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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 #