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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