HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # r _ r'� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie County
1�/ 1 1 C.(�7#�/��f' sy� - have agreed to be
(Company Namelindividual Name) �/
the F&M bo!Fzj Sub -contractor far ✓lntZ pri_ raj c/ 4[nc
(Type of Trade _ (Primary Cop etor)
For the project located at ,•.__.. ®/ P5Z
(Project.StreetAddress 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 Coded Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractpr notice.
CONTRACTOR SIGNATURE (Qualifier) Tyi'c B-CONTRACT 1GNATURE(Qualifier)
<'ff4� _
PRINT NAME PRINT NAME
COUNTY CERTIFICATIONS NUMBER
State of Florida, County of ✓ • �i� <-t =^
The foregoing instrument was signed before no, tbb;2-T day of
s \ 2( 1_7byy
who is personally known Lfor has produced a
as
/,I
Revised 11/16)2016
COUNTY CERTIFICATION
,�CNUR
, MBE
State ofFiorfil County of N )_UC -'
The jfoore_goingm
�instrueut was signed before me this? Jay of
who is personally known _nProduced a
EXPIRESM _.•"rr'M
aMt 09. 2019
Public ; y olv CQMl6nWI0N 0 FF192590
C EXPIRES March 09. 2019
3 J =.�Y;n 3 .�
a
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
e Building and Code: Regulations Division
SCANNED
BUILDING PERMIT St. Lucie Count,/
SUB -CONTRACTOR SUMMARY
be using the following sub -contractors for the
(Company/Individual aloe)
project located at
(Street address or
It is understood that if the is any change: of status regarding the participation of any of the. sub -contractors
listed below, Twill immediately advise the Building. and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
Plumbing
All /,L
C Ilot, sL
HVAC/
Mechanical
Roofing
Gas
PERMIT
Revised 07129/2014
ISSUE DATE:
Jun 021709:02a _ -- - P.1
PERMIT# j "1 /tom; J _ �O ! - ^ ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
1 - Building & Code Compliance Division
BUILDING PERNUT
SUB -CONTRACTOR AGREENIENT
SCANNED
BY
St. Lucie Coom
have agreed to be
(Company Nameiludividual Name)
=he �_j�rrY��ill� Sub -contractor for: �, rA,/] (j_, Con-lr,4
(Type of Trade (Primary Co ctor)
For the project located at _ � �s v E�G Irl 3ws
(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-contrac r notice.
CONTRACTOR SIGNATURE (Qualifier) i ONTRALT [CdYATURE (Qualifier)
PRINT NAME PRINT NAME
COUNTY CEHI H ICA170NSqNUMIIBER
State ofFlorida, Count ofy�• Ll CI �
The foregoing instrument was signed before mei this �-� day of
s \ 20 l-Iby
who is personally known=or has produced a
as identification. ..,.__
COUNTY CERTIFICATION
���
NUMBER
—%
State of Florida, County of l 1L;-C:tc,
Thefooregoing instrument was signed before me this �-4 day of
(
who is peersona0y known - ar ba✓ s produced a
LINDA t
C CoLL1NS !/! %v " `' i LINDJ .fffPLLINS
Signature of Notary public ? PIRESSSIOFI O FF ° SSION >f FF192590
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09.2019 I''h� e,EXPIRES htateh 09. 20
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RECEIVED JUN 022017
PERMIT# ) r) O�n ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
SY. Lucia Counlyi
/9' /,:, f77ew) 14_have agreed to be
(Company Name/Indivi'l I Name) /�� _ I 1
the ��P c�r/ c _c. / Sub -contractor for N6J � lZ� ( � A -a, � 1��G C J
(Type of Trade) (Primary Contrac or)
For the project located at *'-MO S
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-c actor notice.
CONTRACTOR SIGNATURE (Qualifier);:-• SUB -CONTRACTOR SIGNATURE(Qualifier)
m �y
orz.
PRINT NAME - a PRINT NAME
�9�0,P�3o��17�1
2 Sp9
COUNTY CERTIFICATION NUMBER " u'N COUNTY CERTIFICATION NUMBER
State of Florida, County of 6�--'—oGl ERE
=m M State of Florida, County of
3he foregoing instrument was signed before in
zoVby �
o is personally known Vor has produced
as identification.
Revised 11/162016
JUN 2 6 2017
gpJ� The foregoing instrument wfas signed before me this ZLdny of
who is personally known _1.,�Or has produced a
as identification.
MP V, _,,
CA4 dr`•-' `� Tom`""' �' STAMP
Signatu eeofNotaryPublic �J
of /t7 C/2 C .
Print Name of Notary Public
LINaq C COLLINS
4 MV COMMISSION • FF192580
EXPIRESMarth08.20/B h1uLLiNo•.i So.sa. mr
CONIRACTOA SIGIYA771RE IQa.caw)
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PRINTNAnre
PERMIT#
7� f / �R
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
By
St. Lucie Countv
•'"' — - IK..e have agreed to be
n,�A�t(CompanyNamNt vidtlalName)
the_'.l[rh,gt OtI Sub -contractor for T01y\oY �nP��C0.C�1T�A
(rype of Made) (Pnmary Contractor) J
FortheprojectlocatedatJ3%D
It is understood that, if them is any change of status regarding our participation with the above mentioned
project, the Building and C egulation Division of St. Lucie County will be advised pursuant to the
filing of a Change onotice.
f S ntractor
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PRaV'r NAME
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COUNry (ERTnnG110N NUMBER
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EXPIRES: March 2019
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