HomeMy WebLinkAboutSub-Contractor AgreementDocuSign Envelope ID: A4F63F8B-9E34-41A3-A2C0-2i1' 3621 D46
RECEIV70 AU6 01"4qU'
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Koch Roofing
(Company Name/Individual Name)
the Roofer
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Groza Builders,lnc.
For the project located at 2300 Canoe Creek Lane
(Primary Contractor)
(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 Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
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CONTRA OR SIGNATURE (Q lifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Sk wc,ie
e�'
The foregoing instrument was signed before me this _31day of
V3S20_0by ( ZOI
who is personally (mown -i.—/.r has produced a
as identification. ' ^. A A
A —A 1. A "IVA,- �1 .I M- STAMP
Signature of Notary Public V
Print Name of Notary Public
BRIANNAGRAHAM
MY COMMISSION #GG089105
' EXPIRES: APR 02, 2021
Bonded through let State Insurance
Revised 11/16/2016
aDocu
+Signed by:
lI TOR SIGNATURE (Qualifier)
William Koch
PRINT NAME
CCC1326960
COUNTY CERTIFICATION NUMBER
State of Florida, County of e..
The foregoing instrument was signed before me this t* day of
JJQW6V20L,by''d:IIIa.01 KOC h
who is personally known Zor has produced a
as Identification.
STAMP
Signature of N t ry Public
e Gi
Print Namof Notary Public
9w;%_
ANGIE FINLEYMYCOMMISSION # FF936WEXPIRES November 17.20194073"-015S Flotfdallo roiea.eam
DocuSign Envelope ID: 3DEAC812-020E-4478-p -E-?D2F5E82
RECEI1.1-. U� a t0 ,
ERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Platinum Plumbing
(Company Name/Individual Name)
the Plumber
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Groza Builders,lnc.
(Primary Contractor)
For the project located at 2300 Canoe Creek Lane
(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.
r DoDocuftned hy:
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C.- / ��
CONYTOR SIGNATURE (Qual ) 900MMOMR SIGNATURE (Qualifier)
Joy /I IT % 6� Cecil Griffith
PRINT NAME Kh PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S "f WO
The foregoing instrument was signed before me this _i%ay of
AXJ S 7 2011 by
SQbn i T1 n ` ' C)0 �q G�0.
who is personally known V or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
BRIAMNA GRAHAM
Zr wqh COMMISSION #GG089105
: APR 02,
2021
ERRS
ar� Bondedlhrou9histStatelnsurance
Revised 11/16/2016
Cecil Griffith II CFc Ig-&9(D
COUNTY CERTIFICATION NUMBER
State of Florida, County of E*,_LuC� -e— &
The foregoing instrument was signed before me this_ day of
NLQU4 20]2 by
who is personally known _%efoo^r has produced a
as identification.
a
affi"
STAMP
Signature of No ry Public
IA oat e_ t-1r W=4
Print NamNamqJ Notary Public
ANGIE FINLEY
:•: !° MY COMMISSION 0 FF936804
EXPIRES Novombor 17, 2019
DocuSign Envelo 462 150-B7FA-4_u 6671-F6, 0064E6
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Aapex Electric,lnc.
(Company Name/Individual Name)
the Electrician
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Groza Builders,lnc.
For the project located at 2300 Canoe Creek Lane
(Primary Contractor)
(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.
;4 d;AL Aofi
CONTRA OR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATIONN NUMBER
State of Florida, County of % oy- `
The foregoing instrument was signed before me this — day of
S 201 by 5ohO ffi—TiV,�� c
who is personally known lzor has produced a
as identification.
n�
Signature of Notary Public \ 7nn
Print Name of Notary Public
FPDocuSigned
by:
aub 0WIVOL
6EOlYMIROR SIGNATURE (Qualifier)
PAUL ROMANO
PRINT NAME
PAUL ROMANO �CL� 3b , LVl Q9
COUNTY CERTIFICATION NUMBER
State of Florida, County of bi - Lucie, }
The foregoing instrument was signed before methis day of
ALLQUAC_.4- 2013 byy PQ.e A Grnan o
who is personally known✓ or has produced a
as identification.
STAMP STAMP
'Signature of kojary Public
1Ptng i ��i �nl��
Print NanWbf Notary Public
BRIANNA GRAHAM A=FIN:LEYMY COMMISSION #GG089105MY CORevised 11/16/2016 IXPIRES: APR 02,lU EXPIRBonded through 1st State one is-0152F
DocuSig� r�vetop'e' Ip 7�1 27 D6@1?196-8519-C96!, ,i254A
tC ErtEp .
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Nissair Air Conditioning
(Company Name/Individual Name)
the Air Conditioning/HVAC
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Groza Builders,inc.
(Primary Contractor)
For the project located at 2300 Canoe Creek Lane
(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.
CONTRA OR SIGNATURE ((Qualifier)
JOL I�iA�-7 W- CILy:2-11
PRINT NAME
COUNTY CERTIFICATION NUMBER j
State of Florida County of ✓' - %--'
—Docuftned by:
AW4N:IA4.
�Q41W�14&1i�R SIGNATURE (Qualifier)
Philip Nisa Jr.
PRINT NAME
10363
COUNTY CERTIFICATION NUMBER
S State of Florida, County of aa -e.
The foregoing instrument was signed before me this day off The foregoing instrument was signed before me this , day of
7 20 by ��'1 `1 W 20� by �.1 1 I /l l(SQ. �i
who is personally (mown has produced a who is personally known Joe"or has produced a
as identification.
Signature of Notary Public
C101fl() 0-
Print Name of Notary Public
as identification.
STAMP coa!`6• STAMP
Signature of Not P\ub�lic
1
Print Nai e f Notary Public
� �a BRIANNA GRAHAM
fI °�o MY COMMISSION #GG089105
EXPIRES: APR 02.2021
Revised 11/16/2016 �^ Bonded through 1st State Insurance
ANGIE FINLEY
=•��- MY COMMISSION 0 FF936804
r EXPIRES November 17, 2019
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