HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTMIT #
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PLANNING &DEVELOPMENT SERVICES
Building & Code Compliance
BUTiJUNIQ PERMIT
SUB -CONTRACTOR AGREENIENT
�-�� I-� % Tom' K Yl�rn�w5
have agreed to be
the Sub -,contractor for P&C Construction of the Treasure Coast, LLC
fj (Type of Trade) (Primary - Contractor)
Forth, projedt located at W2 Killarney Avenue
(Project Street Address Or r9p
,It is UO I ove mentioned
Perstood that, if-there.is any change of status regarding.our participation with the ab
project the Building and Code Regulation, Division of St.- Lucie County will be advised pursuant to the
filing, fa Change of Sub-contractor.notice.
CONT gCTOR SPGNATVV,�"Tiineri SUP-CONT, R T(A�NATURE (Quatillier)
C 1AJac quin
PRINT AME NAIN
GY,G 056649 L
'C50RTY cKiff MR COUNTY CERTIFICATION NUMBER ER"
Stateo lorida, County of _St Lucie State of Florida, County of 5UUme_
4 Y)
Th or going instrument wa sigpgd before me this 2-4-1 The signed before me this 24
y of claypi,
-IT
h ry
" L 20-1?, 20\b, by,� �IA n_W 6( 4 by OLCO I A I V-)
who Is personally known 1/_Or has produced is- who is personally known I/ or has produced a
as Iden, ificatiqn. Idendfication.
STAMP STAMP
gia;nat;re of Notary Nblic' !c
e_
i 2o1d`Y Pose Notary Public State of Florida
Notary Public State of Florida
0 Alyssa Modine
% My Commission FF 208475
Icof f�--OCommission Expires 04/1412019
Revise 11/16
f'Gl3:tfitT � s
tite
Baal- & oche-00gPI'aAV r� �I��isa��.
Nye dljrL'C ('lCt 12
5ub•c4rttrat for czar. 'P&Ciinstrtic r'Tasura CoasC.,LLC.
(rrii:�af:;+±CntYtrgctte� ).
54,32 Killarrs ul: �.....
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,Fat'the Pr*ct loc itediax t Q ..; Sfrc t ,� +qt;w> a pi' tO'r s YrY':, ' 3
it is iasaat'stQod, tks1;; iF them i� any ct3at��e:oz sturu3 red ardsn¢ �::r �artici��tt�rn wtts th4 above �.ientianed'
p�oj�Y t, the: T3uild'tng"and Ccsdc 32'n i+}arson i� v st4rf of"5t ttci c4mliy will ire%, t►s zi'pstrsuant to.the.
lir.9 of a :ehariga o Sub -.conga col aleti4 •
CE).°.T1:1Cf S)emq'n
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CMi K : a; iB CA.TIOI �a)tlffLk'
Stvtaof Fiariq'i, Wu*gl af, St Lucie a'µI
'rhefaregoinbtnslrupxrat�iKts;f;oo�7firfnnnsrit�f.,H,,! !taXoF
who isPelaO 1lt•iiatv#iy�prlizs;pradus�da ,.
:sldrntlfi�aticn.
{wY'Atufc!If. pWf,�`, t':iSlt.-.1,.!_klZf. , �. �.�,.•.�,.
a,APY °oe,^ Notary Public State of Florida
Alyssa Modine
�a My Commission FF 208475
�Aq,..,F plres 04/14/2019
5 'z .fiI 0 St(, tiA7GRE L
r� "TRO
t 1OISTyCEi:'ilE Grlfi(?�'vL�tt3eit';. •--
tiluof Flgvlda; Bounty a; /e d
T6 ;};»gr t�sp'lausumeni n'es ci npt± t eturr cri.f4is4_ j5.day of
urn,rc peru#w1:y��Ka s�p�sre.ltks prrodtirrY# s ,�,,,,,;.,__.._;..
Ye,n# fr ni u! ti. t ty ut+ll@.
St15ANMONTENEGRO
MY COM ssJON Pr G4 08"M
z .a
EXPIRES ApfU M
tFD'.Yj'pwl%u*"i Xs ,
# I I ISSUE DATE
the '1 0<A_
�J (Type of Trade)
For
It is
proj
States
as
project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
loC-
have agreed to be
Sub -contractor for O-J/" CdI�S Dx) dr,# www- CQTctc
(Primary Contractor)
S�iZ �l��uhQ,v�
(Project Set;A1ddresor .
Tax ID #)
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.
clC _ _ Osbce_"
Y CERTIFICATION NUBE
Florida, County of
:going instrument was signed before me this sl>7day of
20�by i %A, (r)'
e ovally known _or has produced a
AMP
11/16/2016 ,,pit "y AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
..,:a EXPIRES: March 6, 2019
Bonded Thru Notary Public Underwriters
Jif,:laa`'`
SLdB �WXTRACT IGNATURE`(Qualifier)
xl;
PRINT NA E
0—Cc— o • (o (03 Z1.
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me thisp;�_,_ day of
CDLvAq 206, by.
rs personally knowd" or has produced a
as identification.
N O
A�2� Z. ST
Signature of Notary VC
Print Name of Notary PUPlie
`, rm Pig,
*.
a: Q*
AUDREYB, HUMPHREY
EXP MMISSION
# FF 772
EXPIRES.March 2019
Bonded 6,
ru Notary Public Underwriters
the
For
project located at.
ISSUE DATE
RUO)IN, f* PERMIT
SUB -CON . TRAC . TO&AGkEEMENT
have agreed to be
Sub,contwtor f .or P&C Construction of the Treasure Coast, LLC
or
It is:.'nd tood that, if there- is any change of status reg4rdirig our partici' at' n with the above mentioned
ers P, to-
proill I t" the Building and Cod.6 Re Division of St. County will be,ad*0 pursuant to the.
as
0
of a Change of'Stib-contmetor notice.
FA
of St Lucie
t was signed before we this af�!Iay of
a20.tsy. Nh-�-rjj I known or has 4
�W
(f C 14 Z-7D
State G!"FloAdg, County of
The foregoing i.natrurneat wus signed before me thlsd,y or
ev J J J
who is personally known rhea prod Ueed a
as identification,
STAW
Sig" tlwv� of I qtary Public
b
&
Notary Public State of Florida
A A Notary
Modlone Iyssa Modine
'11/1 &2016 41 4
My om
C missi n FF 208475
x , a 0 11 1 019 My commission FF 208475
Expires 0=411412019
STAMP
SUZANNE COLLINS
tss 9 9 MY COMMISSION #FF1 6 45
EXPIRES: FEB 24, 2019
Bonded through let State Insurance
PLANNING & DEVE L0,P1 NT SERVICES DEPARTMENT
Building.& Code Regulations Divisiola
23,00 VIRGINIA AVENUE.
ron Pl RCR, FL 349$2.5652
(7723162.1555
FILLED LAND AFFIDAVIT
1, the undersigned, am the: owner of the 1'ollowu�g described properly,
1301-614.-0013-OOQ-6 5412 Klllarne Avenue
(,Parcel Ici#f/Legat dscra1JEton1 ddre4s)'
for which I have applied to St. Lucie Cow,ity for a� Final .Development Permit, In
.accepting this Final Development Permit, BP Number 1-acknowledge
that as ounaer of the above described property, and in .accordance with. Section
7;04.01(D), St. Lucie Count y Lars l}eveloprgent Code, I shall beyesponsible for assuring
adequate drainage so that "the immediate com unity WH,,i NOT be adversely affected.
I further, acknowledge that in granting this pertrnit for the development of this property,.
;St. Lucie County.is, neither obliged tior liable to provide for, or maintain in any form,
adequate✓ ciraibage off my., property which will not adversely affect the immediate
.community.
P&C Construction of the Treasure Coast, LLC
PropertyOwnerName _(Please' Print)
7/23/2018
Properly Owner Sf e Date
STATE OF FLORIDA, COUNTY Of Lucie
ACKNOWLEDO D'BEFORI?METHIS r d.AYOF
Jvet 20
13Y I IIOT$ PERSONALLY 1`.NO\YIw Lb ME (ff.) 01t WHO HAS;
IPRQI)UCEP -AS IDENTIFICATION.
SIGNATURt.OF NOTARY PUBLIC
'COty mjss10N Nu.N BcR
SLCIPOSD Revised 04/11120.11.
TYPE OR I:CNT NOTARY
P 'AL)
40-0119s, f, Notary Public State of Florida
Alyssa Modine
c My Commission FF 208475
y� of F,o4� Expires 04114/2019