HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT03/22/2016 14:53 4073702539 ELECTRICAL PETROLEUM PAGE 01/01
PERMIT # ISSUE DATE
S [ �" =`: ,,•:,,.• PLANNING & DEVELO
NT SERVICES
Building &Code Co
Ranee Division SCANNED
•
BY
BUILDING P
SUB-CONTRACTORA
REEM[ENT St. Lucie County
St Lucie County Contractor C.ertificatip0 Number:
State ofFleti&C rdficationNlmrber•(tr•ppSoabk): EC-130033
Electrical Petroleum Services, Corp
have agreed to be the
(Conq=yName&dividuat Namjand
Bud" -contraetarfo
Mulligan Constructors, Inc.
(Type of Trade)p'nmaty
Contractor)
For the project located at 8ia30 S 1, Port St
Lucie, FL 34952
(Projess or Peopecty T
Iti #�
It is understood that, if there is any tus tegardin
1u participation with the above mentioned
Project, I Will immediately advise thnd Zoning D
artmeat of St. Lucie County by filing a
Change of Sub -contractor notice. (F(No. 004-00)
BUSINESS QUAD (Name of the Tndivid7at shown oi
th. Contractor's License) co
NOTARIZED SIGNATURES ARE REQUIRED
N
1
Business Name: � lyial 'e` -CJyy
� N
N
L,L�Cz.S
A 10223;Glacier Ct
.
/gUJ
tate/zip: Orlando, Florida 32821
407-722-1478 a
Q.
3121@o hotmail,eom li
Ramiro Ponce
3/21/2016
DATE
SIGNA PRINT NAME
STATE OF FLORIDA, COUNTY OF 1 -" a11yc
THE FO ING INSTRUMENT WAS SIGNED BEFORE ME'
BX 'Jo O
PRODUCED AS
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 03M6/20I4
21 DAY OF' March
IO IS PERSONALLY NNO
,2016
OR HAS
Commission # FF 6177a
My Commission Gpira,
oclober_10, 2017
i
PERMIT# )SCSI- U 9 1 [ ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (ff applicable):
Ismaels Petroleum LLC
('Type of Trade)
For the project located at
Z-q -7o
PPC 1256857
SCANNED
BY
St. Lucie Countv
have agreed to be the
Sub -contractor for Mulligan Constructors, Inc.
(Primary Contractor)
8630 S US Hwy 1, Port St. Lucie, FL 34952
(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. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: Sf'r11�t�cl-S F,"j-iWl.Eurn L-Lc,
Address: 3440 ooreS Lake Rd.
City/State/Zip: over H,
33521
Phone: email:
is ismae spe ro eum.c(
xllsmael Chavez 3IZ�I(F�
SI ATURE PRINT NAME DATE
STATE OF FLOR_TZ.\\I S5L_
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS d' TDAY OF rY)?RC - 201 I>
BY 7P5M?�-" WHO IS PERSONALLY KNOWN �G OR HAS
PRODUCED Imo- —1 9I LAC%AS IDENTIFICATION.
-:j� (-16,,
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
PRINT NAME OF
(STAMP)
g Notary Public, Stateof Floft
COaaai$glea 0 EE &3M
—_-- 19 My comm. expires Oct 22.2016