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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTthe PERMIT # ISSUE DATE (Type of Trade) PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division N For the project located at CW96 PERMIT R AGREEMENT for SCANNED BY St Lucie County have agreed to be (Primary Contractor) (Project Street Address or PropertyID #) / 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. NT TOR SIGNATU E Qualifie de PRINT NAME &4d COUNTY CERTIFICATION ER State of Florida, County of The egomg instrument was signed before me th' day of 20 f y who is personally known or has produced a as identification. STAMP Signature o otary Public Print Name Notary Public State of Florida Frances Donza My Commission GG 092440 Expires 07/27/2021 Revised 11/16/2016 of St. Lucie County will be advised pursuant to the �t % .VON' COUNTY CERTIFICATION E 1wh. Florida, County o going instrument was signed before me to day of 20_, by ersonally known or has produced a as identifica on. � a-- ST Signature of Notary Public P? f ie 6k%~#bM6 Of F ldHdd Frances bcnza oFc�o�e EI xplros0?12/20g1 bgP44a AMP PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division VMU 0A U A (Company Name/Individ al Name) -(Type of Trade) BUILDING PERMIT INTRACTOR AGREEMENT y have agreed to be Sub -contractor for C, (Primary Contractor) .)W�AA-)J � (�WAPk�kj For the project located at IN (Project Street Address or Pro erty Tax fb#) 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 n CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of --R"-&0J— The foregoing instrument was signe before me this 20JAL, by Y who is personally known _or has produced a As identification. of nt Name of Notary Pu r %t,' Notary Public State of Florida Frances Donza c Q My Commission GG 092440 '` or nod Expires 07/27/2021 Revised 11/16/20.1 SUB -CONTRACTOR SIGNATURE (Qualifier) ►nab. � 1Q�. RINT NAME 2.012�1 COUNTY CERTIFICATION i BER e of Florida, County of Th foregoing instrument was signe of re me this day of 2C/l,by who is personally known _or has produced a as identification. STAMP ESL/ IL .1(XJ !! ( STAMP SiLmatUre of Notary Public _ Print Name of Notary Public R Notery Public State of Florida Frances Donza My Commission GG 092440 Expires 07/27/2021 PERMIT # I I I ISSUE DATE PLANNING & DFVELOPMENT SERVICES Building & Code Compliance Division PERMIT R AGREEMENT -DA'nJ R, ,F AJ(Z, 60(J Di J 7-) P' fJ/ ,AJ& (Company Name/Individual Name) the (Type of Trade) For the project located at (Project Street It is understood that, if there is any change of project, the Building and Code Regulation filing of a Change of Sub -contractor notice. '*�A14- CONTRACTOR SIGNATURE (Qualifier) PRINT NAME qb--g&g6 COUNTY CERTIFICATION UMBE State of Florida, County of (tThforaegoing in amen was sign a ore me this day o ,by_ Who is personally known or has produced a as 0 Pp Notary Public State of Frances Donza N My Commission GG a Print Name of Notary Public' . 4o11r,,d Expires Revised 11/16/2016 (Primary or Property Tax ED #) have agreed to be regarding our participation with the above mentioned of St. Lucie County will be advised pursuant to the S NTRACTOR SIGNATURE (Qualifie PRINT NAME COUNTY CERTIFICATION >kUMBER State of Florida, County of Th foregoing instrument *&M&Jtk— as signed -before me this day of by who is personally known or has produced a as of Notary ub II y" Notary Public State of Florida /A� �4 Frances Donna (' MY Commission GG 092440 Name of 1:M PERMIT # ISSUE DATE PLANNING & R. Building & I (Co pany Name/Individual Nameyj the (Type of Trade) For the project located at Street It is understood that, if there is any change of project, the Building and Code Regulation filing of a Change of Sub -contractor notice. NTRACTOR SIGNA Qualifier) 14` N / PRINT NAME �&� COVNTY CERTIFICATION NUMBER State of Florida, County o e foregoing instrument was sign before me this 4day of 20`Y by who is personally know or has produced a as ' entification. ?SiLie, ry Publicpublic State ° r w Notary Donza Fran c MY Creamlssio 07 271202E Print Name of Nota _ blic 140E O ` Revised 11/16/2016 SERVICES de Compliance Division PERMIT R AGREEMENT have eed to be for Tax regarding our participation with the above mentioned of St. Lucie County will be advised pursuant to the COUNTY CERTIFICAT:;9786� State of Florida, County 1,0 he foregoing ins ument was signed before me 's r day of 01, by C _ � who is personally known or has produced a identification. r cy Rublic StateS*la of Nota Puc 0es Donza Fran yGommisslon GG 092440 n f/INA %. Expirea 07/27/2021 Print Name PERMIT # . PLANNING & I Building & B1 (Company Name/individual Name) the (Type of Trade) For the project located at (Project Street Address It is understood that, if there is any change of sta project, the Building and Code Regulation Divisi filing of a Change of Sub -contractor notice. 4CO,M111lRKACCTOR SIGN (Qualifier) NAME s. or ia. J COUNTY CERT ATION NUMBER State of Florida, County ofA/f 'l— The ing instrument was signed b re KKme thi / day of 2U'�,by who is personalty (mown or has produced a STAMP ISSUE DATE LOPMENT SERVICES Compliance Division PEPMT R AGREEMENT have a eed to be for (Primary Contractor) 0 regarding our participation with the above mentioned of St. Lucie County will be advised pursuant to the CSUB-CO OR SIGNATURE (Qualifier) 06�s# 1c;2;70h �' State of Florida, County oft jjGLA� The foregoing instrument was signed before we th-_:' day of r � 20/8 by /7 gv✓7 who is personally lmown%C or has produced a as identification. of A-e— / , Cahn -ems✓' STAMP ��aas P4 F� Notary Publio State of Florida — rt SANE L. CONNER ' 01 Flotida Frances Donza t P,,blic - State 0 �c �� My Commission GG 092440 �; `� P�/e�'(,,y WWI 03601 �osn° Expires 07/27/2021 a° 00(wi SS10t►` di DIG i0, 20! COmn 4� �libtia Revised ]]/16/2 it --x , � PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division e (Company/Individual project located at _ It is understood that if there is any change of listed below, I will immediately advise the Bui PERMIT DR SUMMARY _ will be using the following sub -contractors for the FWDWY - D or Property Tag ID #) s regarding the participation of any of the sub -contractors and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical Plumbing a Llbyrxal AV ©/a -7 ............ .......... HVAC/ Mechanical Roofing �jJ3 Gas i I IIPERMIT I I ISSUE DATE: NUMBER: I II Revised 07/29/2014