HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT(Company Nameffnd
the a
(Type of Trade)
For t e project located at
It is
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
BY
SCANNED
SS�}} F Y
-St. Lud e c' ou 1 y
have agreed to be
Sub -contractor for.. p
(Primary Contractor)
(Project Street Address or Prdperty Tax
-3")qF�—)
that, if there is any change of status regarding our participation with the above mentioned
the Building and Code Regulation Division of St. Lucie County will be.advised pursuant to the
a Change of Sub -contractor notice.
m m=
GOtJ1,10rida,
'ER'I'II CA ION NUMBER
State County os ADO
The for Ilgoing instrument was signed before me this day of
20a by,
w�015IJersonally knownor has produced a
as idea fication.
�=1z1;1f1—
�STAMP
Signaf ° e of Notary y public
Print Nome o
JESSICA PRESCOTT
Notary public, State of Florida
iltG/201ti'• '�
°
My Comm. Expires Oct 1, 2019
�pd
Commission No. FF923MI
101WINJORNA
PRINT NAME O a
C G -C.014�5'3`1G
COUNTY CERTIFICA`rION NIJMHER
State ofMorida, County of i �-
The foregoing instrument was signed before me this day of
��h 2 , by
who is personally knownWor has produced a
as identification.
s
STAMP
ignatu of Notary Public
Print�e o otary PublicF) v
JESSICA PRESCOTT
l `
Notary Public, State of Florida.
My Comm. Expires Oct 19
Commission No. FF M1
PERMIT # I I ISSUE BATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
-- ° = (�%`rh-P J r L�lerLf � have agreed to be
(Company Name/Individual Name)
the Sub -contractor for; a; a^,.L �t` e
(Type of Trade) (Primary Contractor)
For t e project located at C� ' �2.3 o 2 0 06 d 6
(Project Street Addre or Property ax �O)
It is u iderstood that, if there is any change of status regarding our participation with the above mentioned
projeck, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
i
filing Of a Change of Sub -contractor notice.
NONT1 OR SIGNATURE (Qualifier) SUB-VONTRACTOR SIGfqXfURE (Qu Mier)
PRINT AME PRINT NAME
COUNT ' CERTIFICATION NUMBER COUNTY CERTNICATION NUMBER
State of Florida, County o State of F7oridn, County o{,�i
The fore orng instrument was signed before me this day of The foregoing.instranuent was signed before methis/� day of
2o� by 9 4 ��I �
znLY, by t'_ d %A �1;teA,,S
who is pi* smlally known*or has produced a who is personally knowjeYor has produced a D L
as identilcation. N as identification. \
Notary
Public
STAMP
Public
�'o�j°"` ��' JESSICA PRESCOTT
Notary Public, State of Florida JESSICA PRFSCOTT
Revised i /16/2016 r My Comm. Expires Oct 1, 20.19 f*, _* Notary Public, State of Florida
Commission No. FF 9233 1 :a My Comm. Expires Oct 1, 2019
Commission No. FF 9=1
STAMP
PERMIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
° have agreed to be
(Comp ny am Individual Name)
the e1jg 4 L Sub -contractor for 1 �` rYj �ri
(Type of Trade) ,(Primary Contractor)
For tt project located at V. go
(Project Street Address or roperty Tax ID #)
It is uderstood that, if there'is any change of status regarding our participation with the above mentioned
proje I;t, the Building and Code Regulation Division of St. Lucie County will be.advised pursuant to the
fllin of a Change ofSub-contractor notice.
(}c 1 if. U-1:0K sttMI T }RF ((Qualifier)
N
PRINT AMF.
C'.oUNT CERTIFICATION NUMBER
State of F,jorida, County of W
The fore 'oing instrument was signed before me this. day of
20J by
who is peisonally
known for has produced a
as identi cation. r-^�
STAMP
w.,
............� JESSICA PRESCOTT
*� Notary Public, State of Florida
Revised i litsnal6'�'• 'r MY Comm. Expires Oct 1, 20.19
`; Commission No. FF 9=1
AUCONTIR-AICTOR'(Qualifier)
Qa"d_
PRINTNAME 1
COUNTY CERTIFICATION NUMBER
State of:Fiorida, County of yy,.
The foregoing instrument
¢was signed bbefore me this i� day of i
i ,.20..E by I��i ii 1 irl ctf"� rc
cal
who is personally known W or has produced a
JESSICA PRESCOTT
Notary Public, State of Florida
t •, My Comm. Expires Oct 1, 2019
"s¢�MoA Commission No. 0 923361
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building. & Code Compliance Division
BUrLDrNG PERT-qIT
SUB -CONTRACTOR AG",EA ENT,
F ; have agreed to be
(company Name/Indtvidual Name)
d1e —� r' c~ r Sub -contractor for . L!t% t� o-
2 P L
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property. Tax 10
is understood that, if.there is any change of stales regarding our participation with the above mentioned
ojcct, the Building and Code -Regulation Division of St, Lucie County will be advised pursuant to the
ing of a Change of.Sub-contractor notice.
1 r rent 101t DIt;NATU-RE (Qualuiler)
NT NAME
31TYCERTIRCATIo N MBF._R
of Florida,.Couoty o • �iGi! �('(, V ,
for doing instrument ttas signed before me (his - . day of
i I II Gl m l (
.�,
Is personally Imou•n�or hos�pmdwed a - -
....tr:...:__
STAMP
/UB-C"t�.T.AMT.011 SIGNATURE, (Qualm;r)
77-1
PRINT NAME
f ell-
4-MINTY CERTIFICATTON NIMMER
State ofT'loridu; County oC ((,�
Thd foregoing instrunien�tt was signed before me this _ coy of
Z0JJ,by a vSOS
rvhois persnrmtty known' l�or has,produeed a as identincadon..
�I�nn 1� .l CQf�� ST,1D1P
`-'btgoature of Notary Public
Print Name or Notary Pubtie
erg: JESSICA.PRESCOTT
+ {* * Notary Public, State of Florida • LAURAR. CUBSEDGE
u.t6.zolh 4� My Comm Expires Oct ],2019 '� :Ccmmissiorlt9GG022078
Commission No. FF923361 ':�.,'PirosOctober 2t2020
�,,,�,, ti ThruhojfxirllnlLT�rp600,W ,71119
# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name/Individual Name)
of Trade)
For *,,1project located at
BUILDING PERMIT I RECEIVED
SUB -CONTRACTOR AGREEMENT
JUL 2 6
ST. Lucie County, Permitting
e a l C %k 7JOE-7 have agreed to be
_ Sub -contractor for
(Primary Contractor)
rP��cMc� Clc� C r i-a 1 lJ PaC4,V
(Project Street Address or Property -:Pax ID #)
It is u lerstood that, if there is any change of status regarding our participation with the above mentioned
projec the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing a Change of Sub -contractor notice.
� gt-
I z I 1/ 6[Z
CTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
NT
l r,0yi m
ME PRINT NAME
PRINT N
-(0 L) I�3�
CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
COUNT
State of F
rida, County of State of Florida, County of c.i C. Y1 t/LGe
The foreg
ing instrument was signed before me this day of The foregoing instrument was signed before me this /S day of
20� by , 20 by fillr1"u- /kt-t IZ �C1 CC
who is pe
onally known _or has produced a who is personally known or has produced a
as identifi
ation. as identification.
STAMP STAMP
f Notary Public Signature of Notary P bli
n ure'i
icy. e c JcC
�e of Notary Public Print Name of Notary Public
Print Na
Revised I
..Iy
JESSICA PRESCV17 .
Notary Public, State 6J. forida
My Comm. Expires t?.ct 1, 2019
Commission No. FF 923361
A
PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for JWC
tmYC r
(PrimaryContractor)
project located at _ �8'IC 1 G CCL
(Project Street Address & Property Tax
It i4junderstood that, if there is any change of status regarding our participation with the above mentioned
the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
of a-Cheng--of Sub -contractor notice.
Y
Stab d:lofFlorida, County ofSu•VJ4Ut�E� -f
The �bregoing Instrument was signed before me this da of
201'�by%la"eVWl CF
who I L personally known —)&r has produced a
as Id nti6ca on. Q!�
I' JT"STAMP
SUB-CbWAACTOR SIGNATURE (Quali r)
PRINT NAME
E C- i 30 UQCVS"3-
COUNTY CERTIFICATION NUMBER
Slate of Florldn, County of S LI L,,,q r nP—e
The foregoing Instrument was signed before me this __[!�day of
, 20M, by CIl C.•Yltl)
who Is personally known IC" fins produced a
as Identl c lion.
STA51P
Signatu eof otaryPublicc f ,
'yss CC>, t `iC—SC0 t f
Print Name of Notary Public
<ttl! JESSICA PRESCOTT
<l•• JESSICA PRESCOTT
o+# * Notary Public, State of Florida
Notary Public, State of Florida
NMY Comm. Expires Oct 1, 2019
Comm. Expires Oct ida
Rev. k 11/16/2016 e;, Commission No. FF92336f
Commission No. FF923361 ,
Total'Sq.Tt of Construction:
Cost of'Construction: $
All ABLE INFeedlMM BE COMPLETED FOR APPLICATION TO BE ACCEPTED
bate: Permit Number:
j
}
Building Permit Application
Planning and Development Services
Building- and Code Regulation Division
23W Wrglnio Avenue, Fort Pierce FL 34982
Phone: (712) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR:
legal Description:
Property Tax ID #:
,Site- Plan Name:
Project -Name:
'Setbacks front. Back:
Right Side: Left Side:
rtionalwork tobepertormea unaertmspermm—amroROil LllOLQ JJl -
_Mechanical _Gas Tank _Gas Piping _,Shutters
Electric _ Plumbing _ Sprinklers _ Generator
. Sq. Ft. of First Floor: _
Utilities: Sewer _Septic
Name
Address
city:, State: _
Zip Code: Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the,OWner listed above)
Name:
Lot No,
Block No..
Windows/Doors r
_ Roof j
Building Height:
i
Address
City: (4 ate: �--
Zip Code: )`2 Fax:
Phone
r
E-Mail:Wi1'1� !�� iC il'C �Cf`DY�e=Cp^^:'
State or County License: S e- me'µ 2 ?(0
of construction is 2500 or more, a RECORDED Notice of Commencement is required.
I PERMIT#
ISSUE DATE
l! PLANNING & DEVELOPMENT SERVICES
aAM Building & Code Compliance Division
(_AFC SA- l
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Com&ny Name/Individual Ntne)
W��k 'C'_
(Type of Trade)
project located at—(S�
(Project Street
1 P3 l VC-LI-k=49 have agreed
dtto be
Sub -contractor for k 1 \ I i t -vt" \�- ea�
(Primary Contractor)
or Property Tax
It i4l understood that, if there is any change of status regarding our participation with the above mentioned
the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
of a Change of Sub -contractor notice,
(.UUIY A Y ULK 1 WIL A I IU14 INUaIDPM
Stall of Florida, County of tVAA,\aA-€ e-
II
The 1Wgolughtstramentw ' as signed before me this day of
20by \'l M1 d ► CC —
who personally known�or has pro�d� 1ed a
as ldentin tlon. ! 1
of
N
STAMP
J4�
V5 t_ c5�;10
COUNTY CERTIFICATION NUMBER
State of Florida, County of 511I V-J C\AN-f\CC—
The foregoing Instrument was signed before mo this ? dey of
, 2a by
who is personally known 16r has produced a
as id t cation.
STAMP
Mtary PublicPCB. sc--
NotaryPublic
JESSICA PRESCOTT
JESSICA PRE8C0�`i'
N..IM
Notary Public, State of Florida *; Notary Public, State of Florida
11l16=16 *` !* My Comm. Expires Oct 1, 2019 My Comm. Expires Oct 1, 2019
°� Commission No. FF 923MI o Commission No. FF923381
e L
--' —�— PERMIT NUMBER
installer ss f ! I License tl
Addressof home
being Installed,
Manufacturer LsnR$ x width
N07E• ' If home Is a single wide fill out one half of the blocking plan
If home Is a frtple or quad w1de sketch In retnarnder of home
I understand Laietat Ann SYsterns cannot be used on any home (ne"r."',
Where the sldswalt ties exceed 5 ft 4 In,
tnstatlet's inftiais
Typ21 pg spacing �
--PER-Mrr-_VV0F#KSHEET=- - -- ---
-'
page 1 of 2
New Home. Used Home'
Home Installed to the Manufactureft Insiailallon Manual
Home Is Installed in accordance with Rule 15-0
❑
Single wide Wind Zone i1 1lYind Zane 111
❑
Double We ' ❑ Installation Decal ##
Tr(pidQuad ❑ Serial # . q
PIER SPACING TABLE FOR USED 146m;:n
4wr>g she r
W x 16' 18 V2' x 18 ill' 2V x2V
22' x2V
W X 24-
2W X 2t3
�h' (s4 N)
PSG) (342) (400)
(48W
(676I•
(676) .
1oaa 1
Dsts
00
4 8
8
8 8 8
e
8
iriterpoteted from
Rule .6. 'J.,. _ 8 .. hkl 8
PIER PAD SIZES r
I-beam pier pad size
Perimeter pier Pad size
Other pier pad sizes .
(required by the mfg.)
011 Draw the approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol to show the piers.
Ust all marriage wall openings greater than 4 Soot
and.their pier pad sizes below.
Opening Pier pad:size
TIEDOWN COMPONENTS
Lgngltudlnal Stab11&n9 Device a5D)
Manufacturer
Longltudlnal I qq VI t "s
Manufactvrer
POPULAR AD SIZES
ANCHORS
4 ft t2L15 tt
FRAME -n
within V of end of home
spaced at 5' 4° do
OTI� HER TIF.S�
Sidewali,
Longitudinal
Marriage wail'
Shearwall ��