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HomeMy WebLinkAbout1707-0182 SUB-CONTRACTOR AGREEMENTr RECEIV JUL 112017 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Hypoluxo Plumbing, Inc (Company Name/Individual Name) the I Plumbing (Type of Trade) have agreed to be Sub -contractor for D k vrAy) &es w Coosat2.slyan XIAC- (Primary Contractor) For the project located at 14-609 f In-e T �e-e Dv-tJe F' ?' u"�- 3yo a 6 bs OD--)Z ootoS (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. CUNTRACTORMIGNATURE (Qualifier) MfAe�1, l fti o_hc-Ps to PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County ofs `V t-�_q, The foregoing instrument was signed before me this 11 day of 5 J),:. 20 tip' , by t%`Cli " % fl ,F f q,ut sea who is personally known _or has produced a V`I. �-- as identification. DV NNAMARIE GNENS Signature of Notary blic = S10N # a o C}.PIR N NoDtaN Publ c Underwriters Bonded rh V C OFi Print NamCN e of Notary Publi Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) Ronnie Burkhalter PRINT NAME 21272 COUNTY CERTIFICATION NUMBER State of Florida, County of Palm Beach The foregoing instrument was signed before me this �-9 day of Juu ,20'7 by Ronnie Burkhalter who s personally known or has produced a as identr �Q' nn.. STAMP Signature of Notary Public Dolores A Price Print Name of Notary Public DOLORES A. PRICE Commission # FF 943625 e = Expires February 19, 2020 Bonded Thin Troy Fain lnsurance800485-7019 R�CEII.'JUL 111017 - 1 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT V-C�kyjek-h-er cor'Ipr „v,/ have agreed to be (Company Name/Individual Name) the I C,4-r I`c�. I Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at' 14&()ci Dr. i v,+ I L 3`q%?— OgOZ-�(,5-007z.0 0•5-� (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. CO TRACTOR SIGNATURE (Qualifier) S -CONTRACTOR SIGNATURE (Qualifier) "`b PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of S I • ��Cx'e- 410 Thee foregoing instrument was signed before me this `vday of 20 ,by�1`tlGVl4-0k �x �7r"G?sec� who is personally known Zor has produced a as i en catign. _ STAMP nature of Notary Itolic' �a-v� �,Q, �c�•JC�-1C►�w i cv. Print Name of Notary Public v DAVID JURKIEWIC2 MY COMMISSION # FF998909 �'dF EXPIRES June 05, 2020 (407)398-0t53 FloddallolarySeMce.com . Revised 11/16/2016 C,N t;�c G 3 PRINT NAME •2(o16 COUNTY CERTIFICATION NUMBER State of Florida, County of ak • UX " %-,e_ The foregoing instrument was signed before me this 2g day of �Q -, 20L C by V,&r1 •e Z who is personally known V or has produced a tification. STAMP Sig ure of Notary Pubr I?,J, c�v�C��-2'^J`tc2 Print Name of Notary Public DAVID JURKIEWICZ ?iR' `sfii MY COMM1 SIONI # FF998909 ".',yip• EXPIRES:Juge 05, 2020 (407) 398-0153 Fk)MallotaryServke.com amw a JUG 1 I Lu ll S" ' n Bldg Eot W 7722880278 h 11101617: PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): GCZ1ZP>o33:� Elf-s. t6016► 5 soles m I arc / e(co.rda 1AM_ have agreed to be the (Company Name/Individual Name) 1200 P- Sub -contractor for 2 �G�sCv (t��5Two (Type of Trade) (Primary Contractor) For the project located at 4691. VzA0_ TT1V_U .Drive- 3 R p -L 1,0 06•82- 400 5— (Project Street A dress 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: S"LCCD'V' (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: 91ne- 1-06 V%a 5.1ah-ml C-C . Address: S%t se L1ncc%y% City/State/Zip: fL., z4g4,1 Phone: 12k-402--Aak email: ent"c%Pma nt .c&wn jlwao i afq A1Jo?y_1(6 IGNATURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF M AP-/d THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS oQ5 DAY OF 14 %L , 20) (o BY 912460 /.ZA WHO IS PERSONALLY KNOWN "'� OR HAS PRODUCED AS IDENTIFICATION. Lza �a- ' Z%95t:� SIGNATURE OF N91KARY PUBLIC pogo- % 6u6:r, J PRINT NAME OF NOTARY PUBLIC SLCPDS:08/06/2014A ooREE►taeUFFA IN .3 Mr COMMISSIONaFF92 I$ EXPIRES: January 3, 20M +111.ti�•• BandedTtwNebyPoe4UdewAteo (STAMP) PERMIT# ISSUE DATE PLEINNINIG & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDINGTERMIT SUB -CONTRACTOR AGREEMENT V'5 C 11y1eS rAenAlkoa W\a n lf 1 ,QY1(,j1\t lUV\1Y\� have.agreed to be (Company Name/Individual N me) 1 the -A CJ�Y r C3A Sub-contractorfor GO(\CkrU,,e� t®In (Type-ofTrade) (� 1 (Primary Contractor) , For the project located:at C i' • �1 CCC r j— 3 r"l lp '9 z (Project Street Address. or Property Tax 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. Ja la CONTRACTOR SIGNA LRE (Qualifier) COUNTY CERTIFICATION NUMBER State of Florida, County The foregoing instrument was signed before me this _ day of �Y 20�\�a y who is personally known _or hus.produced a identification. STAMP, i nature of Notary Public Print Name of Notary Public �— Revised 11/16/2016 S-CONTRACTOR SIGGNNATUREE (QuArsier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of ST The foregoing instrument was signed before me thks� dy+of 20/ who Is personally knowgv or has produced a a% identification. / STAMP �aluf Notary""Public SJUNMONTENEGRO Pri � 110 ., tf l$810N B GG 089099 ` EXPIRES' 2.2021 ••,�:!o'Vi:�+°,tt'•.. BudCE TW F1dx7i Pub6C Undowde�s