HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTi
r
PERMIT #
- I 1
ISSUE DATE
the VIU1111
(Type ofTrade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Project Street Address or Property
V have
�— n
Contractor)
N 0
to be
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.
COUA'TY CERTIFICATION NUMBER
State of Florida, County of..TALM 169 Co
The foregoing -instrument was signed before me this day of
< , ,20 7by bSQf}
who Is personal) o has producgd a E V v!(�G,'l/////'
4ide-uttiom `Cd
„ d+
�4701
�]
rig •.,;tary5�. O 3
Print Name of otary Puh /�1/•S;A�� �\�����
Revised 11/16/2016
COUNTY CERTIFICATION NUUAMRE,R
State of Florida, County of—= f}
The foregoing Instrument was signed before me this of
' 200by
who Is personallyim _ s pro red
as identification/. �/ .1
ilGG 1Z4701
STAls
is
PERMIT #
11 1° ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ELECTRIC CONNECTION/RANDY SJAARDEMA
(Company Name/Individual Name)
the ELECTRICAL
(Type of Trade) ,
have agreedto be
Sub -contractor for FOUNTAIN BLUE POOLS
(Primary Contractor)
For the project located at 3034 NW RADCLIFFE WAY ( LOT # 10 )RIVERBEND
(Project Street Address or Property Tax m #)
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 S b-contractor notice.
CONTRACTOR SIGNATURE ( aliier) S1 ONTRACTOR SIGNATURE (Qualifier)
COUNTY CERTIFICATION NUMBER
jj,
State of Florida, County of I V �,i'1,
The roregoing`instrument
"was signed before me this,- day of
. 20 ,4%bby�y i` }
who is personally known '°<or his p oduced a
RANDY SJAARDEMA
PRINT NAME
21055
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST LUCIE
The foregoing instrument was signed before me this 1 day of
DECEMBER , 2011 by RANDY SJAARDEMA
Who is personally known X or has produced a P/K
as iuen cation. ��iifti{{{IIll/%/J/ as identification.
A vy/i4`4�t��tgV VIG ��i�,
�� �".•• I�. "Wzlk t 36-e-- STAMP
Signature of Votary : ` a '.� signature of a ary Pu lic
SITYAN T BROMELOW
Print Name of ary Public �— ;+ OC4 i2m Print Name of Notary Public
ti9�At.•;9�NotarySar;.• Off.!
SITYAN T 9ROMELOW
e
Notary Public - State of Florida
[ �iy Commission Expires Od 17, 2018
Revised I.It16/2016 Commission # FF 147108
Bonded sy National Notary Assn,
DEC/12/2017/TUE 12:20 PM
Found; � �_- Blue, Poo k
FAX No,561-969-OFR7
P. 001/001
PERMIT# 1717-0306 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of] Florida Certification Numbcr (If applicable): CPC1458019
Fountain Blue Pool Service Inc. have agreed to be the
(Company Nameadividual Name)
Plumbing Company Sub-contractorfor Fountain ue Vaal Service Inc.
(Type of Trade)
For the project located at 3010 NW Radcliffe Way 4425-
rContractor)
3-0009-000-8
(Project Street Address or Propert161oux
#)
It is understood that, if there is any change of status regardparticipation with the above mentioned
project, I will immediately advise the Building and
Change of Sub -contractor notice. (Form:
BUSINESS QUALIFIER (Naane
NOTARIZED SIGNATURES
Business Name:
Address:
City/State/Zip:
Phone:
STATE OF
T EIE IFOR EGOING
BY
SLCPDS: 08/06/2
Department of St. Lucie County by filing a
o. 004-00)
shown on the Contractor's License)
2731 Vista JVKW 01
West Pal Beach Florida
561-96 -2299 email: construcOon$@fountalnbluepoole.com
0�&O '0& Lon
PRIN"T�NAME G DATE
OUNTYOF "�G3�•M 7�G
'RUMENT WAS SIGNED BEF07 ME THIS Ion p , ZO
P n T-J✓ w O IS
Pr
ORHAS
\N1n.11Virll/11
AS IDENTIFICATION. is
PRINT NAME OF NOTARY PUBLIC �r ; • • "' y`
#GG 124TO1
�7ded 1htl•: La
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 210555
State of Florida Certification Number (if applicable): EC0002938
ELECTRIC CONNECTION/REANDY SJAARDEMA have agreed to be the
(Company Name/Individual Name)
ELECTRICAL Sub -contractor for Fountain ue Pool Service Inc.
(Type of Trade)
For the project located at 3034 NW Radcliffe Way
(Project Street Address or Property Tax ID
It is understood that, if there is any change of status r
project, I will immediately advise the Building and Z
Change of Sub -contractor notice. (Form: SLCCDV (No.
BUSINESS QUALIFIER (Name of the Indivi
1, M!M
Business Name: C'
Address: 1100 BARNETT D # 4
City/State/Zip: LAKE WORTH, 33461
Phone: 561-586-6499
SIGNATURE
STATE OF FLORIDA, COUNTY
THE FOREGOING INSTRUM
BY RANDY SJAARD A
PRODUCED P/K
Contractor)
participation with the above mentioned
of St. Lucie County by filing a
shown on the Contractor's License)
email: SITYANB@ELECTRICCONNECTION.NET
RANDY SJAARDEMA
PRINT NAME
ST LUCIE
12/8/17
DATE
WAS SIGNED BEFORE ME THIS 8 DAY OF DECEMBER
k WHO IS PERSONALLY KNOWN X
AS IDENTIFICATION.
,2017
OR HAS
SITYAN T. BROMELOW (STAMP)
SIGNATURE OF NOT RY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS: 08/06/2014
��'CPRY PVC SITYAN T. 9ROMELOW
Notary Public -State of Florida
�T -aP My Commission Expires Oci 17, 2p1g
OF F�� Commission # FF 147108
11�""� Banded By National Notary Assn.
I