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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division SCANNED BY BUILDING PERMIT St Lucie Countv SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: d�. 9 5 1 5 State of Florida Certification Number (if applicable): C� 13��b�� � a N GrQ E E N E-7 C I (Z l C LU C roff (t f tc., have agreed to be the (Company Name/Individual Name) C`- C-NC-. Lrn\ Sub -contractor for e-Ur,, (Type ofTrade) (Primary Contractor) l S© I- 004Q j For the project located at 1�� �/. 0/ 5 � �{ • �/. � �f 9Sd (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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-06) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE RE�REQUIRED Business Name: VJ)N 1T-fUE' Clq CL—E. L TR 1: C Address: st S e 11 City/Swe/Zip: Y11�77 , krck )S ¢ 'M P one. �io5"1I�' Si3-1pemail: O11frT"4t11k tG JiC Q r)lho��l r'-0'("' �YILI�iI�„U°a��1 Yv Llona �d /J l,le2/I oa - ©a- a o �s SIGNATURE PRINT NAME r n ^ t DATE STATE OF FLORIDA, COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF 2045 BY ✓� �[ a1 L 3L Fie—Q n WHO IS PERSONALLY KNOWN OR HAS SIGNA SLCPDS: 12/16/2013 w(STAMP) AN�ELA M.l11tFP ��. _ ••`:: MY COtdMdSJOuft E'_OOS530 - : �Ot p.• EXPInES: April l2,_ "•:j'pf,RC Bwd dTlw NNary Puhlfc Underv+rters To: Building Permit Page 2 of 2 2015-01-23 21:03:57 (GMT) 19543333940 From: joshua buck PE_ zr.1 T t T 1501 0087 ss = �� E 1 /7/2015 h-_ - - ' 'x .PLANNING & DEVELOPMENT SERVICES Building&: Code C.onlpliance Division SCA YNEq µµj }.gig &FH��S �_• YIJS I'+..� Luci 3 1 � BUTLDINGPER-MIT St 2 COUntt, . ti =" 'T.,�``,^'.•..., .......... SUB-CONTRACTORAGREENIENT. . S1. Lucie Catun�' Contractor CcrEifscation Number: 28909 State urFload,CcrtiicationNumber (u'a,rtl l) .AC.1.17Ca.15 C CryG. ((i0 n Jcs� I,(a Q CA G k have agreed to be dic (Contparry ivamt'/lndividttai Name) _ Mechanical ` " Sub -contractor for Edward S. McKenna Inc ... ( Primary' Contraclorl (1'y p or .Crude) . For the project located at 1801 N US 1, Fort Pierce, FL 34946 ____ -.. (project Strew[ Address or Frgpcm T 1x ID =} It ig understood that, if there is any change of statusregardiiig our participation with the above ni.enticrtied pt'oiect,, I will in mediately advise.the Building znd,7_oliing l?epattrient of St. LLtcie.County by filing: a Ciialig of Sul),contracior notice.. (Fomi:. ;SLCCDY (No 004-00) BUSINESS QUALIFIER (Nadu. of the individutllshownontheCoutractofsLicense) SIC;N,1s.IQ1ZES A€/..I R V.U'MD _ �day�i(I Ct,•�suvr�� 'I3ttsinessHaut-: Address: e Citl/StatuZt(r .. '.... ���•� 34 ' Zu c_ � � l �Y � 33 954-675-0134 )t7,shua er calicavalry.com . email: ,. —. rT_ JCS�Ua SI NALURE .. PRINT NAME - DAM S'rATE OT FLORIDA, COUNTY TIIE.FOREGOUNGINSTRU,1IhNT *V.,X$SIGNEDBEFORENIETIIIS _DAf'OF 00uv 2(1 la' � . DV _ J NSF=iE.I A f, Cc ct< _ e'+`IIO IS PERSONALLY KNOWN OR 1,tAS Ph ODUCED B � Git^ttF�i 5 �i CC aSe S=P--3-7-7W AS IDENTIFICATION. . (STrtNIP) . SIGNATURE OF NOTARY.FUBLiC PAN. xA, E OF N T Y PUBLIC SLCPIIS t!8/U6l2UI# ti DOLAKE . .. �. �._. � _, � Notary PuLlk • Bute of Florida � . y = My Comm. EzDhea.Oet 6, 2018 '•'•'.,?oot� CommISSIon N FF 166274 To: Building Permit Pagel of 2 2015-01-23 21:03:57 (GMT) 19543333940 From: Joshua buck FAX COVER SHEET TO Building Permit COMPANY St Lucie county Building and Code FAX NUMBER 17724621578 FROM joshua buck DATE 2015-01-23 21:03:32 GMT RE Sub Contractor Agreement COVER MESSAGE Sub Agreement for 1501-0087 SCANNED BY St. Lucie County WWW.EFAX.COM REli�,rl a 1$Si1e ualE SCANNED 1-1.:aAAl..I. ax urf.l ai.a/r:ae:o 1 M.laa la.aa Building & Code Compliance Dhtait)n �1 R-i'U.gR\I'IOA.II:AF.I�ILV7 ?, _ .. _ _ slY...•Itl..sett-,ititcr.:.,t �uat..m.cr-.+w• CCC132720i) Edward S_McKenna Inc _ —_—, •ltlq�etc.Aa:,n 6alrchlla \a�w1 uS) Snl+courfactut to, Edward s McKenna Inc r,., I:tc p,,,1;,t i.,-nt„ lat 1801-A North US highway 1 BY St. Lucie Countv it i.lutdcnnvd Ilut: tf thyc i:an� ch=m^e uf�titue"trwJing e¢t Ieteti:ipun.n Stith tli: a'ai•. trrntim.7! pt:�ect, I %%illitncrahAuly zd•i,a the Ilmliting and /.,Yong lkpatm.nl of tit Luac Ci mtrby filing a L'I,:ctGi of sm ,umtoxfol mmice.,l.9 T; SI CUM 0."(i.1-01 - BUSINE.SSOUALIFBER t\az ,Jtt.-In o„twl.tn.un., ti, tlenat.•i+t4.c , acre aalze:n <li:N tTlIRI:S ARE I-moriulm Edward McKenna Inc ,�S,y�„" 72.9,�SLQ Blltmore St. UnilS l•n.+st+t:.7r,•: F' rl St Lucie. 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