HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 0 7`1 R 0-
State of Florida Certification Number (If applicable):
Go L c,,� a I L have agreed to be the
(Company Name/Individual Name)
15-1 0_C4_r_1 C 6( Sub -contractor for Sy' S i. c oA1s, u C_7'1_ e6z Ce,
(Type of Trade) (Primary Contractor)
For the project located at / 7.2 31 - ?®A � 047 q'� " d 6 0 -
(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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: ('o Locc l :FJec;-''( C-
Address: S /l_�
City/State/Zip: c/ .F— 3
Phone: - a - ) 3 7 ` a3 5/ email: 0— G,co�/�/t ` . �►"i
AT PRINT NAME /(J
STATE OF FLORIDA, COUNTY OF `,-� - L- u G e
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS (�5, DAY OF M 6 , , 20 1 Jlo
BY �� a'�cY I I V &—a O IS PERSON OWN OR HAS
PRODUPPD
SIG ATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
(STAMP)
PRINT NAME OF NOTARY PU LIC
^' �SHANNON ,M1JWY
••_' My COMMISSION'#. FE907707
EXPIRE§ st 06- 2019
(�07l398-0153 FloridNlctl sgrAcecorn its r
t
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the lekk�Lky Sub -contractor for ,�` 4, r ,0A1rr�`'
(Type of Trade) (Primary Contractor)
For the project located at 7,u
(Project Street Address or Prop— fax 1D #)
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.
CO OR SIGNA (Qualifier R SI RE (Qualifier)
P / fNAMEPRINT ,[jf NAME
COUNTYERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
2(L-1 by
who is personally (mown or has produced a �:7 `J
as i Qd 'fication.
STAMP
Si nature of No blW
Print Name of Notary Public
DANA MCGHEE
Notdry Public - State of Florida
Commission # FF 995393
ff �••..•`• My Comm. Expires Sep 18, 2020
Revised 11/16)1016
COUNTY CERTIFICATION NUMBER State of Florida, County of o , bee
The foregoing instrument was signed before me this day of�J,� r'
20 0 b/y ' (il.0 (.<%/ U(Jl.%%'�(� a(4
who is personally known ✓ or has produced a
as identification.
L Y� "_ STAMP
Sign/afi re of Notary Public
L d a -foe 4MdA4/_
Print Name of Notary Public
1r P, t
.Qti ,..v" LAURIE KINDER
*: .: MY COMMISSION # GG 055682
? "a� �o�; EXPIRES: April 15, kf
'y:; o Bonded Thru Notary Public Underwriters
I
the
PERMIT# ISSUE DATE
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUELDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for 13 A/P�
(Primary Contractor)
Street Address or Yropeny' fax 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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of n
The foregoing instrument was signed before me this dray of
21, by �.. �n� �2c�o��
who is personally known or has produced a
as i n cation.
STAMP
Sl nature of No blilC
Print Name of Notary Public
a`�a��vF �44• DANA MCGHEE
•�= Notary Public - State ofTlorida
w Commission # FF 995393
My Comm. Expires Sep 18.2020
Revised 11/16/2016
Q,-3
COUNTY CERTIFICATION NUMBER
State of Florida, County of_ 2 ��'C—
e fo oing instrument was signed before me this W day of
,by ��1�6C11- UC-Wk
Is personally Imow or has produced a
as identification.
STAMP
SignatdVrNotary Public
o;Pa.aoey,,� JAVIER SANTANA
Notary Public - State of Florida
My Comm. Expires Jun 12, 2018
Commission # FF 131959
�J Gy ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
F�OR10P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: �= 7
State of Florida Certification Number (If applicable):
have agreed to be the
(Company
Name)
sub -contractor for & S L C a jVgri, U C I 1,0ii/
(Type o rade) (Primary Contractor)
for the project located at % ,? :3,e & A 1
(Proiect Street A,
, 4 6 e -
or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE 12EOUIRED
SIG
--1-4 k/, PAWI,- �, f--- J /)-// 6
PRINT NAME DA E
?,16
•
' PERMIT #f
Blosser Electric
9L G 160S- o396
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Nameilndividual Name)
the Elecgtrical
rTypc 01-171-a(le) _
BUILDING PERMIT
SUB -CONTRACTOR AGREEMEiN'I'
RECEIVED
FEB 16 2018
ST. Lucie County, Perm .tting
have agreed to be
Sub -contractor for- Rap Construction, LLC
(Primary Contractor)
For the project located at 7369 Commercial Cir, Ft Pierce, FI 34951
(Project Street Address or Property Tax ID ;t)
It is understood that. if there is any change of status regarding our partjcipation with the above mentioned
project, the Building and Code Regulation Division of St, Lucie County will be advised pursuant to the
filing of Change of Sub -contractor notice.
CO\�ACTO�R TURF (Qu ' - ) SUB -CONTRACTOR SICNA"f1;RF. (Qualifier)
rRh\ vAnfE
-p�f 7(dT
COIF\TY CERTIFICATION NU:NIBER
Stair of Florida. Countv of G�P LUc4e-
-91
The foregoing instrument was signed before me this 5- day or
2OtR by
++hu is pens h knownor has producedifj%'� ee�
as identification.
etgnantrc of NMary Publics
Print \ame of Notary Public -
Kent Blosser
20618
CO(li\TYCF.R"fIFIG'"rF)N NU;Y113f:R
State of Florida, Countv of St Lucie j
The foregoing instrument was signed before me this 2t� da+ of
1L' , 20LI by Kent Blosser _
e ho is personally known _ L_or has produced a --_-
as iidd�entilieu timi.
STAMP PYI]( --�_� SrAAIP
si; nat re n4��
ublic
Print \an of \otarY Public
�---
:!"" GUY R BOUCHER
'e MY COMMISSION it GG091810
•.+o• EXPIRES April09,2021
++punq,
Pu;If"
SANDRA R. SMIKLE LINDO
`=oanav
�. _Notary
Public State of Florida5,
.,
My Comm. Expires Aug 2018 y
Rev
ca;
FF 148309
OFF�o�o
F
Commission #