HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTR" r R 110
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
h J� Or oono-&V, Rails,
REUT Ei/
ST. Lucie County, permitting
have agreed to be
the 9ompany Name/Individual Name)
11 u,m b I Sub -contractor for Con( lI is
o
(Type of Trade) J
' n /) (Primary Contractor)
For the project located at U' f VTS (�" dq �Onai Road
(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.
I15R59
COUNTY CERTIFICATION NUMBER .
State of Florida, County of-!4.�
The foregoing instrument was signed L
before me this' &day of
20_[, by jays: S T, eoll Lr
who is personally known V or has produced a
as nonce n.
'J'_ a
rg re of Notary
Print N e of Notary
Revised 11/16/2016
COUNTY CERTIFICATION NU'M'BE1R/� �, '
State of Florida, County of S -_LUC -t'
The foregoing instrument was signed before
—}mee this(Addayyof
IQin
Ptr, 2018_, by 1 • LIW 1 LM l
who is personally known Vor has produced a
as
notary Public - State of Ftog
Commission a GG 249625
My Comm. Expires Aug 16. 2(
hrough National Notary A7
GE'_A B QW1 111MINGHAM
Lary pub i e of Florida
Commission p GG 249625 .
CRR m. ExpI es Aug 16, 2022
ifil aki1Dro3I Notary Assn.
J
PERMrr #
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772) 462-1578 F- P,cCEIVED
AFFIDAVIT OF REQUIREMENT
Residential Swimming Pools, Spa, and Hot Tub
Zip Q 6 2,018
' ST. Lucie County, Permitting
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
W-75 I^ ay Mnal R D , and hereby affirm that one of the following methods
(Please print street address)
will be used eet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound
pressure rating of 85decibels at 10 feet.
All doors providing direct access from the home to the pool will be equipped with self closing, self latching devices with release mechanisms
placed no lower than 54 inches above the floor or deck.
I understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contract
purposes, will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree,
punishable by fines up to $500.00 and/or up to 60 days in jail as established in chapter 775, F.S.
I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the
above protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
I, the contractor, agree to instruct the owner of the proper use and
FLORIDA, COUNTY OF
PUBLIC
The foregoing instrument was acknowledged before me
this(day of SID L�U�ij1JC/r , 20jk,
by �b�,rn T LeonQA
Personally Known or Produced Identification
Type of Identification Produced:
E
ANGELABORSODI-BIRMINGHAM
Notary Public State of FloridaCommission # GG 249625SLCPDS2ilomm.,EzpiresAug 16, 2022
nded through National Notary Assn.
OF
of ec/afdevic
PUBLIC
The foregoing instrument was acknowledged before me
,this W�l day of Mb , 20_lg-
by
Personally Known V or Produced Identification
Type of Identification produced:
:�;vr vii • ANGELA BORSODI-SIRMINGHAM
:°��: Notary Public - State of Florida
Commission x GG 249625
`My Comm. Expires Aug 16, 2022
Bonded through National Notary Assn.
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
PET
SUB -CO TIRACTORAGREEMENT RECEIVED
SEP a 6 LO98
/ ST. Lucie County,Permi1t1
have agreed to be
the ECompan Name/Individual Name)
Ie(�- -1 CQ,� Sub -contractor for rJ �h(,i'Qi P004S., /Vel.
(Type of Trade) /I ,^, (Primary Contractor)
''
For the project located at �lotp �s ; d q oanall Road
(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.
C SIGNAff4IKE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qu per)
es T peon r �dwa.rd Jun
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of5-.Lud IP,
The foregoing instrument was signed before m-eetthiis day of
.
Q.r , 20&, by JaW-.1S • L,,�U noX CL
who is personally known Vo'or has produced a
COUNTY CERTIFICATION NUMBER
State of Florida, County ofSh_L1 'A'<_,
The foregoing instrument was signed before me this day of
5 i2" , 20Lb, by. [jkLXJf:6,
who is personally known ✓ or has produced a
as i tittcation. as identi -cation.
ETA
M— ORSODI•BIRMINGHAM
NGELA BORSODI•BIRMINGNAM
blic •State of E y ublicSW
�t@>� Florida
Signat of Notary Public ';�� �` Commission # GG 2414iiVat;F o otary Public A Commission X GG 249625
My Comm, Expires Aug 16, 202 (_o My Coma . Expires Aug 16, 2022
o ded through National Notary Ass �/uI
� � • i nal Notary Assn.
Print N e of Notary Public 1 I' 1 Print Name ONotary Public
Revised 11/16/2016