HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTCOUNTY
F Z A I D a1A
the
PLANNING & DEVELOPMENT SERVICES
Building &i'Code Compliance Division
(Company Name/Individual
E�
For the project located at
(Project Street
PERMIT
R AGREEMENT
SCANNED
BY
St Lucie County
have agreed to be
C/
Sub -contractor for
(Primary Contractor)
--e 77b 07i,
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
I
I
C CTOR SI uali er)
i
PRINT NAME 1
l�ia�
COUNTY CERTIFICATION NUMBER
—
State of Florida, County of
The foregoing instrument was signedbeforemoo��ile this oL-9lI day of
20
-& by- C J il�C'CcY�9t
who is personally known zor has produced a _
as identification.
(' -���Publi.
Signatur�ofN.tary
Print Name of Notary Public
SUB -CONTRACTOR SIGN AT ( ualifier)
d �. o
PRINT NAME
90
COUNTY CERTIFICATION NUMBER
State of Florida, County of-�_ �[ iL
The foregoing instrument was signed before me this=' jPhday of
1'�1CL 201g, by 4 S . -,GIP (14 r)
who is sonally known —i'/or has produced a
as iden ' cation.
STAMP 6' G� STAMP
Signature of Notary Public
1�r)r) I Kt_ / _ G5 V5
Print Name of Notary Public
o" PUW stwo of Raft
Revised 11/16/2016
EMON
eborah M Stevens
Y Cormfdsaion GG 127559
x*m 08111=1
=oVar °Lq� Notary Public State of Florida
Jennifer Davis
= 4 My Commission FF 966029
o. nook Expires 02/29/2020
I
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
12300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
1 (772) 462-1553
FILILED LAND AFFIDAVIT
i
I, the undersigned, am the owner of the following described property,
5105 Palmetto Drive, Ft.
(Parcel Id#/Legal description/
for which I have applied to I St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 1804-0798 , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County,tand Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither jobliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
ACKNOWLEDGED BEFORE ME THIS DAY OF ��� , 20�,
BY ��jap`.\ .SSc� WHO IS PERSONALLY KNOWN TO ME (_)✓ OR WHO HAS
PRODUCED l`��rC �� s�Q� AS IDENTIFICATION.
i
�SIGNAT�UREOFNOT Y PUBLIC TYPE OR PRINT NOTARY
GG IQQj:�COMMISSION NUMBER
(SEAL)
p0 M of NakM PWft SI Flmft
SLCPDSD Revised 04/11/2011 ;e'. DeboMh M SM%W*
ley t GfflRd W 00127559
fa Eyplm 0811102021
the
PERMIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Name/Individual Name)
(Type of Trade)
For the project located at 5105 Palmetto I
(Project Street
& Code Compliance Division
BUILDING PERMIT
)NTRACTOR AGREEMENT
[APR 2 6 2018
—RECEIVED
Lucie County, Permitting
have agreed to be
Sub -contractor for Associated Homes Inc.
(Primary Contractor)
Fort Pierce,. FI - Parcel. ID #3402-606-0029-000-2
or Property 7'ax 1D #)
i
It is understood that, if there is any changelof status regarding our participation
project, the Building and Code RegulationlDivision of St. Lucie County will be
filing of a Change of Sub -contractor notice.
i
�- D u4l-) t
CONT I OR SIGNAITUR2 (Qualifier)
171�1�
COUNTY CERTIFICATION NUMBER j
State of Florida, County of�
I
The foregoing instrument was signed before me this
�day of
20L, by c\ 'S` M'(
i
who is personally known je�_O; has produced a
as identification.
1
5ignatare o�f Notary�Public
Print Name of Notary Public
with the above mentioned
advised pursuant to the
o�. 3063.
COUNTY CERTIFICATION NUMBER
State of Florida, County of—SL —Utae- j
The foregoing instrumentwassigned before me this 1 D day of
n_ 20L, byybG.tU I T U
who is personally knownhas produced a
as identification.
STAMP n STAMP
Sighatuire of Notaiy Piiblic
Public Slate of Florid,
µy Ca iw 559
�rM Revised I1/16/2016 E)q*m 06111/2021
I
Print Nanfe of Notary Public
•••., SYLVIA LOMB M2Z
; n MY COMMISS10M1 S FF WM.
r EXPIRES. February 22, 2020
'`•... Bonded ThNNoMPub6eundervdt2'3
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Dlvisi RECEIVE)
I r! '®-1—
(Company Name/Individual Name
the Part, 6 o vze
(Type of Trade)
For the project located at 5105 Palmetto I
(Project Street
It is understood that, if there is any change
project, the Building and Code Regulation
filing of a Change of Sub -contractor notice:
BUILDING PERMIT I
APR 2 6 2018
)NTRACTOR AGREEMENT
NT, ! 41@ County, Permittlrtg
have agreed to be
Sub -contractor for Associated Homes Inc.
(Primary Contractor)
Fort Pierce, FI - Parcel ID #3402-606-0029-000-2
or Property Tax ID #)
status regarding our participation with the above mentioned
State of Florida, County of
The foregoing instriment was signed before me this )Iday of
20Aby �,s�I-, Vie(-
who is personally known -Zlr has produced a
as identification. (�
STAMP
Signature of Notary Public
• '��Ci,''� S�cr L) � I
Print Name of Notary Public
i
Revised 11/16/2016
YEE]
Stele of Florida
vensG 127550
1
I
of St. Lucie County will be advised pursuant to the
d
SUB -CONTRACTOR SIGNATURE (Qualifier) ,
)(rA� NC ff i3ru �.11e.
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of _L ct E
The foregoing instrument was signed before me this 10 day of
201by L311 CI�tJ
who is personally known vor has produced a
as identification
3 IC A STAMP
Sig�natnre of Notary Public
Print Name of Notary Pu c
a E
State n Florida
Stevenson GG 127550
/2021 1.
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
& Code Compliance Division
BUILDING PERMIT
)NTRACTOR AGREEMENT
DS AIR CONDITIONING INC.
RECEIVt-
APR 262rlla
ST. Lucie County Perrnitdrlo
have agreed to be
(Company Name/Individual Name)
the HVAC Sub -contractor for Associated Homes Inc.
(Type of Trade) (Primary Contractor)
For the project located at 5105 Palmetto Dr, Fort Pierce, FI - Parcel ID #3402-606-0029-000-2
(Project Street!Address or Property Tax ID #)
I
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
CONT CT R SIGN R (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed_
red before me this v day of
. 20`y, bbyy t� VP
who is personally known V or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
SU - NT aTORSURE (Qualifier)
DANIEL SHAWVER
PRINT NAME
CAC058715 -
COUNTY CERTIFICATION NUMBER
State of Florida, County of �nc.:,
The foregoing instrument was signed before me this _ Q day of
r 20 j _� �Al \ �J� �`M 1
who is personally known Zr has produced a
as identification.
STAMP =A tY J
Signature of Notary Public
Print Name of Notary Public
i
c ,
Revised 11/16/2016pa
Notwy public State of Florida
Deborah!M Stevens
My Composswn OG 127559
F�peres 0811 t/2021
STAMP
Nolsry public State of Florida
+ Deborah M Stevens
Mys � OGG 127559
i
PERMIT # i ISSUE DATIf
i
I
PLANNING & DEVELOPMENT SERVICES
A Building & Code Compliance Division
SUB:IBUILDING PERMrr
CONTRA,CTOR AGREEMENT
x
i
I �i Gyl+� vdit LAs. ST iC_�O� ti i �uC.� LL
(CoiinpanyName4ndividual Name)r
the 00 _ i °r.> G
(Type of Trade)
For the project located at ' 1 a5
. (Project
It is understood that, if there is any cl
RECEIVED '
APR 2 6 2018
Permitting
have agreed to be
Sub -contractor for ksoc� o�2,k ' \ U m s S _SIC
(Primary Contractor) '
r,
or Property Tax ID #)
of status regarding our participation with the above mentioned
i.
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.
CONT SI (Qualifier)
PRINT NAME
I r)
COUNTY CERTIFICATION NUMBER
'State of Florida, Countyof-SA l
i
The foregoing instrument was signed before me this day of
2oA by
who is personally known or has produced a
as identification.
STAMP
Si ua a of Notary Pabbc
Print Nameo£Notary Public
�r tl(s Public State of Florida
f Deborah M Stevens
gc My C?mmiaikn GG 12755o
Revised 11/16l201ti �e► Expir" 0e/l1/2021AAAAAAA
_>� Li
SUB-COVTRA.CTO IGNA uatifier)
PRINT NAME
C_ c. C_ 1 3 3 b(. 6 3
COUNTY CERTIFICATION NUMBER
State of Florida, Countyof
The foregoing instrument was signed before me this 1 G day of
Aj % ,20 8 by M,�[e
who is personally known or has produced at 17 �•
as identification.
A,A;pz;�STAMP
Signature of Notary Public
Print Name of Notary Public
;�;� �' • ROSERT BRUNKE
='2.�. ': Notary Public— Stale o'Florida
` ' = Commissiar # GG 176572
> bty Comm. Expires play i 2, 2022
bonded drrough NaSona- Noary Assn
PERMIT## ISSUE DATE
I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
I
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
I
RECEIVED '
APR 2 6 2018
ST. Lucie County, permitting
MER Enterprises LLC/dba Leed Insulation have agreed to be
(Company Name/Individual Name) i
the insulation Sub -contractor for Associated Homes, Inc.
(Type of Trade) (Primary Contractor)
For the project located at 5105 Palmetto Dr, Fort Pierce, FL - Parcel ID #3402-606-0029-000-2
(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
filing of a Change of Sub -contractor notice:
I
CONT FT�OIGNATM(Q alifier)
I
PRINT NAME n //
COUNTY CERTIFICATION NUMBER
State of Florida, County of �k 1nUCi�
i
The foregoing instrument was signed before we this day of
pp
r', 20 � � by S "r� C NL\ 0 C"I C-C`C&
who is personally known Z.r has produced a
as identification.
STAMP
Signature of Notary Public
Print -Name of Notary Public
I
,
Notary Public Stela of Ffodda
o Deborah M Slems
my Ccion GG 12PSS9
Expires 08111/2021
Revised 11/16/2016
i
of St. Lucie County will be advised pursuant to the
SUB -CONTRACTOR SIGNATURE (Qualifier)
Michelle irhar s
PRINT NAME
11324
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 10 day of
April , 20 1 8, by Michelle Richards
who is personally known _or has produced a
,otiraY "�KELLY L YOUNG
Notary Public - State of Florida
;w :a My Comm. Expires Jul 1, 2018
•,�Fc�F�o� Commission # FF 138101
„
STAMP