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Home My WebLink AboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTr f fM E A �r A �� Building and Code Regulations Division SCHNNEp JAN I S tots BY PERrrTING BUILDING PERMIT St Lucie CoUnt ft. Lucie County, FL SUB -CONTRACTOR SUMMARY tY (2QIAV will be using the following sub -contractors for the (Company/Individual Name) project located at or Property Tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will 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 N — HVAC/ N Mechanical Roofing 1 Gas flk OFFICE USE ONLY: PERMIT g� � *� ISSUE DATE: NUMBER: V/�J Revised 07/29/2014 f PERMIT# / 6 , D 3i ISSUE DATE PLANNING & DEVELOPMENT SERVICES SCANNED Building & Code Compliance Division BY BUIIAING PERMIT St. Lucie Count SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: tifcation N=bq 5rappiic/able): Name/individual Name) (10 4 � 14,9-6y* 3 41, Sub -contractor for have agreed to be the (Type of Trade) For the project located at (Project Street Address or Property Tax #) 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 QUALIMR (Name of the individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED �/j/ Business Name: �/4`� zI �- 0 «'( b',4 d'� Address: / " GJ�l 3 S %' 01C4 Y City/State/Zip: e Pho email: SIGNATURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF < CA✓� THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF / + 20_ BY 6��jj ��+ � I `' �� WHO IS PERSONALLY KNOWN � OR HAS Fw("i 4 'nnnnrv+cn AS IDENTIFICATION. -F�lV/tom/ (STAMP) /` I �KJ Kl i� a PRINT NAME OF NOTARY PUBLIC SIGNATURE OF N ARY PUBLIC SLCI SBJl0N�BtY� 1dX3 S1061JJ#NedINY403A3 �o,kAzi� r°`: '!u¢H .. PEDROM.&ONSO WCOMMISSION#FFIW16 919661 dd 6 NOISSIWW00 AW * * * OSNOItl •W OH03d a _ 'ana Lv It EXPIRES; FebfuM 29, 2on „ 0int,`Wedlh 14olNamry&nim - r' , , PERMrr# ISSUEDA PLANNING & DEVELOPMENT SERyICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. State of Florida Certification Number (If applirablek Akl,`, �CTc --C?UG 2" (-00 4 SCANNED BY St. Lucie Countv �%cam j3oa�� So `J have agreed to be the (Company NameAndividual Name) mil eC%/� l�.Q Sub contractor for /.�pnge� CozL (Type ofTrade) __ Trimffiy Contractor) For the project located at 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) QUALIFIER (Name ofthe Individual shown on the Cowactor's License) -. - NOTARIZED SIGNA Business Name: Address: City/State/zip: Phone: ;P�k i6 4r-- DATE S STATE OF FLORIDA, COUNTY OF Ll c" e— THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME /Y THVJ DAY OF 'C/� (�� 20Z-1— BY,4y %!' 6 Z, e/0- WHO IS PERSONALLY KNOWN OR HAS fLDG;e 691S3eoo 7/;21Jo AS IDENTIFICATION. PRODUCED (STAMP) SIGNA' E OF NO LIC PRINTNAME OF NOTARY PUBLIC as` F NY COAa9$SION t FF 0281 W SLCPDS:08/06lZ014 4 EXPM..Jmell.2017 Ba kditWNdRrySerk4 .7&ry PERMIT # I LQo / _ o aJ� ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division SCANNED BUILDING PERMIT BY SUB -CONTRACTOR AGREEMENT St. Lucie Countv St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): C fie_ / S 18 580 of Trade) For the project located at Sub -contractor for (Project Street Address or Property (Primary Contractor) ID #) have agreed to be the U= 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 f7 /n� 1 Business Name: t e k A�� l �/ i v� Le.>{SOYI Address: 1141 uJ 33rd 54'. City/State/Zip: Rtvi e ro l3ea c 11 IBC.. 33110q OB Phone: I' 9a-7—I?lr emlner Le_f n 1976 ®��+,a��•��`"' ' rcull,_ Rig LIa,rol Lessor, SIGNATURE PRINT NAME DATE/ I STATE OF FLORIDA, COUNTY OF / �i�/ THE FO�fREGOIN,h9�(5G/ INSTRUMENT WAS SIGNED BEFORE ME THIS `y DAY OF � J"d 2Q� BY 91'j ✓H Orl WHO IS PERSONALLY KNOWN %� OR HAS PRODUCED L AS IDENTIFICATION. �� C a z1 �eareug 44 NOTARYPUBLIC PRINT ME OF NOTARY PUBLIC �V STATE OF FLORIDA SIGN OF NOTARY PUBLIC C=n# FF978289 SLCPDS: 08/06/2014 Fjores 4140M t- PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SCABN1NED St. Lucie Cnuntt have agreed to be the a\! P.G- Sub -contractor for (Type ofTradc) (Primary Contractor) For the project located at -virl U (Project Street Address or Property 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 s,Change of Sub -contractor notice. kkk4 C(INTMCf R�URtTtRtE (Ouaanerl .. S 0R SIGNATURE ualiner) COUNTY CERTn9CATI0NryUMBER SlaleaFlorlda,Canlyof ' l [ The foregoing instrument was signal before me this h _dday of ��i;bi.6.i.2of�. by %I(IYIOrd� f G'i�1 t6 LL who is persoQOy known Z.r hax produced a as Identification. 11 /1 Fluff �e SfANIP "� asureof Notary Puhne Prior Namc of Namry Public w'y;•• MANOLETTA POLE Q E Notary Public. Stale of Florida is`Commission 0 GG 009504 I ni My Comm. Eaphes Julio, 2020 � LD GaA�TF� PRIN NEM COUNTY CERTIFICATIONfN�UMMBBEERR[�� slate of Fwida, County or W Thc rcgoing instrument was signed before me this deyof 01 by whablussona known _or has produced a,-.flA� � ///^�/(I �1+/s av�0 es (tle [Ifieati HL,[/r V se S[AMP Sisna urco Namry' ruche (�UPnl / CTMMO �?rAKt Name of\ahwy Public ,wa11111111� .ps4 4 MADURYANI JAUND00 J. e Notary Public - State of Florida -` My Comm. Expires Fab 1B 7:;� f rl f,�2020 PERMIT# 16 �� ISSUEDATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR A GREEMENT SCANNED BY St. Lucie Countv, have agreed to be the %\i P.G Sub -contractor for �Sk ec_ (Type of Trade) (Primary Contractor) For the project located at �� L-• _ l - UW-F+f kk`� L (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 %Change of Sub -contractor notice. wwrewe(�vn.11".rro/Inn tv��Uu,a,t. COUNTYCERTMCATION ryl;NBER } SbteafFloride, County of�/I-[ The foregoing instrument was signed belbee me (hisd/day of ..2oa. by who 1, Pasouny known Zorr has produced as Identification. �� ( ,yjiJ611 !/%l7.cwl Ame STAMP aeumaf NomryMblie Prial Namcaf Nomry Public •'�•�'y�e;.,• MANULETTA POLE "o' a Notary Pablie - Stale of Florida it. Commission / GG 009504 Re,,; t%` My Comm. Expires Jut 6. 2070 — A"'I /,_� - suu7.cn.VPAtrOR SIGNATURE caimer) �.pdZo rRI NAME COUNTY CERTIFICATIONfNUXIDER sore or Fbrida, County or_ 3Ar PY" The regoing instrument win signed befnre me this tdy, 20 by /�a1r��y�/�f� c��n�. who I, person- known_or has produced e Tt //( J\� b l� aside ti6eati . Lrtl.,I/f si� MLld STAMP Signu a re of Nomry Public Print Nome of Notary Public una, o�""r Ocdis MADURVANI JAUN000 Notary Public - State of Florida Commission # FF 930075 - of �1o; -, My COMM. Expires Feb 16, 2020