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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES 7 Building & Code Compliance Division SCANNED BUILDING PERMIT BY SUB -CONTRACTOR AGREEMENT St il_ude Govni) �J .4L ✓1 >qny Name/Indiv*al ame) (Type of Trade) the project located at have agreed to be for a6 P 1 Q, l' JI-�-' e.Vs� ✓n— L (Primary Contractor) (Project Street Address or Property Tax ID 4) "'41a7 - 311- 0015 - ©DD -5 It Is 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. JNTY CERTIFICATION NUMBER e of Florida, County of (j foregoing instrument was signed before me this day of is rsonally I:nown_or has produced a • STAMP Name of ;Py AUDREY B. HUMPHREY MY COMMISSION # Fr174772 EXPIRES: March 6, 2019 11116/2016 ' �,' ' �: Bonded Thor Notary PubtrUnderwriters Af,n S ONTRACTOR SIGNATURE (Qualifier) PRINT NAME � 10 Ll COUNTY CERTIFICATION NUMBER State of Florida, County of LLAJ e- The foregoing instrument was signed before me this L3—iay of who is personally known ' or has produced a otzv �0�11f1111�1//��/ 1 a identification. `e�� .GOh�MISS? � a* oaly2,?Ffo Signature of Notary Public = z ; ­ m CO #FF 5337 19 SABRINA L. BLACK9�A.�ZpdedthN��;' Q Print Name of Notary Public ////1 ; i�O' lBb$ o n (.0q F It PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Electrical Systems (Company Name/Individual Name) Electrical Sub -contractor for Gillespie Builders (Type of Trade) (Primary Contractor) the project located at 53?o Treetop Trail (Project Street Address or Property Tax ID #) have agreed to be understood that, if there is any change of status regarding our participation with the above mentioned t, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the of a Change of Sub -contractor notice. CQWRACTOR SIGNATURE (Qualifier) as NAME of Florida, County of S -C OR SIGNATURE (Qualifier) Robert Ogonowski PRINT NAME 19326 COUNTY CERTIFICATION NUMBER State of Florida, County instrument was signed before me thit�_O_ day of The foregoing instrument was signed before me this L day of 20-11 by _ L� gj L -er� 20f�troduced o l� illy known _or has produced a who is personally known a STAMP �!�. 4 0 T7 1%rF Name of Nolty Pub is 5Y vv�E s AUDREY B. HUMPHREY _*. MY COMMISSION # FF 174772 = EXPIRES: March 6, 2019 11/16/2016 '• pf l d Bonded Thru Notary Pubrro Underwriters as identification. signature df Notary Public Print Name of Notary Public SUZANNE COLLINS 2Y F(�BG .o MY COMMISSION #FF196945 EXPIRES: FEB 24, 2019 ' Bonded through let atato Insurance STAMP PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Company Name/Individual Name) Sub -contractor for 6,.Illely (Type of Trade) (Primary Co tractor) the project located at F7_� �u (Project Street Address or Property Tax ID #) understood that, if there is any change of status regarding our participation with the above mentioned ect, the Building and Code Regulation Division of �t. Lucie—Gounty will be advised pursuant to the of a Change of Sub -contractor notice. (Qualifier) J` e_L1'1q'e0zr"qd)-Z__ CERTIFICATION NUMBER of Florida, County off (,�C foregoing instrument was signed before me th:s%� day of 20Zi by is personally known or has produced a STAMP Name of Notary Public dO,PffY Pya. Notary Public State of Florida Loretta M Thibault y c� oa My Commission GG 093573 Expires 08/10/2021 SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME ,FC COUNTY CERTIFICATION �N—U,MBER State of Florida, County of J7V1&1l_CJz%11 The foregoing instrument was signed before me this x�� �! y //of 20& �� V Wes" who is personally knovv�r has produced a =OgAy P pe, Notary Public State of Florida Loretta M Thibault ',Woo My Commission GG 093573 Expires 08/10l2021 STAMP PERMIT # I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Com'tiy Name/Individual Name) �,1� , Sub -contractor for (Type of Trade) have agreed to be �L (Primary Contr ctor) or the project located at _T57z> Ire— �_- 1-0,e (Project Street Address or Property Tax ID #) is 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 GIan2e of Sub -contractor notice. (Qualifier) NAME ,WVD2fy02 7NTY CERTIFICATION NUMBER e of Florida, County of `e -- foregoing instrument was signed before ,mee(tthhi /sue day of n 20W, by is personally known has produced a identification. -----'STAMP of Notary Line of Notary Public =Noate of Floridanderson GG 211266022 11/16/2016 UB-CONTRACTOR SIGNATURE -(Qua r rer) C � Q0 co b�� PRINT NAME COUNTY CEIMWATION NUMBER State of Florida, County of cat- Le CC( C— e foregoing instrument was signed before me this day 1of I A , 201ff by qir-Liazi who is personally (mown c-affias produced a as identification. signature of Notary Public T C Print Name of Notary Public Notary Public State of Florida Amanda P Sanderson �My Corm"""a211256 xpires 04/25/2022 W00