HomeMy WebLinkAboutSub-Contractor Agreement('PERMIT # '� 9 04-.-` 651
PLANNING-& DEVELOPMENT SERVICES
Building CoCompliance: D* IVISIon
AGREEMENT:
Medic Alt Syqtp!n;3, Inc 1. 0- goMp.M."McMoo" III
have agreed to be,
(I" ,o#!PanYl.44ni&/Indiii.idua[Wamo)
the PIU.40,091-th6dicalldas. Sub -contractor for R6mnant Consirudflon
:q.ype,df Trade)' (Piiffidty' Cptitractor)
For the project located:at 5000,Ddihn Rd. Fort
1(lisunderstood that, if there -'is..dny.&ahge.of status re r �our participation-With--thb.:AbOre mentioned
proidqt; the Building and Cod . e Regulation Division !l$f5f. Cie County will A& ..flurguhnt to the
4i be Ised
filing of a C' Sub -.contractor notice
-
'PRINT NAME
-
COUNTY' CERTIFICATION NUMBER
StfiW 6f Mdrida. Count
y eXIC
Tfie foregoing instrumint Was gi&edlbefore pip this edqy,oi
Ad bpi 10-
who is t sonally known --",0'rhas prqduci &a.
!.A.* f4entifigg
LiLJ STAMP.
Public
P—E A -I C
1-fifit.Nanie dfNotary PubIlli
00;'h Notary Public State of Florida
Linda S French
My Commission GG 120210
v1OF 1--IV;df Expires 07/04/2021
114,
R ST)�1ACTO UWqQNSIGNATURf
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PRINT 'D �(AMW
Mgcij.- 31q37 PIvus. - 3 113%
COUNTY CERTIFICATION NUMBER-
Stateof Florida, CbIdlit, of 'vo I L4 'y
The foregoing I i iis ti 6 i n e ii t *a. ts*n j a before Tq this Za�rolr
Awkniber '20A v,�'..kGMgv-:
V
'01h 4'person . aRy . 4apw... VOr'haspKoAucc4.a
as 104.606HO'i,
C-e A A
Signature:of Notary. Public
,.Print NaIIfeofNotary Public' -
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Public - Stale .0
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PERMIT#- 1-904-06-51.1 ISSUE=DATE,
COUNtY
f 1 .0 R 'I D A
SERVICES
)BOildingA:Code ComplittoPe" Division...
AMD*0)*#MtT,
-SUB 7CONTRACTOR -AGREEMENT
Middic AWSyptqMs, Inc / George M"McMahon 111
the P10ffiWn'/'ffied1*9w ruqfi6n
9 Sub f0r.,ReMn40-QqPst
(Type,ary. Contractor)
rOfTWOI
Fort e pkqj�ct todated,at. 500.0 Dunn 'Rd. Fort Pierce
L
agreed to be>
It is gn4orstoodth-it ifthere isany whang 'p-of status regarding.°oorv*ic T - ationvW�teAb ti 6d
. - - :above men
project;the and Cbd6'RegulationDivision!�f-,,5t.,.*�4cie. 0"
g mill be adv!sJdAporsbi)ht to the
=fi6ug.ofa-chan contractor notice.;
1!QNATURE (Quillfier5
PRINT NAME,
0 -7 3
COUNTY CERTIFICATION NUMBER
SMW.6f Florida, Cgiinty of
The ffire,goin, tiriiiiiiiat'*VA.
g ins . — s rap this Atyl-f
zoo
yvha, Is personally kriqwg —!Lor has proaucedo
STAMP:.
Notary Public State of Florida
Linda S French
My Commission GG 120210
oF,..o Expires 07/04/2021
L'..
/,
5�TR*CTOIRSIGNATU".(Qilallflei)
'George M.MdMalhori 1114
I'R1NT NAME;.
COUNTY CERTIFICATION, NUMB94,
State bf Flarfdii,,Cotihoof Vol U� 'I Qi:
The foregoing liditidinifit' gfiidh*fGicniqthis 2zA-1y(if".-
kAtber ",�qjq,
U
*hoh.&rs&iaIVkn hp, or has w9duced.a. . .... Ow
CA, :STAMP,.
Slgnature;ofNatary Public
Ar,
6tirg Public'- State of Florida
ilg ;6'ami-RIWO # FF'928401
My Comm Exphea 1.2 2.0
BQtldedtiYuugttNailORalNOtaiYAsSIG
PERMIT # ISSUE DATE
PLANNING. & DEVELOPMENT SERVICES
Building & Code Compliance Division
o ,
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ELECTRASSERVE WEST PALM BEACH LLC have agreed to he
(Company Name/Individual Name)
the ELECTRICAL Sub -contractor for REMNANT CONSTRUCTION
(Type of Trade) ;(Primary Contractor)
For the project located at 5000 NW DU.NN ROAD, FTPIERCE, .FL. 34981
(Project Street. Address or Property Tax. ID #)
It is understood that; if there i`s 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. Cha ub-contractolr oolice.
N-TR�CTOI2 SIGNATUR/�E`(Quali%/fiery
PPJ
NT NAlY1E
3o 7 33
COUNTY CERTIFICATION NUNIBER
State of Florida,.County of q
ie foregomg.mstrumentwas signed beforemethis, 25 day of
, 20 / q by Y-L04d 12n1�1�i �{
who is personally known _,Kor has produced a,
as identification.
'STAMP
S' nat erof,Notary,Public
Lineta S. rre,�.O_h
PrintName.of Notary Public
,00
°eel Notary Public State of Florida
Linda S French
?b, My Commission GG 120210
Revised 11/16/2016 9?orNo� Expires07/04/2021
SUB -CONTRACTOR SIGNATURE (Qualifier)
DAVID NELSON
PRINT NANIE
EC13004120
COUNTY CERTIFICATION'NUly1BER
State of Florida, County of PALM BEACH
The foregoing instrument was;signed before me this 18 day of
September , 20_ .by David Nelson
'wiio'is'personally known or has produced a
as identification:.
0
I I STANIP
Signature of Notary.Plibfi
Stephnie Hall
E"Hatt
PrintName of Notar
gun
°b,i's
S Stale if I fida
Pu6Uc
060773
,'�""Y
.Notary
# CC
Commission 1
Mar 8.202
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