay of
20:
who'is personally Imown. or..;l�as pXoi3ueed a Who:s personall Imowp or has roiiced a 1
y _
as Identi(cu}Ion. as,iilenhfication'
AiviP
� S'Y'iiIYIP` E I
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g
P=A[Ae - 64441:
PrintNatneofNota PgBlicti
t5 . PrintNArwd.NotgYPublic..
,anlP�a,, HEATHER BURFORD
=o`" °,,State of Florida Notary Public
_'• Commission # GG 183217 �ya�,; Ma aretM::A uero
9
My Commission Expires *� State OfF(grida
�`� February 06, 2022
Ttcysed I17fGY10lF My� misston Explres.04/28/2023
pop. :COmmisalaflW92
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PERMIT.# 18SUE DATE
PLANNING & DEVELOPMENT SERVICES`
r- B.uildng& Code Cornpliance.DiVlsion
-- __.._ �......_.., B')QW-DiNG PERMIT
SUB CONTRACTOR AGREEMENT A
�s Lt I g . 1 ta'tli►�c� :; �.i�i .t�t ► have a reed:fo:be:
e. C 1`
(Company Name/Ind di�I Name
the Sub-contractor-tor
(Type of Tr de) l Woipary Contractor)
Fqr the protect located at (Proje Street Address or Rraperty Tax ID..#)
Ifas understood that,'f there as any:charige ofstatus regarding our partlCipaf'on with the above ineotio..
project,_the.Building;and Code Regulatiori::Dw:isxo��.of:St Lucie Cou.n. will be advlsed:;pursuaiit to the:
'filing of a.Change:of`Sub eontraetai notice:
NTRACTOR:SIGNAT iier)< SUB-CONTRAGTQR:SCGNATUR);(Quahfier)'
r:
PRINT NAMEi. PRINT NAME-
,0UNTY:C1 RTIPICATIONNUMBER.: COUNT:Y:CEIiTIFCCATIONQNU1GiBER
Stutc of FloAdn County o#.5�- ) A,jd�( S[atc of Florida,cuuuty of J !'(_
Thy foregg nginstrumel t wassigned:bcforc mc`fh s� day,of The forcgo ng mstcument wassigned before mr this � day.of`
,:ZO ,.by_' ta._ .,. ;,20 22,bV l LYYt'�
wli.n is personal)y knm}vn or Nns produce :A: who igpersonnily kno��n�:or•has pro.duced:a;...
as identification: as identiiicaton.
af� STAMP ST NIP
$gnature of:Notaty Public sIgnature of.N'otary Pubbc�
4Yl�eh�:,►Ie �r6�[t"
I rhit Namepf Notary Public' Pi ibl-N arueaf Notary Publlr`'
v �totary"Pubf�c S �df 9O*
'.,¢� � Michelle Trotta.
H E AT H E R B U R F O R D g My Commission.HN 10"4:
tear rue'. %id': fires 0310Tf2025
;20 ��.StaIa of Florida Notary Public
g. +_ Commission#GG 183217 �`
Itcviscd i1Ll:fi/20i6 �9e`r Mly Commission Expires
;;°"` February 06, 2022