HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
AC Buddy, Inc.
(Company Name/Individual Name)
the HVAC
(Type of Trade)
For the project located at
a3(es
(Project Street
have agreed to be
Sub -contractor for e rC uo one- - Co n,S Wo d()1-)
(PrimaryContractor)
I`o p0j. -'I LWC �gJ5a
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.
a
RACT �2 SIGN6CRE Qualifier)
rar, oil
PRINT NAME
C c ORR
COUNTY CERTIFICATION NUMBER
State of Florida, County of ,'—
The foregoing instrument was signed before me this 21 day of
20% by � k't� "i
who is ersonally knowNorhas duced a
as i en ' catio .
STAMP
Signature of Notary Public
�)� I ( sou-- o1wl�in.
Print Name of Notary Public
d
NICOLE ELLENSON
MY COMMISSION #GG089104
'XRIRES: APR 02, 2021
Por,d®u through tat State Insurance
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
Wanda Gahn
PRINT NAME
30113
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
The foregoing instrument was signed before me this day of
20_, by Wanda Gahn
who is personally known X or has produced a N/A
zLnei
L�q% STAMP
Sig nPure of Notary Public
Kristina R. Parsons
Print Name of Notary Public
vwl
Krfstfna R. Parsons
NOTARY PUBLIC
aSTATE OF FLORIDA
Comm# GGOM36Expires 4/23/2021
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
i �Cl�y e CyG1.SA- RbO � t ng\ have agreed to be
(Company Name/Individual Name)
the Q_(�ojp 1 rlG\ Sub -contractor for G-1 c%V (U 0--nn
(Type of Trade) J (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 Divi§�on of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor
M'%V-e N\\1 cra �Lo.
PRINT NAME
c2)Cia-s0tp��
COUNTY CERTIFICATION NUMBER
State of Florida, County of - t Lo Cie—,
The foregoing instrument was signed before me this CUC- t L4�s 5day oofj
20�by N' % kC k�1 � c
who is rs pally known
,)ar has produced a
r
as id tifie a on.
STAMP
Signature of Notary Public
Print Name of Notary Public
NICOLE ELLENSONF
`Mr''o MY COMMISSION #GG089104
EXPIRES: APR 02, 2021
Bonded through let State Insurance
Revised 11/16/2016
/I
SUB -CONY OR SIGeATQQ..11T1er)
jJ(11' I' cyl^t CAD
PRINT NAME
LCC 1-3 (-)( oC�-J
COUNTY CERTIFICATION NUMBER`,.
State of Florida, County of
The foregoing instrument was signed before me this day of
o
who is personally known K or has produced a 1
as i e tifi1
0 .
O I STAMP
Signature of Notary Public
N i cc)Le Pi 1-e mn
Print Name of Notary Public
NICOLE ELLENSON
MY COMMISSION #GG089104
EXPIRES: APR 02, 2021
Bonded thMugh let State Insurance
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Com any N meAdividual Name) � V ��U�
the �t/('r I C_ Sub -contractor for ����% one Wn,
(Type of Trade) (Primary Contractor)
For the project located at Q 3(0 S C
(Project Street
Q Z POJ S� _ Lvt!t 3Llgs)
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
Division of St. Lucie County will be advised pursuant to the
filing of a Change of SubXoAractor notice.
Mike_ \iA'x(-0nJa-
PRINT NAME
COUNTY CERTIFICATION NUMBERi/�
State of Florida, County ofCl 0211
The foregoing instrument was signedbeforeme this � day of
2o_yy I" �t C
who is personally known or haJprouced a
Lasdenti catn.
STAMP
atur 'f o ary Public
i� i z�i� �il���-c�►� _
Print Name of Notary Public
NICOLE ELLENSON
o1'sr�o�
MY COMMISSION #GG089104.
EXPIRES: APR 02, 2021
Bonded through lot State Insurance
Revised 11/16/201
I
SUWCO CTOR SIGNATURE (Qualifier)
#Ie4J & %6r�
PRINT NAME
Pci5DDK 2)zcD
COUNTY CERTIFICATION NUMBER
State of Florida, County of )�1— I—Q u e,
The foregoing instrument was signed before me this _a day off p [ p
JCkn 20' bby MQ ' ► h U
tvho is pe sonally knownx or ha produced a
as iden ficcaation.
STAMP
Signature off Public
\1� L Cia.'t IeA 1 Y)
Print Name of Notary Public
NICOLEELLENSON
� r MY COMMISSION #GG089104
�'
EXPIRES: APR 02, 2021
" Bonded through 1st State Insurance
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name) J
the R, Sub -contractor for j'1S`il�UCJAh Y)
(Type of Trade) (Primary Con actor)
For the project located at a �4S y� 2 f Dr S:• ��c'e y�' Sa
(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.
LOWCW—CT R SIGNATURE (Qualifier)
&A; c%r 't MrrcLr \_ -
PRINT NAME
C z C t'1_� 1 ow
COUNTY CERTIFICATION NUMBER
State of Florida, County of (
The foregoing instrument was signed before
me this ��21 daay^�o1ff
1� = 20y� by
who is personally known or has produced a
CigLnatu:
c9STAMP
e of Notary P lic
NIC'Ok 0(m�w
Print Name of Notary Public
zNICOLE ELLENSON
MY COMMISSION #GG089104
EXPIRES: APR 02, 2021
Bonded through 1st State Insurance
Revised 11/16/201
e"' P. &,&
SUB-CONfRACTOR SIGNATURE (Qualifier)
PRINT NAME/
C Fe lql 905
COUNTY CERTIFICATION NUMBER
State of Florida, County of&-
The foregoing instrument was signed before me this �day of
20 by'1e d M R
who ' ersonally known "/or has produced a
as i enttfiic tion.
STAMP
ignature,
f Notary lic
i) I Cyr . - 7I `- (C)Yi
Print Name of Notary Public
NICOLE ELLENSON r .
` MY COMMISSION #GG089104
4 EXPIRES: APR 02, 2021
Bonded through let State Insurance
1
PERMIT # ISSUE DATE
the
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name/Individual Name)
of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for 1_n 0\AQ al' sky-obtAon
(Primary Con ractor)
For the project located at a 3 G S Plea 0 & � Sd _
(Project Streel 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.
T CTOR SI ATURE (Qualifier)
PRINT NAME
OiC 1�fj
COUNTY CERTIFICATION NUMBER n
State of Florida, County of
The foregoing instrument was signed before me this `� day of
3 � , 20_Ny 6 �/ \ j i a 1�1, r(3[n(J 0\
who is personally knownor has produced a
CasAitiffication.
STAMP
Signature of Notary ublic
a(Tc)lp P eels;
Print Name of Notary Public
NICOLE ELLENSON n MY COMMISSION #GG089104
EXPIRES: APR 02, 2021
Bonded through 1st State Insurance
Revised 11/16/2016
SUE -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20_, by
who is personally known or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
STAMP