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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT�cl Tom, r RECEIVED JUN 19 7017 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT S- ti/ Et I-J" L 7kc— SR, As have agreed to be (Company Name/Individual Name) the e- lec Ale- Sub -contractor for %,i 2w elr,_, 1Z ncc (Type of Trade) (Primary Contractor) For the project located at _S_('/O /erg �ie, (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. CONTRACTOR SIGNATURE (Qualifier) Ile / e A PRINT NAME c?-6V7/ COUNTY CERTIFICATION NUMBER State of Florida, County of Z. L4tz-'1 `_ The foregoing instrument was signed before me this � day of 20 /7, bby Y-iAr /Jt//S e�G who is personally known v or has produced a as identification. S STAMP Signature of Notary Public Print Name of Notary Public r°�r�Y Poq�,n ANGELA R. HELSETH ��+ MY COMMISSION # GO NO? °e EXPIRES: September2l, 2020 Revised 11/16/2016 1�0':V"\ Bonded ThruBudget NoMtySeMM 2al'd 'Qnv- SUB-CONTRA R SIGNATURE (Qualifier) L, PRINT NAME E C, 13 © (> '2 S'`t Y COUNTY CERTIFICATION NUMBER State of Florida, County of��iG/ -6 h41 The foregoing instrument was signed before me this - —day of ��zo!�by ��.r,; �✓ ��.db S s who is personally known ✓or has produced a as identification. '— r'o/J ( STAMP Signature of Notary Public /_ 1-,Iqele. 4�_1_sellL- Print Name of Notary Public �otit�; P•�&,o ANGELA R. HELSETH # * MY COMMISSION # GO 028507 °e EXPIRES: September21, 2020 9 OF f'.1 Banded 7Mu Budget Notary Sxrkas RECEIVED JUN 12 2017 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division VV1��P1�S CpD1,i BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 2 �F12v have agreed to be (Company Name/Individual Nail) U / / the ��/ f�C Sub -contractor for �.1 c�H S� 7`/ _Z;hc . (Type of Trade) (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 Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qualifier) PRINT NAME 2 w1117 / COUNTY CERTIFICATION NUMBER State of Florida, County of _6i f' Gu G/ el The foregoing instrument was signed before me this .9'Y` day of Zj,-74—v 20I I by 71-1A- s�t� who is personally known ✓or has produced a as identification. STAMP Signature of Notary Public Apt, C-(-- 2. --e�s�+(� Print Name of Notary Public ractl`v au��c ANGELA R. HELSETH * MY COMMISSION # GG 028507 * Q EXPIRES. September 21. 2020 Revised 11/16/2016 tP?yM'F�'Ie �ed�Budget KOMSir" TRACTOR SIGNATURE (Qualifier) �e_ cs"Jew- PRINT NAME 4,,��Qgl�f COUNTY CERTIFICATION NUMBER p State of Florida, County of (Jt • L.� V The foregoing instrument was signed before nmeetthis dayof PD 201 _1/_ae6 by(5V4 "'A' who is personally known _3.1�_or has produced a 11111111111/1/� as identification. of Notary Public SABRINA L. BLACK Print Name of Notary Public V SN;.... A C. 'GOMn^Iss/o' •FC) ti STAY: .� y: ' RF19533 .' J Lo ��dedihru , : RECEIVED JUN 12 2017 KRMIT# . ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Lindquist Plumbing & Supply. Co.. Inc. have agreed to be (Company Name/Individual Name) the Plumbing Sub -contractor for Brian Helseth Construction (Type of Trade) (Primary Contractor) For the project located at Huddleston 5010 Palmetto Drivejort Pierce, FL 34982 - (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. CONTRACTOR SIGNATURE (Qualifier) ,0&" qk7 4 e_ 11i� /-1-27 PRINT NAME ;6V7 l COUNTY CERTIFICATION NUMBER State of Florida, County of _1�7. C The foregoing instrument was signed before me this 2-nn d e�Voay of j elm ,2o�,by��riA�. J.. -�'11 who is personally known r has produced a �asident ; lion. �� STAMP Signature of Notary Public 4,)C �, lie fh Print Name of Notary Public VPueZ/o ANGELA R. HELSETH :oua COMMISSION to GG 02897 �rl�MY EXPIRES: September21.2020 ReVisedll/16(2016 9 11FIVO af Bor4edThruBWOetNOWYSm410 SUB -CONTRACTOR SIGNATURE (Qualifier) Wade D Case PRINT NAME CFC1428458 COUNTY CERTIFICATION NUMBER State of Florida, County of St Lucie The foregoing instrument was signed before me this 3 day of May , 20 1� by wade case who is personally known _ XI or a s produced a as ideiltilgeati. STAMP Signature of Notary Public Print Name of Notary Public MICHELLE TROTiA �4�• i � I. m7 COMMISSION # 00033253 EXPIRES Oeaefiber 20, 2020 t . i RECEIVED JUN 12 2017 the PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division (Company Name/Individual Name) (Type of For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for 1�,alw %� 1,5e /A 4,w3 Z _2;s c (Primary Contractor) (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. CONTRACTOR SIGNAT (Qualifier) Ile- Ise I -A PRINT NAME 26 y7 / COUNTY CERTIFICATION NUMBER State of Florida, County of -/, L e- %' e The foregoing instrument was signed ibefore me this 7 day of 20_�3 by who is personally known ✓r has produced a as identification. STAMP Signature of Notary Public AV666 ,/4- /—EP_ /,51E-LA Print Name of Notary Public ti*aY Pvs4 ANGEIA R. HELSETH '•••••' °# MY COMMISSION N GG 02007 a < EXPIRES: September 21.2020 Revised 11/16/2016 .9tFpFFLONC BondedThruBudgetNobVYStW40 SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAMC a3o`� COUNTY CERTIFICATION BER State of Florida, County of � \_ �, C', The foregoing instrument was signed before me this a Lday of who is personally known ✓ or has produced a as identificatio . STAMP Sign ture of Notary Public �(s'��lvt2 �(`e�-�(-� `Vi,,9iN6i1111f1f Print Name of Notary Public o\��o ' PioAE Mf 0 C' •M1SSlp4v s9 /moo "C,O fiber is E/,o •. e a `• #FF 936050 o e ✓��"� 6 6 • Q'a P 9 oa °ndedthN. m • a`. �dsAA9d�;110liTie9o\\ \ 11