HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTFrom fax5616880909 1\161.688 0909 Fri Jan 11 12:46:21 2019 MST Page 2 of 2
SCANNED
BY
PERMIT # I / � 0 c5 10 E (/ � I ISSUE DATE
PLANNING � DEVELOPMENT SERVICES RECEzVEDBuiidin & Code Compliance Division
BUILDING PERMIT
SUB-CONtRACTOR AGREENIENT
ELECTRIC CONNECT 10N/RANDY SJAARDEMA
(Company NatneAndividual Name)
the ELECTRICAL.
(Type of Trade)
For the project located at 1312 LONE PI
Sub -contractor for OHO HOMES
(Primary Contractor)
DR- FORT PIERCE
(Project Street Address or Property Tax ID #)
JAN 1 1 2019
Permitting Department
St. Lucie Count,, FL
have agreed to be
It is understood that, if there is any change of status regarding our participation with the above inentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Changk of Sub -contractor
2ACTOR SIGN . (� allner) SIJI).CON .RACrr0R SIGNATURE (Qualifier)
t%✓
� -lee SJAARDEMA
NAME PRINT NAME
fl
State of Florida, County of
The foregoing Instrument was signed before me this day of
Gty t 2oby 1 i w
whar aalEy known _✓or has ps
as IdcnIilicali-1 ^~`~�`
Name
A
`mo,
Revised 11/16/2016
# 21055
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST LUCiE
The foregoing Instrument was signed before me, this �l i� day of
ni �CA.�12oL, by, RANDY SJAARDEMA
who is personalty known ) or has produced it P/K
as idcutiti '
STAMP
Signature o ota;y Public
SITYAN T BROMELOW
Print Name of Notary Public
�i + t�� •. SHrAN T BROMELOw
r+4 rh`i Notary public State of fiar164
Commiss;an jrGG 263111
?or M1d!i My -Comm. Expires Oct 0, 201I
Banded thtopgh ttafianal Nutary Asin.
PERMIT# I Q� _ O �I, L ISSUE DATE
(trompane/:vame•/Individu• I Na )
the i Ca. L Q G
(Typo of Trade)
DEVELOPMENT SERVICES
i Code Compliance Division
BUILDING PERMIT
iNTRACTOR AGREEMENT
have agreed to be
Sub -contractor for f �
(PrhAa ry C- onira for)
For the project located at / /� -e j h
Yz
(Project Street Ad ress 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 Di ision of St. Lucie County will be advised pursuant to the
s
filing of a Ch4nge of Sub -contractor notice.
W11111 ie
r-vLn i ti LXKT1FICATI0N TIRVIBER
Srn(e of Florida, Count)• of Ut (,. •.e—
The foregoing instrument was signed before the this Y day
.2 I br r t) * I I
who is personally known lz.� has produced a �-
a
- nq••- # GAVu
�uur
' lrA
o`PQY.FII, yz' �omm�ss pad 9,
FxQues. N WDA
Revised 11116l2016
d&4e.J_ -
SUB -CONTRACTOR SIGVA RE (Qualifier)
rRINTNAMr
COUNTY CERTIFICATION NUMBCit/�
State of Florida, Comuy of c j n ar. V,,,A -
The foregoing instrument wus signed before me this 41 do} of
, 20 16, by 3iuLa rng.r "
•rho Is personally known Zurhas produced u
as Identification.
211,17 S'1ANIP
Signature of Notan• Public
c
Print Name of Notary Public
VICTORIA L CLOS
My COMMISSION 9 GG070545
,.•�Z rrrrw EXPIRES FobnAry 07.2021
PERMIT# 1 / IZ D S-_ �s-yq I ISSUE'DATE I II
rti. r
•4V � `" r T +J Ft
iNIN9 & DEVELOPMENT SERVICES
Buildiiig & Code Compliance Division
BUILDING PERMIT
) NTRACTOR AGREEMENT
�mj&y- 4,7 /�—r/have agreed to be
(Company Nauie/Individual Name)
the Sub -contractor for
(Type of Trade)
(Primary Contractor)
For the project located at ji,-2 /
(Project Street ddress 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 Chan�e of Sub -contractor notice.
of�
slate or Flo dn, County otr
1'he fore- In9instrument was signed before me this I! or
Jue ts-,20 i�by ,�>;Il ,zA4 11)�
101016 personaly known or has produced o —4—
sTAhit,
Print Name ofNotnty Public aim $'6
Rebecca
,���°¢����-, Commission i GG9I 2021
dt3iN AatO°�Notary
Revised 1111 201G --,,,; ;,,����' gooe
51111-CONTRACTOR S NATURE (Quaitfsor)
M
PRINT NAh9E
Fa 30,0 Z 79-(
COUNTY CER7tFICATIONVEWBER {� ,,
State of Florida, County of 'Pc-1� C C. �9
The roregohsg instrunsent avas signed berare me this 2/ duay oorr
-CZ-Lt •2GL�by�. L-r��_
who is personally known e has produced a
Notary Public -state of Florida
Commission # FF 913593
tey Comm. Expires Aug 27, 201
Bonded through Natlooal & 'Assn
sus
PERMIT #
/ D �_ X
—
ISSUE DATE
(Cotppany Name/Indivi
the �LicGs'Cr.c,Ej;7�
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SU
// C/;1"
Name)
BUILDING PERMIT
tNTRACTOR AGREEMENT
'/ff✓�—is0� have agreed to be
Sub -contractor for C- Oe5
(Primary Contractor)
13 / ',?- La 41e t'; 4
(Project Street Ad ress or Property tax ID 11)
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 ofa Change.of S,ub-contractor notice.
Ma
(a)UNTY CERTIFICATION NU,KIBER
stale of Florida, County oftw e
!'Ii .foregoing Instrument was signed before me this-�c day
LA M 202byy h)') I I/ 0 i�)q 4 Nd
who is personally known Zor tins produced a
its tucatircanon.
�' wtur \ . ry tc
r? L
Print Name orNotury Pubhe
Revised 11/16/2016
aV;�y�.,,
sun-�YrRA�CTO����%_//�
PRINT NAME
COUNTY CERTIFICATION NUMBER
state of Florida, County of�
Tiie egoing instrument was signed before me this day of
�0— . 20L5by 6 i /b.!' �k-4 --/Z-,O-�'�
who is personally known _or hns.prod nced,n/� 'JL
as IJcn riot
iAM1, 'TAi1IP
,a 5' � Q[i?ero Notary �bl I.
1 v/ a
I14 irp e, 4 0- �' ti-� �ebec�a G 064a�2i
0o�ry 1 rmt , amc of \otnry Public
Hit
PERMIT# R b r _ ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Buijidin & Cade Compliance Division
C� `-F
!(e'ofTmJd
nIame/Indi id al Name)
the
For the prcjoct located at- 12—
(Project Street A
It is understood that, if there is any change t
project, the Building and Code Regulation I
filing of a Change of S b-contractor notice.
CO\'1'RAC71'012SIG • ( Itlificr
State of hlurida, County urLltLta C; C
The foregning instrutncut wus signed before me.tl,is i d
as
Die
known or Gus produced a
A-\6W Rebecca Dima
-'f F` Commission # GGOri�
Expires; —January 9,
Ruvised 11116n-016 . IIBonded thru Aaron Ni
fit! III ,,�
BUILDINC PCRMI'1'
INTRAC'1'011 AC2PENENT
Sub -contractor for
' + have agreed to be
�I �� f 1'i �� •
(Primary Contractor)
�- U / h
or Property Tax ID ff)
status regarding our participation with the above mentioned
sion of St. Lueje CoungY will be advised pursuant to the
SUIT -CO\ I'R �CI'OR SICN�t.I'UI2F �'Qual'c6cr)
'It. _r
CpUN r'V CF1rrIFICATICIN MJ.lIIJLR
State of Rloridu. County "rRIM0ra.t(V )
The furegoiug Insu•umcnt was signed Gcro(rre me chic ) do ur
20LC1,.Gy i1 :l GLI I
who is personally known llor has produced
as idrptificalion.�
b:Tnalurc of Notary 1'uGbc ••,,,, __ �� `
Print Name or Notary Public
���^'+/• CHRISTIINE M KOSAKOW3KI
MY COMMISSION # GG001803
EXPIRES June 13, 2020
1?071 396.0153 F cfzgNou —l:o:—
II PERMIT# I / D O 6—^ I y yq I ISSUE DATE I II
(Company
the Plumbing
(Type of Trade)
For the project located at _
B
Name)
(Project Street
& DEVELOPMENT SERVICES
;•& Code Compliance Division
BUILDING PERMIT
INTRACTOR AGREEMENT
has agreed to be
Sub -contractor for GHO Homes
(Primary Contractor)
�'O✓]e r' /)
or Property 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 rlivision of St. Lucie County will be advised pursuant to the
filing of a Changie of Sub -contractor notice,.
State of Florida, Counly'of�—
The foregoing instrument was signed before me i
T�� .20•��by / /
who Is personally known produced a
at ldeati0ea on. -
- Commission # GG9
= Explres:N ion
Revised 11/1612016 =,, Bonded
if M„�°
SU&CONTRACT NATURE (Qualifier)
Gary Kozon
PRINT NAME
COUNTY CERTIFICATION NUMBER
state of Florida, County of Palm Beach
y or The foregoing Instrument was signed before me this �9th day of
QLC/Mnrch 2017,byGory .Kozanwho ispersonally known morbas
produced a NIA
as Identification:
•""""'��. A11NA-LESA MARIA PENAS
r• �
STAMP fig HOUryPUk*Afttu of Florida
SignAturApf Notary Public '__• •= CammlaciOn GG 016"6
yl� s My Comm. Explras Nov 26, 2020
' nY(i t� An a•I e a M..Penaz Sondedthrough Nillanal Notary Assn
Print Name orNotary Public
i