HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
Building & Code Compliance Division
BLTI[L 9dlsTQ PERMIT
SUB -CONTRACT QR AGREEMENT
SCAN Ywi
By
St Luelo rhmb/
HOME 1(1 have agreed to be
(Compail NaDidludividual Name)
the ��L'�(Z1C>4l- Sub-'onctor for P&C Construction of the Treasure Coast LLC
(Type of Trade) (Primary Contractor)
For the project located at Copenhaver Road, Fort Pierce, FL 34945
(Project Sireet Addolm Proporly Mix 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 notice.
COWRACTOR SIGIVATURL (;
Cheryl A. Jac uin
I" IiI3''T 14AME
CGC 056649
CQUNTX CERTIFICATION NVIVIDER
State of Florida, County of St Lucie
The foregoing instrument tuns signed before me this IL clay of
u 20 by'TlGQ I n
who is personally known Z—or has produced a
as tsiotitificstian.
STAMP
signature v Notary Public
Print
R. a00Y P%. Notary Public State of Florida
Alyssa Modine
oQ My Commission FF 201l
oano�� Expires04/14/2019
Revised 1 U1612016
ASVJK,O.NTk0lt Nts`rURE (Qutaililcr)
PRENT
�(479 /EL13��GgZS
f(6_i;_'i'.t aV TIFICA' ION 10MBE
State of Florida, County of 2 . O z
I`b4 foregoing instrument was signed before ttte this lS� clay of
!l!� , 24 by _#.0
wlto is Personally huOYJ! ✓ nr has produced a
as Identifica'ttion.
Ate- STAMP
$ag 16re of No ry Public
A1v ssc" (Y oA t n9-
?a4PaY Notary Public State of Florida
Alyssa Modine
My Commission FF 208475
9jt of boa Expires 04/14/2019
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building; &Code Compliance Division
BU , ILDIN - G PERMIT
SUB -CONTRACTOR -AGREEMENT
Paul Jabquin & Sons, Inc. to. be
(Company Nairnefindlvid6a.l Name)
the Roofing Sub -contractor for P&C.,.'-',onstruction..of.,the-Treasure-Coast, LL
(Type of Trade) (PrimAry Contractor)
Fort t PierceFL.
For the project located at Copenhaver Road, F
(Project Street Address or Rfep6r'1y7Ax ID 4)
It is understood that, if there is any change of status regarding our p4rticipati-on, with the above mentioned
project, the: Building and Code Regulation Division of $t. SLucie County will be advised pursuant to the
filing of a Change of'Sub-contractor notice.
CONTRACTOR SIGN TUR ii—.Uncr)
Cheat A jacquin
PRINT NAME
GCG 056649
COUNT—V CERTIFICATION NUMBER
State of Florida, C,,,,, of, St Lucie
The. foregoing instrument was signed before me thin day of
20Qlby liQ
who Is personally known /or has, produced a;
as identification.
't, STAMP
signatuie of 151011ary Public
- A I Ll -se, a M A I
PrifitNam O'Nolitrypublic
Notary Public State of Florida
Alyssa Modine
My Commission FF 208475
Expires 04/14/2019
Revised 11/16/2016
Paul Japqp*!n
.1 QQQ 056636..
!CoU—NTV:tf-.RTiFI'CATWN-NU7&ii-fL'
State of Florida, County ofa. —Law
st
The 11hregoing instrument was signed before me this 51 Idaytir
'NILO AOCQUk-V)
who ispersonally knuwn V/or has produced a,
as Identification.
STAMP
Slinatilire of Ncq siry Pub.lic,
Print Na"e f Nalary Public
=�uO:
Notary P ic St'
Notary Public State of Florida
Public State of Florida
AlysSa odine
Alyssa Modine
My Com
MY Commission
N&
Q
OF
as 0
m FF 208475
FF 208475
Expire
Expires 04/14/2019
'019
rVELOPIWNT SE RVICES
PLANNLNG & 0'4
Building & Code Cowpliance Division
'BUILUNQ PERNMIT
SURCONTIRACTQRAGREETMENT
I
have agreed to be
(Company Name/fudividtial Name)
the Sub.contfactorfor P&C Construction of the Treasure Coast LLC
(Type of Trade)
For the project located at Copenhaver Road, Fort Pierce, FL 34945
It is understood that, if there is any change of status regard n g ur 0 rt icip tion a widI
the above mentioned
pa
project, the Building and Code Regulation Division of St,lucie advised
County will bepursuant to the
filing of a Change of Sub -contractor notice.
IWAI
CON`f RACT OR §iitN-4 iliil w0fier)
Cheryl A. Jacquin
PRINT NAME
CGC 056649
COUNTY CERTIFICATION NUMDER
State of Florida, County of—.2t —Lucie
The,foregoing instrument was signed before me this lildly of
.20 bCll IVA) it i I I .(,I
(I I V')
who Is personally known -Zor lins prodpecd rt
as identification.
Signature f)rN4t#ry Public
A U-s5affl0d,
Print Nqe of Kota P bit
Notary Public State Of Florida
Alyssa Modine
My Commission FF 208475
_�orFtoe
Expires 04/14/2()19
Revised 11/1612016
G
MCATIONNOWCIR�
State of Florida, County of LO UJQ
rbpllop�golug In5trularat wo4gued lipfore we this as clay of
Hiatt is penotiguy l4lown _qr has Produced a
STAMP
PrIlitNanic of No -Ary Public
.,0 Pu, Notary Public State of Florida
ae Nikki Cutler
02122/2022
t,4y Commission GG 189140
Expirem
EF 1plpl�'
PERMIT # ISSUE DATE
.;5 F
1=11= WMEN 0171,371117IM-nugul't
� M�ffi
BUILI)INCY FE R159F
SUB -CONTRACTOR AGREI VNIENT
I
LVfn&]n--'
have agreed to be
the ?L_1J 1 a-, Sub-Coatfutor for P&C Construction of the Treasure Coast, LLC
(Type e V ii-ld , pe of Trade) 011tractor)
Vor the project located at Copenhaver Road, Fort Pierce, FL 34945
(Project Street AddrOss�1iProporly TAx ID 4)
It is understood that, if there is any chang ge of status regiarding 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.
CONTRACrORSI
Cheryl A. Jacquin
PWNT NAME
CGC 056649
(.'oUNTY CERTIFICATION NUMBER
State of Vrid. 0 %1
.Cauntyof St Lucie
'L Lf"' The,foregoing instrument was signed before me this day of
C'cl by 0)1�e4"A I A.
who is personally known V`or1;nsproduced ,%
as Identification.
tJ__1_ STAW
Signaturo of NotRry Publir
atW\SsA fY_)0C1kV)e__
Print N4ifie of Nota ,
& WP&%,
Notary Public State of Florida
Alyssa Modine
v� op
My Commission FF 208475
Expires 04/1412019
Revised 11110016
1)lt N U tqur
% A
P; RIC, L. WW,,,F.1r_
0(7 %
Stkop of Florida, County of -it—lu—clu
'rite foregoing Instrument w4s signed before site this Lu�-1dfty of
20%b by\� O-MOVD-, \klr 52--r
syho Is personally 1mulys) r has produced a
as isleutiii¢tstaats,
STAMP
re of No �P-Pubic
ncl k ("'X_
&OAY PY% Notary Public State of Florida
Alyssa Modine
My Commission FF 208475
V.F Expires 04/14/2019
PERMIT 4 ISSUE DATE
Buitding & Code Compliance Di
RECEIVED
BUILKNO PERMIT
1AXie CoUntV, P-
Paul Jacquin & Sons, Inc have agreed to be
(Coinpally NamOndlvi Wal Nanlo)
the Roofinq Subreontiutor for At ,qq,�s rue ion of the Treasure Coast, LLC
r ''"'Con tor)
(Type ��fmde) 6ap. '
for the project located at Copenhaver Road, Fort Pierce, FL 34945
{Project Street Ad
It is understood that, if there is any chmige of status regar4ing our pqrdcipation with the above mentioned
project, the Building and Code Regulation Division. of St. - Luci, advised e County will be pursuant to the
filing of a Change of Sub -contractor notice.
Che!yl A. Jacquin
PRINT NAIN=
CGC 056649
COUNTY CERTIFICATION NURWER
State of plorlda, County of —St Lucie
The foregoing Instrument was sigaW before me th6 _ (lay of
zo___, by Che[yl A. Jacouin
who is personally known _X_or has produegil a
as Identifleation.
LvalAi ot L'�—t STAMP
Signature otNotary Public
Av�A c, og, t eve-
4" "Pa. Notary Public State of Florida
Alyssa Modine
My Commission FF 208475
Expires 04/1412019
ZED
Revised 11AW2016
(11 AT RE 40101ar
Pa U I Jacauin
PRINT NANIE
CCC 56636
Stut-, 9f Florid% County of St Lucie
Tb -eing In% . Dut wos 4bned Were ow this s
fur truin
June .2018 by Paul E Jacauin
W49 IV pqrsonAlly Imown ��,,,,or has preducod a..
1Z AA STAWIP
41I4Atslre of ai
y P b pe
\LASSC' Mo At ()X,
Print Nn�) --6rNiin-iy-wliiw
-14^r
sPW P6&9, Notary Public Stato Ott- Florida
a
Alyssa M!)dine
My Commission FF 208475
04;of 00f Expires 04: Wi2r) 19
E�, :'14W�Aike