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Home My WebLink AboutSUB-CONTRACTOR AGREEMENT2016-04-18 16:40 j.a.taylor,'---offing 772 468 8397 >> P 1/1 PERMIT # PLANNING Buildin v0gImp flal' of9T St. Lucie County Contractor Certification Number: State of Florida Certification Number (i£applicabic): � 6r &nz (Rmpany amcflndividual Name) (Type of Trade) ^,J For the project located at S $1 (Project S It is understood that, if there is any change project, I will immediately advise the Change of Sub -contractor notice. (Form: BUSINESS QUALIFIER (Name of the ISSUE DATE I 1, 1 1(0 t DEVELOPMENT SERv I c E sR. E C F= & Code Compliance Division APR 18 2096 BUILDING PERMIT PERMITTING )NTRACTOR AGREEMENT St. Lucie County, FL or have agreed to be the itractor for _S�nr 41 (Primary Contractor) \�ea, regarding our participation with the above mentioned and Zoning Department of St. Lucie County by filing a (No. 004-00) shown on the Contractor's License) Y) THE FOREGOING INSTRUMEZa. T WAS SIGNED BEFORE ME THIS DAY OF , ZO (p By "�-WHO IS PER SONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. SI NA RE OF OetrA Y PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS.12/16/2013 r� e�gor ?6 OFF 936050 J nr RECEP 7D OCT 191015 .SCANNtu PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES -,. Building; & Code Compliance Division BUILDING PERMIT -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: I ;2 % 3 4-4r&, State of Florida Certification Number (If applicable): C / c % y �. %Y�ia-� � �'� �+ � ✓ �' Cr— (Company Name/Individual Name) let— U-P $41 /3 r AJ f,- Sub -contractor for (Type of Trade) have agreed to be the i' Afti-I A-G N - RC7'YM n .tiv c. (Primary Contractor) For the project located at �5-0 .7- "Y 0 ! P ) 7 4 7 W - S (Project Street Add Iress or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) No,rARIZED SIGNATURES ARE REQUIR U Business Name: A&grr72 /-,I- &/ OAV3 ,wC, Address: ! Sr/ C `s1 v TL' dam/ r1r City/State/Zi S i7//O'�7Z� p'�t . y 1 'f % Phone: Z 09 7—Z 3 G. C. ii email: �- SIG PIANTNAME DATE STATE OF FLORIDA, COUNTY OFGfG r THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS _�J'DAY OF �/ CC�— , 20 % J' BY C!� %'LI �l �C.t L �' �!' WHO -IS PERSONALLY KNOWN OR HAS PRODUCED �L/J L AS IDENTIFICATION. (2le—/cQ� C - 1Lh r Cj �'' (STAMP) SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 Pw a~n �.•a�, TERESA L BENNIGAN io[ Notary Public - State of Florida • E My Comm. Expires Dec 29, 2017 -Commission # FF 71718 ,''% lot GN to` `` Bonded Through National Nola., Assn. RECEIVED OCT 19 0 -' ter PLANNING AND DEVELOPMENT SERVICES DEPARTMENT • Building and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUMMARY project located at will be using the following sub -contractors for the Name) -31'0 1 -d'7 6 i G 66 -s (Street address or Property Tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical /� �- v r <r �E �- C 3° 7 Z. j 9GZ1 Plumbing /h r+ S I 19 L u c1 ,6 c N G— �/ � lq�O 9 213 ( G HVAC/ Mechanical ' P t I A t A - 1 /g 390 Roofing �rYzo:� C CC 13 2 SB tS � Gas I i OFFICE USE 'ONLY: PERMIT ISSUE DATE: N7TMRTi D. Revised 07/29/2014 RECEIV7D OCT 191015 00 M PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): PERMIT R AGREEMENT 117K2-I Fri100 30'7 have agreed to be the (Company Name/Individual Name) C�CTp' I C I Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at L1 5--6 '—' 1 ---5- o / — 6 7 (,. -7 _ o cm _ S (Project Street Address or Property Tax ID #) I It is understood that, if there is any change of status regarding our participation with the above mentioned ,I project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a I Change of Sub -contractor notice. (Form: SLCCD (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: City/State/Zip: rdK,--7 < �i�e�i leAl L(N7"Rf}C1Inf - /AIC Q n I Pl_ email: D e—\r P,y C'l'l �j ' " ' V ET AAW b%CL, AAI PRINT NAME FLORIDA, COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS / '9 DAY OF Ju / 3 /� DATE BY WHO IS PERSONALLY KNOVW�L,, OR HAS -_ PRODUCED r SIGNATURE OF NOT Y PUBLIC SLCPDS: 08/06/2014 AS IDENTIFICATION. Dorise C. WOW PRINT NAME OF NOTARY PUBLIC RECEIV'ILE-D OCT 192015 PERMIT # ISSUE DATE i PLANNING & DEVELOPMENT SERVICES Building;& Code Compliance Division St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): -DS AIR CONDITIONING HVAC (Company Name/Individual Name) (Type of Trade) BUILDING PERMIT )NTRACTOR AGREEMENT 19390 058715 have agreed to be the Sub -contractor for SHORELINE CONSTRUCTION i (Primary Contractor) For the project located at 581 Nettles B (Project Street Ai , Jensen Beach, FL or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: BUSINESS QUALIFIER (Name of the NOTARIZED SIGNATURES /ARE l Business Name: b S /4)-e Address: PO BOX 197 (No. 004-00) shown on the Contractor's License) City/State/Zip: JENSEN BEACH, FL 34958 Phone: 772-335-4531 email: info@dsairconditioning.com i DANIEL SHAWVER SIGNATURE PRINT NAME STATE OF FLORIDA, COUNTY OF MARTIN; 10/9/15 DATE THE FOREGOING INSTRUMENT WAS SIGNED (BEFORE ME THIS 9 DAY OF OCT 92015 BY DANIEL SHAWVER WHO IS PERSONALLY KNOWN X OR HAS PRODUCED AS IDENTIFICATION. CANDACE DANIEL I OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 (STAMP) O1 dm Daniel NOTARY FUII= STATE OF FLORIDA ComnrtFF907378 E*m 815=19 \ r RECEWED OCT 191015 PERMIT # I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building; & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): _� ( (, l . z 5799!r 0 11io. • have agreed to be the �Company me/Individual Name (Type o Trade) for For the project located at �`t �CJ.G - ��J�j_ / ' U l/� %• (Project Street Address or Property I ax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCGDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REOUIRED Business Name: Address: City/State/Zip: Phone: ., -DATE INSTRUMENT WAS SIGNED BEFORE ME THIS JJ DAY OF 4�f / , 20 / b d WHO IS PERSONALLY KNOWN Pl OR HAS / AS IDENTIFICATION. (STAMP) rUBLIU PRINT NAME OF NOTARY PUBLIC SLCPDS: 12/16/2013 KAREN S. NIELSEN z9 �_ Commission # FF 115637 3, oar My Commission Expires °o,;,a June 12, 2018