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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPIA--lM--i9WDI-.tV-,-E,-L-OP--M,-E'NTSE-R-v7i G ,RUMMINGFERMU. SCANNED ONTRCTOW-AGREEMENT BY lvWC A - I - St. Lucie County Tt is -tha f% ithhv- -Mcnff �qq gp-6 ffigouq 1p 'M Above oackf! pq County j R� s -_ vi—eFlpi4s I uanttl d Ad jjpc -ifie, milin1pricr-CegWjW jLisF q e�of - - haq -conirac6r-noifco. gil tkbMAS,VJENWOS . (COUNW-CERTIUCAPONNUMNEW pqL 2 ping 6"Wea�.wss signealrt�&* sic — QCTQBER Po„ p" of NotRaTU-014 I PH 'J-A SH 1 Few Name OcNotarypublie THOMAS JENNINGS -URsdifill' & P LK 23 relay oi' THOMAS: GV.JENNINGS', OW 7}�tU iiC1P� 'f 1A Fl�tti AitQtd �e 4 �t r 5 DE5LGNE ;ENGINEER:' --- X' ;Not APPROble "ryIORTGAGE COMPANY: _ NaA - licabfe' R Names- �x Address _ Address _ -. _ GitY.: " State. GfY State �Zlp ,_ - - Phone- • .ZIP �. Phone; - -_ FEE SIMPLE TfiLE HOLDER: Not Appheable BONDING COMPANY ' Not,lCpplica hie: Address:. • Addre`ss - `" � � _- Zip , Phone?: OWNER/CONTRAGiORAFFIDYIT APplicatiorrishere6ymadetgobtainapermnto,dotheworkandmstallatareas�ndcatesl Icerti[14thatnoKorjcormstal(a1 hagcommencedpiiortothgissuan�ofa-permit Svwc!6cduiKVmakesno.representationthatusgrantingapermitwillauthorizet,a rmithol0 tgbuild hesu ectstrmure which-is[nconFlictoi�ithan appiicabletcome:OwneM.ssoaatlonrules;bylaWsoran covenants aimayrestrictorprohibltsuch? strutturet;Pleaseconsult-wb8ourHomid, hers`llssoFiationandreyiew,yaurdeedforamrestciciionswhichmv,appry-. Inconsideration of the granUt.g;of this requested permif 4rda hereby agreethat j wig, to all Gespects' peftdriri tfie-Work m accQ`rdance wltfrthe apptay@dp�ans,Y6e:El$ndaBuifdlhg Wdes andSt<lutie,cotintyAmeradmenu: [he foRowingbuifdingpermttaQphrallonsare'exempffromundetgofngafuticancurrency.review room�ddttlons, w at2e5sotjYstructuress swlmining`pdals, fences;:Walls signs,:screen rooms ant? accessoryusesto another non res7denbal use �YARNRYC TO'OwNER TOUR FAILURE TO RECORD A NONCE OF COMM©VCEMEN7'RIAY RESULT IN YOUR PA G; , TIPtEE,FOR RQYEMENiS TOgY,OUR PROPER[1" A NQlICE OF GOfUMEIYGEMEPIT MUST BE�RECO-PM-- D !POSTED ON THE{JOB SRE BEFORE TIIE ARS7` INSPEG1i101�i. IF YOt! tNTE]IID,TO OBT/i4i1fINAN031►G, COTtSU1:T _ ,11IiHl'OUR'LENDER OR IN ATfORII�'ti"BEFORE REZORDB114,YDUR NOTEGE OF:CCMMELYGE'111FM:° Sign atu[eofOxm—gr/,-Lessee(SontractorasAg_ntforOwrier Slgnatureofcontracf& enseNolder'. rbTATEOF FLORIDA, •, STATE OF F 6100A, ; _ . COUNTY OF Pas•.K :. .. COUNTYOFX _ Thef om instrument a nowCedge l before me! B !; vas Ttreforgoinginstrumericitiasacknowtedged before'met f� •tfirs O?S day of Ot7.el: ZOf 4 by this J,,S. day of acraaFR - . 30 Eby hoontxS �.rTerzlLct: axowAsa seu+exas .. ._ _ Nameof'ersonnialang ement Name ofper's nmalangstaiement Persanali'ylCnown OR.Producedldentifipuon Personally Known X ORProdttcedldentibcat'ion". .' _, Typeoffdenfificaton _ Typenf.ldentilicattan' produced ,- �gnature of Notary Pu6gc State f a;) Noifiy PuOtto Staca'ot M", . SheriJAehbum, �-:l�l a1�r?� a re ofNotary Publk State f -- - "__,. - Pue>;�.?40.or co atasoz I k Comtni551on No carmmtaaon 2 • s�nm idn No _ b a AS"_ RryCmo uNlcRCGG2 .. -I) - %-EiG41ia a`.JO7nDa2 REVIEIfVS FRONT' ZOMNG SUPER\(ISE1R P,lANS 'VEGETATION 'SEA?_U,HTLE AAAN6ROVE:` tOUNTERt REVIEW REVIEW REVIEW REVIEW' __-_ fjEVIEW ,- I, REVIENt __ DATE_._... RECEIVED - . DATE. _. - COMR_ , tETEb ..! .... -_ ... -.. ev.. t I I PERMIT # j ISSUE DATE PLANNING & DEVELOPMENT SERVICES SC BY ED Building & Code Compliance Division St. Lucie Count, RECEIVED BUILDING PERMIT SUB -CONTRACTOR AGREEMENTFsT C T 2 2 19 Ie Counre LILLEY AIR CONDITIONING INC./ JARED GIBSON have agreed to be (Company Name/Individual Name) _ the ELECTRICAL _ Sub -contractor for JENNINGS MOBILE HOME SET UP (Type of Trade) — _ (Pninary Confiacto-r)— — For the project located at 1433-210-0003-000-9 (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNA RE (Qualifier) { j -Fhomo,s El. av)v)(n s PRINT NAME COUNTY CERTIFICATION NUMBER -State ofFlorida,County-of-f)o 1 iL The foregoing instrument was signed before me this V day of ' �, 20� by I VIUIY Lt-� who is penonally known or has produced a agideplificafion. ' I STAMP GG--Watufe of Notary PubIrc n �t Print Name of Notary Public ' aE State dtlaurnn GG02/2022 ' Revised 11/16/2016 I , � 2, / !z, ONTRACTOR SIGNATURE (Qualifier) QWULI i - PRINT NAME tC l30o4997. COUNTY CERTIFICATION NUMBER State of Florida, County of ( The foregoing Instrument was signed before me this � 'day.00f �� Q {off 20I by_.c,p�eol who is llinonally kn23W __or has produced a STAMP BOO =MW PERMIT # PLANNING � j Building LILLEY AIR CONDITIONING INC.IKEITH the MECHANICAL For the project located at 1433-21 (Project Street. ISSUE DATE DEVELOPMENT I k Code Compliance PERMIT R AGREEMENT BY Lucie Courft, OCT 22'7i9 $T: 64eIe covnry. Parr., agreed to be Sub -contractor for JENNINGS MOBILE HOME SET UP (Pn'mary Con ac or - -- or Property Tax ID It is understood that, if there is any change of status regarding our participation with the above mentioned project, 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. I COUNTY CERTIFICATIONNUMBER y StateofFlorida, County of 01 C I The foregoing instrument was signed �before nm� me this L day off 1—L=t_ . 20L, by 1 r 1r t ag' "t ✓%l�1lA who is persona0y (mown _or has produced a I i a.nfi L re of Notary ry Oc ) STAMP Print Name of Notary Public jW ON Notary Public State of Florida SherlIJ Ashbum g My Commission GG 213602 aad� Expires 05/02/2022 Revised 11/162016 I I Zoe O RACTO A Qualifier) R LE PRINT NAME `f C�Cp51 I $ (n COUNTY CERTIFICATION NUMBER State of Florida, County of Via 1 K 1 �f, The foregoing instrumen''ttpwas si m.,1her ........ tRix ((\'t�'_ day of 20 Eby _ �111. I l-.t. who is sonafly (mown or has produced a as identification. STAMP Signature 22tAfy Public a 11 4) Nl hwt Print Name of Notary Public Mtn NotWY publk Stab of FW da III A Mihm B2367e 0Mfon G Expim1 T