HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # U 'i� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division -
(Company Name/individual Name)
the �%�('i c a t
(Type of Trade)
For the project located at 32, < 0 V-P•(—P� I q fl
(Project Street AddWss or
It is understood that, if there is any change of status
PERMIT
R AGREEMENT SCANNED
By
Sl bidp N[i:E'tl
have agreed to be
for Dt -Finac2S cd Gdi�sify_drioirl
(Primary Contractor)
34 5q 9
ID #)
our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
Fling of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County or•� e
The foregoing instrument was signed before me this I \t day of
20A by ���� �•' n(nt` secs
who is personally knownn V_or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
LASHAHNA INGRAM
?24� ¢`% Notary Public - State of Florida
gm�90 + My Comm. Expires Dee 20. 2018
Revised I I/I6/2016 %;kOFF��:� Commission # FF 177249
''������" Bonded through National Not"
Man. '
SUB. ' -TRACTOR SIGNATURE (Qualifier)
II Gin s kD0P,*%'qn,t.+
PRINT NAME
U-0 v. u
COUNTY CERTIFICATION NUMBER
State of Florida, County of '�+. 1. AAC; e-
The foregoing instrumentwassigned before me this day of
, Ul1l�� . 2U i 1 by trbta.f �$5 �d�Q�A
hrho is person �or has produced it
' cntificatior(�
I
�I STAMP
St nature 'otarvAllubri
Print Name of Notary Pu ilic
' gat DAVID JURKIEWICZ
•" MY COMMISSION # FFM909
"%4 • EXPIRES June 05, 2020
,,'e''"' 15 FWiftN0W ervice.com
(407) 398 0183
PERMIT #
oo
ISSUE DATE
PLANNING & D
Building & I
Hypoluxo.Plumbing, Inc
(Company Nametindividual Name)
the Plumbing Sub.
(Type of Trade)
For the project located at 3� Sov ER
(Project Street Address or
It is understood that, if there is any change of status
'.,OPMENT SERVICES
Compliance Division
1NG PERMIT
CTOR AGREEMENT
project, the Building and Code Regulation Division of
filing of a Change of Sub -contractor notice.
J:
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Floilds, County of
., The foregoing tastrumeat was signeddb•before me this 114 daily of
20� by 1' >` V i �rt1� ��
Who- is ilersonally tmo a :or has produced a
as Identification.
STAMP
Signature of Notary Public
Prlat Name of Notary Public
LASHAHNA INCRAM
Notary Public - State of Florida
My COmm, Expires Dec 20, 2e1S
%9• P°, Commission ,',� FF 17, 4 '.
Revised 11/16n016
have agreed to be
for t T--QAW <C6C.0 COW 61—
(Primary Contractor)
c'W \'W N-Y
Tax ID #)
our participation with the above mentioned
Lucie County will be advised pursuant to the
SUB -CONTRACTOR SIGNATURE (Qualifier)
Ronnie Burkhalter
PRINT NAME
21272
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
The foregoing Instrument was signed before me this day of
J"uh►v-- .201$ by Ronnie Burkhalter
w s personally known I
has produced a
Ias I ifieadon.
STAMP
Signature of Notary Public
Dolores'A Price
Notary Public
DOLORES A PRICE !
Commission # FF 943625
Expires Ftrbruaty 19, 2PO
ewa.dn.uTMyFskbuui.n.eW0 M
PERMIT #
Z1I ISSUE DATE
PLANNING & IIDEVELOPMENT SERVICES
, Building & Code Compliance Division
ram- r /✓� e n ���-ink �/ ;�7r L
(Company Name/Individual Name)
the S
(Type of Trade)
For the project located at
PERMIT
R AGREEMENT
on alrr/ems//*
for
(Primary Contractor)
(Project Street Address 'or Property Tax ID #)
It is understood that, if there is any change of sl
project, the Building and Code Regulation Divi
filing of a Change of Sub -contractor notice.
CONTRACTOR SI�]GNATUU E (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this t!_ day of
20A by �o L 6 M ngyc
who is personally known' or has produced a
as identification.
J-9n,f Notary Public
Print Name of Notary Public
have agreed to be
regarding our participation with the above mentioned
I
f St. Lucie County will be advised pursuant to the
117
-CONTRACTOR SII NNATU E (Qualifier)
PRINT NAME
�a 4.,
COUNTY CERTIFICATION NUMBER
State of Florida, County of. Sr L �?
The foregoing instrument was signed before me this/3 day f
20 L6 byy wit �ci iih Cf
who is personally kn.F or has produced a
as identification.
I
I
STAMP STAMP
ignature of Notary Public
LASHAHNAINGRAM
���av rye%''•
Notary Public - State of Florida
Expires Dec 20, 2018
Revised 11/16/2016
MY Comm.
# FF 177249
9l YV
O;
Commission
Bonded through National Notary sn
Print Name of Notary Public
,•;.? SUSAN MONTENEGRO
MY COMMISSION # GG 089099
"s b`= EXPIRES: April 2. 2021
_' ' Bonded Thru Notary Pak Underwriters