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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT\ SCANNED BY PERMIT# 8t Lucie COLl1°11' y ISSUE DATE ^}• MX .HJ � :SPY-�F 'C...:y..__yTti i} 'COUNTY PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division r 8 BUILDING PERMIT SUB -CONTRACTOR AGREEMENT RECEWEl APR 16 20118 ST. Lucie County, Permitting have agreed to be (Company Name/Individual Name) —� nn the 9ec4, isicke) Sub -contractor for _C %% Sar, S lC td 4ofl gamoc, (Type of Trade) . (Primaiy Contractor) For the project located at 'S10r) Snruee b6ad torf Horce . FL 3y9,3Z (Project Street Address or Property Tax ID #) 3yo2 _&(0 —0226 — do0 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. y. ONT`RACTOR SIGNNAA)TURE (Quatitier) PRINT NANIE COUNTY CERTIFICATION NUILSER State of Florida, County of < d,3 The foregoing instrument was signed before me this r t/day of fa 20W by (� 4 who is person0 • known —prhns Qrnduced. as identificatiJOSE FRESNILLO ,`taa`' Pis%, Notary Public - State of Florida 4 Commission # FF 184850 o "�" °°�=Mv rnmm Er,Pires!VlAW, 2018 Signature of Not Wbbric4j Bonded through National Notary Assn. Print Name Revised 1I/16/2016 COUNTY CERTIFICATION NUMBER State of Florida, County of 5 Lr The foregoing instrument was signed before me this JQ5 day of who is personalty (mown oi} pI uce`d l .4 SPaY PVC., NILLO asidenti6catio E,`� Notary Public - State of Floride Commission FF 184850 F oo-ac My Comm. Ex&yAfQpc 22, 201E ' Signature of Nota bile ""' a through National Notary Assr, Print Name of Notary Public PERMIT # I TISSUE DATE COUNTY - F L O R I D A PLANNING & DEVELOPMENT SERVICES Building & Code Compliance I BUILDING PERrKIT SUB -CONTRACTOR AGRE] APR 16 cj18 ST, Lucie County, Permitting have agreed to be (Company Name/individual Name) J` the A to— _ Sub -contractor for -SC E Snn S 0—u40 H (Type of Trade) (Primary Contractor) For the project located at 3Y41 (Project Street Address or Property Tax ID #) 3y02— wo — ono • 0a 0 — y 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.NTRACTOR SIGNATURE (Qualifier) PR , 'T NAME C �LL ) 3 2A`�`�� COUNTY CERTIFICATION,KU BER State, Florida, County of�G^ The foregoing lustrumentt signed before me thisd6t_ of C! by %9A3�ST�4 who Is Perall knows _ as identifica n. Signature of Not �P%bllic PrMt lame of Notary Public Revised 11/16/2046 JOSE FRESNILLO `,SPRY PVC Notary Public - State of Florida j ; a • Commission # FF 184850 I v CoDim. ExplSWkIP22, 2018 j Bonded through National Notary Assn. SUB -CONTRA SS` (Qualifier)) PRINT NA. COb�,4•TY CERTIFICATION NUMBER 4 State of Florida, County of Cr L The foregoing instrument w signed before me this day of .20 J by r t�f� who is perso known or has produced a „ .•. ,,, as ent rca �•tPaVP�e, JOSE FRESNILLO Notary Public - State of Florida N aX a° • Comr,W'XgIf FF 184850 �ignatureotl�ota bile •.,� �° ��°o-�,•` Comm. Expires Dec 22, 2018 ` Bonded through National Notary Assn. f� PLANNiN 7G && DEVELOPMENT SERV i;ES Building" & Code Compliance Division RECEIVED BUILDING PERMIT SUB -CONTRACTOR AGREEMENT A P R 1 6 G 0 1 8 St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): C6C l Y2 C— >/ 5 14L- /7 r , h c have agreed to be the (Company Name dividual Name) 4 •a C sub -contractor for (Type o rade) for the project located at Street Address or Property Tax ID (Primary Contractor) -U22o'QpOy 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: / �i2 �,�OIv ,G� 44 o r Address: 3 `/%3 s'c,- 4:� S'*. City/State/Zip: A"* �- 4,,,e `- , ,GGG 3 Y9S"- Phone: ;?Z -2 1 12 72 email: SIGNATURE . STATE OF FLORIDA, COUNTY OF PRINT NAME DATE T OREGOINSTRUMENT WAS SIGNED BEFORE ME THISAY OF SY �U l£ Vl L I n WHO IS PERSONALLY KNOWN OR HAS PRODUCED U�' S i. Loci +Ft-`�L 2017 IDE T TION. o��� pie ERICK SANTANA (STAMP) Notary Public, State G AT O OTARY P PRI F 1g0%tkV I tC My Mmm. expires Sept 16, 2018 OFFICE USE ONLY: PERMIT # ISSUE DATE PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PEI SUB -CONTRACTOR A ECEIVED _ST.LLucie County, Permitting to be (CompanylVame/lndtvtqual ivame) , r the `�ot�er Sub -contractor for �� � � �n5 CuS6M t-to►�re5 _ (Type of Trade) (Primary Contractor) For the project located at 7n�`i �OCNLP_ tJf•iy� �-i- PtP rrQ n- 3N98 Z (Project Street Address or Property Tax ID #) M p2 — (p 10 — 02.2 D 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. NTRACTOR SIGNATURE (Qualifier) ` S�kz o PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of C-N-'" CN-k The foregoing instrument was signed before me this «day of who is personally known _or has produced a'C a3o I � COUNTY CERTIFICATION ER State of Florida, County of S At The foregoing instrument was signed before rme this Wday of . 2012 by 'i�� 1 )USK-e who is personally known or has produced a as identification. as identification. '(•--•-••;"", DEANNANIARIFS� Signature of Notary Pub ' r;`.:: ;!� Y l JIIS510N # G�0 2023 S gn ure of Nota ' f _ EXPIRES: December 16, 2020 Banded Thru l4otary Public Underwriters Print Name of Notary Public Print ame of N Revised 11116/2016 ° • n STAMP '��1tllill i lllllllo! E MA11/gF°°°o ,—MISSION°• ��i •V� ember isA9 y_ o #FF 936050 s � Qa s 9 •ap�nded !!lI/I, IIIfill%% � PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMITFAP7 RECEIVED SUB -CONTRACTOR AGREEM MER Enterprises LLC/dba Leed Insulation have agreed to be (Company Name/Individual Name) the insulation Sub -contractor for JC & Sons Custom Homes (Type of Trade) (Primary Contractor) For the project located at 5807 Spruce Drive Fort Pierce, FL 34982 3402-610-0220-000-4 (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. '15�� G/'CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of C�- The foregoing instrument was signed before me this day of • 1 201{ by 1 0 *1-0 who is personally known _or has produced a as identification. STAMP Signature of Notary Pu c �t) SL_.'t,'f\ V sh d NJ-,;,,Y\ s Print Name of Notary Public DFJ� RIE 10 SIG 022023 e:"P'°c'• MYOOMMISS N# g 2020 y� E t?1AES: December t d ISotaN Public Undenxriters HondedYbru Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) Michelle Richards PRINT NAME 11324 COUNTY CERTIFICATION NUMBER State of Florida, County of St Lucie The foregoing instrument was signed before me this 6 day of February , 20 8 by Michelle Richards who is sonally kno or has produced a KELLY L YOUNG Notary Public State a1 Florida t a ire. :v}: ad; My Comm. Expires Jul 1, 2018 i�T oFCFe��;;�• Commission # FF 138101 STAMP