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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT 5-3-19PERMIT # ff - (Company Name/Ind the ' (Type of Trade) For the project located at 1D/ -05 ISSUE DATE PLANNING & DEVELOPMENT SERVICES, RECEIVED Building & Code Compliance Division I 0 3 2019 BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 1 S`V. Lucle County, Permitting SCANNED BY Si Lucie County !M L' .�' 41d - have agreed to be ividual Name) Sub -contractor for . 66. (Prima ntractor) (Project Street Addre/or Prop'eriy 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 Regulati Ion Division of St. Lucie County will be advised pursuant to the I filing of a Change of Sub -contractor notice. G2,eO CONTRACTOR SIGNATURE (Qualifier) (% /6� d o PRINT NAME I I COUNTY CERTIFICATION NUMBER State of Florida, County of Ore The foregoing instrument was signed before me this /G day of A 19 t- , 20� b(/ E TC by Pik P3 r /46ICC 60 who is personally known Yoor has produced a as identification. 0 STAMP Si re o otary Public Print Name of N tary Public '00""Y "" MARIA DIAZ =°SAPUB`A.; Notary Public - State of Florida • Commission A�>GG 055017 Revised 11/16/2016 My Comm.-Eipires Dec 13, 2020 Bonded through National Notary Assn. -wa3 COUNTY CERTIFICATION NUINIBER State of Florida, County of The foregoing instrument was signed before me this Z'Pday of vYJ / 20L , by Ign` Cy-f 1- -' who is personally known _or has produced a •..H/ as identification. Signature of Notary P I' Print Name of Notary blic ! • ,..-- —ice �Y PLg,'!,• B• NUMPHREY AUDRIrY MY COMMISSION # GG 300817 EXPIRES: Mar 2023 BondedThnrNo1�Y n Planning & Development Services Building &I Code Regulations Division 12300 Virginia Ave. Fort Pierce, FL 34982 (7721462.1553 Fax 462-1578 CHANGE OF CONTRACTOR Or Subcontractor or Cancellation of Permit RECEIVED MAY 0 3 2019 ST. Lucie County, Permitting Change of Contractor is to be completed by the property owner, and the new contractor of record for the current permit. A new permit application must also be completed with new contractor information, signature, and transfer fee. A new Notice lof Commencement must be filed in the new -contractor's name for job values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must be submitted prior to commencing any work. Subcontractor changes can be completed by the general contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the owner and qualifier of record. Date: Site Address: `7'���� Al #u) Permit Number: / 0` - as �a �/aty -o A paAeco � State License FG°�3(Jl�Y60SLC License 3/0 .2 Original General Contractor (or Subcontractor) New General Contrator (or Subcontractor) Reason for Change Jo-6 S% E State License CtiQ�3�i��fl0 SLC License r 4Ae co The undersigned does hereby agree to indemmi and hold harmless St. Lucie County, its officers, agents, and employees from all costs, fees! or damages arising from any and all claims of action for any reason, which may arise as a result of this change of contractor/subcontractor or cancellation of permit. A perm4 cannot be cancelled if work has been performed. SIGNATURE OF OWNER (or owner/builder) " SIGNATURE OF NEW GENERAL CONTRACTOR PRINT NAME /�L �iL?Go�6/ State of Florida, County of St. Lucie County The following instrument was acknowledged before me this .11�day of >Q-vAa L , 20,lj', by 0, who is personal now to me or who hU produced as ID. Signature of Notary Date PRINT NAME l/ �L�/ vJ G,4r/ State of Florida, County of St. Lucie County The following instrument was acknowledged before me this .day of .PP-4'Z—20'9, by ?3� vho is personal know to me o who has ed as ID .. Signature of Notary Date *Only sigt1!'t' f subcontracto R*' � w� M 01 Revised 07/ Nt1tNy Public - SW* 0! FIOfi1x Npwy � . � a • iorida • Commission •'IN 055017 s » • CoewslU V*105;;017 MV Comm. Expires Oft 13.2020 " ply Coeirls. 3, 2020 ''� •� „� `� BW$dthM* Nailonal Notary Assn. "'� ��� 1011d11 MNoia„ Assn, PERMIT # 90os�� ISSUE DATE `l - PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division - - BUILDING PERMIT SUB -CONTRACTOR AGREEMENT NA C 3 ev%Ars (Company Na- Andividual Name) the (Type of Trade) For the project located at 4#10 G . (Pr7a;C a- have agreed to be Sub -contractor for (Primary Contractor) (J M.&&V qC- 1414-104-0062-0009 Tax ID #) It is understood that, if there is any change Hof status regarding our participation with the above mentioned project, the Building and Code Regulation bivision of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice,. CONTRACTOR SIGNATURE (Quallt er) (%b-(Iyto PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this j�� p"- day of ,,�� by who is personally known N or has produced a as.iden cation. STAMP Signature o Notary Public Print Name of N ry Public "�vP„� MARIADIAZ =o`er Notary Public - State of Florida ?. •= Commission if`68 055017 Revised My Comm. Expires o" 13, 2020 Ilondad through IWimal Notary Assn. 4SI1(2�-GONT•RACr.OR',_$tVS&CURE ual r) S Ck PRINT NAME ccict33 097415 o COUNTY CERTIFICATION NUMBER/ ,Dime State of Florida, County of�1 a'_ The foregoing instrument was signed before me this day of �AArCII'X , 20 M9.-r � Lt �- 65 P a who Is personally known has produced a as Identification. a��_ STAMP Sigli-alu're of Notary Pub �'ct�ua . �d�QkAS Print Name of Notary Public y Patricia Bolanos NOTARY PUBLIC STATE OF FLORIDA • Comm# GG266065 19�� Expires 10/14/2022 PERMIT # / 119 % V ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division - -- BUILDING PERMIT SU$-CONTRACTOR AGREEMENT i 'T yo It 6114t , V5 Je fw+v► G L i Name) then (Type of Trade) For the project located at 44/ 0 have agreed to be Sub -contractor for , (Primary Contractor) L)OAtpv 1b(,AAA90 C 1 e Cti-e, '4 1414 - 7"04 - CWe - Poo 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 filigg of a Change of Sub -contractor notice. r CONTRACTOR SIGNATURE (Qualifier) 61 PRINT NAME 0 COUNTY CERTIFICATION NUMBER s State of Florida, County of-a-d 105 SUB CU r'1 OTt SI(NAI URE (Qualifier) Cr �G�1/d�r A 1 d''L co PRINT NAME IF G 13 00 y &0 COUNTY CERTIFICATION NUMBER State of Florida, County of Oal- The foregoing instrument was signed before me this 26 day of The foregoing instrument was signed before me this �_ day of zo�by V �� G 1 O /5 ��/-0 , 204 by OeAV-4 6 �- �� who is personally known i or has produced a who is personally (mown �r has produced a as identifieation. Sighature of Notary Public Print Nance ofNptary Public a 'dentification. STAMP Sidnature of ktary Public Pl ) 14 Print Name of Notary Public MARIA. DIAZ .� • MARIA DIAZSuit Flodda Notary Public - State o1 Florida =o��` °�-� ; Notary Pub�tC'« ii8 055017 Commission # G(i 055017 00� GOO.des Dec Revised 11/1s oY6; ors My Comm. Eilpires Dec 13, 2020 •;9,;�oFF��:A`•' ByoItMW�NationalNotary A' " �" Bonded throu hNationalNotar 0 Y Assn.„I1611� STAMP PERMIT # ISSUE DATE PLANMN ,-,,' & DEVELOPMOENT SERVICES c I Buffdh ig & Code Compliance Division / p i BUILDING PERMIT SUB -CONTRACTOR AGREEMENT I AAAW 4�t t�C�6f�Q,have agreed to be (Company Name/1ndiYiduA the Me c ck'Sub-cozztx ctor for _ . (Type of Trade) (Primaiy Contracts) u i —A&Wb GEC lenL� For the project located at - W_ �NLO I (project Street Addiess 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 g filing of a Change of Sub -contractor notice. ................ .__....... .......... _._ ..., .._... __..,_..._.._._ ......_. _ __ . �.___ ._._...._.... ...__-__ _. ._-.._........ ,. . PRINT NA TW PRINT NAME 70 p� COUNTY CERTIFICATION UMBER CO TY CI;RTHWA ION NUMBER I State of Florida, County of ///�' State of Florida; County of The foregoing instrument was signed before me this this L� day of y� The foregoing instrument was signed before me this .— day of / m .200 bbyy�.[-L-�-�"�`= )5 C�" �C � �- 26�,, by who is personally ltnown � ar has produced a who is personally.lmoiin -K.r has produced a as identifi lio n. as identification. c STAMP STAMP L-1-re o otary Public s Signature ofNotaiy Pubfie— Pria Name of Notary Public PrintName of Notary. Public \`N 1a , . c MARIA DIA2 `\�\\��,�ps1 Ngtary PUblIC • Slate o]FION44 e �`'•4p!! T % Commis fIon #to 0:� ?My Comm• Wiras O1i Bonded through Nationll No Revised l )I16/201G - #GG 246466 40 tic i PERMIT # 6 �l/ — © S ISSUE DATE (Gtom ny�N2tne/In-d the u (Type of Trade) For the project located at PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be d�aName) �., Sub -contractor for V tUD OLA-*� (Primary Contractor) It is understood that, if there is any change 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 I filing of a Change of Sub -contractor notice. 02W CON[12A°"'CTORSG1�frlldl�jRE�(Q a Fier) PRINT NMOE COUNTY CERTIFICATION NUMBER State of Florida, County of �t2 The foregoing instrument was signed jbefore �meetthis dayof 204by who is personally known t� or has produced a as ident. peat n. Signature ot('1�llotary Public Print%Ninie GTNotary Public St AUt ��NTRtGi OSI1eVTiUFr(Qualifie ) PRINT NAME 3 j 1 +o COUNTY CERTIFICATION NUMBER State of Florida, County of On The foregoing instrument was signed before me this ?Pday of dVl A&C E7�li�ll 4 , 20 fl by. % S a D, 4 who is personally known _or has produced a 5 15 1 j- 100 - 61496 3 7�r' as identification. STAMP k__Ua=C_2�� Signature of Notary Public #-,"A 1- f6( Print Name of Notary Public 10kiavn'4%,, MARIA DIAZ �A Ndtary Public - State of Florida Commission #'GG'055017 My Comm. Expires Dec 13. 2021 Revised 11/16/20 '�i,` PO Bondedthrouah hAtlenal Wt2,. Aim. STAMP MARIA DIAZ J••t�Rr P�o'a Notary Public - State of Florida Commission #*GG 055017 F My Comm. Expires Dec 13. 2020 Bonded through National Notary Assn.