HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT'CANNED
BY
i
PE41T # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
)bell ae in•ec E (,2G'(' ic. GotA - rxn u have agreed to be
(C'mpany Name/Individual Name)
the A i C i Sub -contractor for 0t Fr-cP_ V% C E 5C o CO n Stf Lac GVA
(Ty' a of Trade) (Primary Contractor)
For the pr I Ject located at 3 O_o
(Project Street Address or Property Tax 1 D #)
It is under toad that, if there is any changeof status regarding -our participation with the above mentioned
project, thl Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
i
CO ACT IR SIGNA COAACTRE Qualifier) 5U -CONTRACTOR SIGNATURE (Qualifier)
Doi L I z n l cMEo V4PnPWI_p/Y•,V,J
PRINT NAM PRINT NAME
COUNTY CE IITIF CATI N NUMB R COUNTY CERTIFICATION NUMBER o
State of Florid it County of 7! State of Florida, County of 5 • L"W
?hs
oing Instrument was signed before me 77this/ day of The foregoing instrument was signed before me this Za day of
2d [ LK %a � �� �(� , 20.q b/y ' t�t7o0y1�
rsona y know�f_or has produced a who is personally k V or has produced a
'AMP
AUDREY B . HUMP -
Revised 11/16/2 16 =' +` MY COMMISSION #FFR74772
% EXPIRES: March 6, 2019
�Rf ° Doeded Thru Notary public Underwriters
ill
DAVID JURKIEWICZ
c MY COMMISSION #FF998909
` EXPIRES June 06, 2020
(�tOTi3�80�53 Flo W rviw.00m
STAMP
i
(company Nam
the „i%G cry
(T ype of Trade)
For the
It is
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
(Primary Contractor)
ectlocated at 2266 `7oO 000q- (Doo3
(Project Street Address or Property Tax ID #)
have agreed to be
ood that, if there is any change of status regarding our participation with the above -mentioned
project, t e Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of.,Change of Sub -contractor notice.
State of Floi
The foregoh
w ' perso
as identifical
Sigaeture of
Revised 11/16/201
i SIGNATURE (Qualifier)
,I/�� n�. B-CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
a�00 `3 (��'
CIFICATION NUMBER COUNTY'CERTIFICATION NUMBER
County of State State of Florida, County of Sr.7
strumen�t�wJas signed before me this 2 day o, fir, The foregoing instrument was signed before me thi z of
20y4 by rn I i+-�_- .V 1 � PN C OXQ , 20 , j4� l9—/"/,;z e�
known has produced a who is personally knoor has produced a
as identification.
r
AMP STAMP
i ublic ignature of Notary Public
tary ubbic Print Name of Notary Public
%i�@fill-, AUDREY B. HUMPHREY
+i MY COMMISSION 4 FF 174772 �'P' I'Y;�s ,, SUSAN MONTENEGRO
''...
EXPIRES: March 6, 2019 MY COMMiSS10N GG 089099
%AfF� Bonded ThruNotaryPubticUndenvrders EXPIRES: Apd 2. 2021
Bonded Thu Notary Pubic Underwriters
# 1 1 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Cade Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Hill Poluxo Plumbing, Inc
_
(C ampuny Name/Individual Name)have agreed to be
the I Plumbing _ Sub -contractor for DiFranceseo Construction
0 pe of" I'rmie) (Primary contractor)
For file p o)eel located at �2 a 3 6 `100 O Z)0-7 p o® 3
(Project Street Address or Property Tax ID 4)
It is understood that, il'there is iffy chance of status regarding our parlicipalion with the above 191entioned
prgiect, t I e I3uilding and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of Change of Sub -contractor notice.
Acovk—%(
SICNA'1'latl (Qualifier) -'�'SUI"I'OIt -S1GNA'I'lTltli (Qualifier)
1'RINT NA51 ; --
11 PRINT NiMME
State CFC057974
1I G °21272 St Lucie
V-0UNITY CI, ITIFICA1101\ N11111 KIt COUNTY Cb:ft'1'11'KA 'It1N Nli.%111F1t
-State for Work, 0, County of �j(�i✓(�C_
-State of Florida. Courtlyi"cl-k
11'orego(n lustrnnteot was signed hefure me thiss44 day of 1'h • r : ' - _ -
c fnri- oini, iintrutnutt eas signed befory toe this tlay of
. 2(1]1, by m C y� -'�
*.i CAr►bda lyy-%,�, ll�g . by RO tsa+�C �l� �tC.t1bL1 L
+'It 1s persnnlpl lly kno++ produced a
who is personally knoW11 ®-or fins produced a
as identificad in.
as identification.
STAMP star. ��
S(gnature of 'ahl r S'IW%IP
signature of Notary Poldic
Print Namc.11 'otary Pat it
Print Nautc of \utan Public
I
I
,
,�%M' eye = AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
ItcviacJ l�,l EXPIRES: March 6, 2019 ;: Dp`CZ-
I I%16ti IN (' W.o Borrdad Thru Notary Pubrc Underwriters ; °�:•' '%g :; C5 A. :0434525
Afro 5.i ( C0111Tission 41
Exiares Febru0:°•:: r,i
II
PE MIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ELITE OOFING SOLUTIONS INC. have agreed to be
RdoFmird Name/Individual Name) DEFRANCESCO CONSTRUCTION
the Sub -contractor for
ype of Trade) (Primary Contractor) _
For the oject Located at ' 2236-700-0009-000-3
(Project Street Address or Property Tax ID #)
It is and rstood that, if there is any change of status regarding our participation with the above mentioned
project, a Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing o Change of Sub -contractor, notice.
(Qualifier)
B-CO CTOR SIGNATURE (Qualifier)
PRINT NAME
8 ;t*vO 3 (,2( C dC i-:330937
COUNTY RTIFICA ION NUMBER COUNTY CERTIFICATION NUMBER
State of Flo 'dal County of GU-' State of Florida. County of /}'I� stxrl N
Thqz
e forego g instrument was signed before meth day of The regoing instrument was signed before me thi5/_ day of
zu)) FP V C L
Wo, ao18, by 5 GRr!-fEi-
fs By known or has produced a o 6 personally Imown �or has produced a
aside 'fi ltion. as identification.
ku�r ,�;�CSTAMP '�2��f.STAMP
Sigoatureol Note blic V 24oftary PuBlic
elrt°sa. Amn e Fasaoz)
PrintNami Notary rupilic Print Name of Notary Public
Theresa Anne Fasano
Quo ti soy, NOTARY PUBLIC
o STATE OF FLORIDA
"fir PkJ AUDREY B, HUMPHREY '' Comm# GG126275
Revised 11/ 6/2016 k. r MY COMMISSION # FF 174T/2 ��MCE 191� Expires 7/15/2021
.yq EXPIRES: March 6, 2019
q q,' Balled Thru Notary Public Underwriters