HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division 1 E c",
BUILDING PERMIT 1 N 9 9 'JO
SUB -CONTRACTOR AGREEMENT
' J;Ju 1, , have agreed to be
(Company Name/Individual Name)
the &/" k1c Sub -contractor for �i^� !%% / e/�e 14 GoaS/`- sue.
(Type of Trade) (Primary Contractor)
For the project located at
(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.
CONTRACTOR SIGNATURE (Qualifier) SUB-CONTRACTO SIGNATURE (Qualifier)
Ile_ / e
PRINT NAME
COUNTY'CERTIFICATI07MBER
State of Florida, County of 16
The foregoing instrument was signed before me this I day of
U 06 20 I,by Af;14NI P,I A
/�
who is personally known }� or has produced a
as identification. d, STAMP
Signature of Nota Pu
NIELSEN
Mifflission k FF 115637
Print Name of Notary Public e rt *'-
,r pV�1� My Commission Expires
June 12, 2018
Revised 11/16/2016
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PRINT NAME
zc, t3 o o 75-y
COUNTY CERTIFICATION NUMBER
State of Florida, County of ' �/ /T
The foregoing instrument was signed before me this &11d.y of
20ZZ by
who is personally known or has produced a
as identification.
f�/� •/��!- STAMP
/}�Notary Public,AW�
/
Print Naof Notary Public t►�y v� ANGELA R. HELSETH
yp ••..,4lio
* * My COMMISSION /GG0=7
r1�e EXPIRES: Sellten*V21.2020
��OF F10�`o Baled i1w Budget NolarySarkae
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
&C41 110�
PERPJlITTING
St. Lucis
have agreed to be
(Company Name/IndividuaUme) V //ti
the �%/�� Sub -contractor for /�i^ida► Ile ,5e �Hf H c
(Type of Trade) (Primary Contractor)
For the project located at oZ ydr'� Ai1_1i" i' J
"tf 'F/ 3 y 9q'(
(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.
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CONTRACTOR SIGNATURE (Qualifier)
dC/% %O/�► Ile
PRINT NAME
C0 INTY C'EkTWWXTION
State of Florida, County of WL
The foregoing instrument was signed before me this A d y of
zo��y
who is personally known or has produced a
0G�IRACTOR SIGNATURE (Qualifier)
/3 '5'�J
PRINT NAME
e, auyiq
COUNTY CERTIFICATION NUMBER
State of Florida, County o4:5 I �--�. ; e—
The foregoing instrument was signed before me this3 day of
20JI, by. a-C. 5r%gde✓
who is personally known V or has produced a 011111111i
as identification. as identification.
.�L1� � STAMP
Signature of No ry Public SignatyXeAoPBNotary A
KAREN S. NIELSEN 11
fl FF 115637
Print Name of Notary P iI s o m r Print Name of Notary
'= M Commission Expires
Y
°8;�� ,° June 1 2. )nl A
Revised 11/16/2016
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[PERMIT# ISSUE DATE
-_WMM; PLANNING & DEVELOPMENT SERVICES
Building. & Code Compliance Division , 2 r ,; I DD,
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BUILDING PERMIT .!UN 19
201?
SUB -CONTRACTOR AGREEMENT ¢%
Lindquist Plumbing &Supply, Co.. Inc. have agreed to be
(Company Name/Individual Name)
the Plumbing Sub -contractor for Brian Helseth Construction
(Type of Trade) (Primary Contractor)
For the project located at Moberg . 245 Bimini Drive, Fort Pierce, FL 34949
(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 -con ctor notice.
CONTRACT R SIGNATURE. (Qualifier)
!�-
PRINT NAME
COUNTiriNRTIFItOTION NUMBER
State of Florida, County of-��
The foregoing instrument was signed before me t[ Ad/ay of
2(, by /77Y1 /gfjL_F ►����T6�
who is personally known 1 Or has produced a
e,..r1catic
n. R, �STAMP
Signa . re of Notary Public
Print ame of Votary Public
KAREN S. NIELSEN
;.,
Commission # FF 115637
=e ♦c
My Commission Expires
June 12, 2018
Revised 11116t201
SUB -CONTRACTOR SIGNATURE (Qualifier)
Wade D Case
PRINT NAME
CFC 1428458
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 3 day of
Mav .20 77 by Wade Case
who is personally known X or has produced a
as ident�fica�nt} D�
��P �ifl1 O STAMP
Signature of Notary Public
Print Name of Notary Public
MICHELLE TROTTA
14 3 MY COMMISSION 0 GGOSS253
,
' „ EXPIRES Docamber 2D, 2020
the
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual Name)
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
F1;11Et�E1�,:n� r;,
i U N 9 s 29
have agreed to be
Sub -contractor for 11,19 tii^4pG+
(Primary Contractor)
For the project located at awS 6l M l n L�- i- r4 i I-efc_-2-
(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.
CONTR,,AMR SIGNATURE//(/Qualifier) SUB -CONTRACTOR SIGNATIj (Qualifier)
/cJria�+ /- �e /s e /Gt 'e
PRINT NAME PRINT NAMIP
(2c___ t5l(�012J2
cOUN1 V CERTWCATIONIJUMBER
State of Florida, County of 1C
The foregoing instrument was signed before me this A day of
who is personally known -or has produced a
as identification.
STAMP
Signature o otary Public
KAREN S. NIELSEN
5637
Print Name of
b iE
My Commission Expires
Juno 12, 2018
Revised 11/16/2016
a3c%g
COUNTY CERTIFICATION BER
State of Florida, County CERTIFICATION
foregoing instrument was signed before me this \3 04Y of
—0 Gl. 200 by )1V - WIVE I
who is personally known ( o has produced a
as identification.
.il/�4 STAMP
Wignure Notary Public
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Print Name of Notary Public D A S31O AF,p_o�f�i
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