HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTRECFJVcD JUL S1 ilV
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERM
SUB -CONTRACTOR IAGREEMENT
S(%AIVIVL-V
I BY
St. Lucie County
' ' '^ ` - 1 1 ' ' � +T I have agreed to be
(Company Name/Individual Name) ,
the __e,1-2C_i C i c'0.,l Sub -contractor for 4MAtA-7 WDMGS OF 1Ft0Vz-kz> (�
(Type of Trade) i (primary Contractor)
For the project located at
Street Address or
L0F,
It is understood that, if there is any change of status regarding our participation with the above mentioned
I
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
CONjTR�A,ICJTOUR�SIIyGNNATTURpE ((Qyu�aliifie�r)
--Y�).JK?C1L\ '�.IrilliF4'-lam,
PRINT NAME
235Z9
COUNTY CERTIFICATION NUMBER
State of Florida, County of,Lx1--1JUS CpVI`i'r(
The fore901119 instrument was signed before me this day of
011� 2UL by 'j s fix— nn M A-4g�
who is oetaono f v, known II .. h.......a....a - IV) X. I A C _.
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
i
State of Florida, County of . t. \
The foregoing lustroment was signed before inee� this 3\ day of
Ui 20-, M� .> I C.f MQ r(>0
i
who is personally Imown �Szor has produced a
as identification. Signature of No �J' (K PQ�yG STAMP ature otNotary Public '1ta AC:
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ir I'rmt Name.. N,.0 ry Public JQ l MO I T'1{�
Pnnt Name of Notary PubSc
xMy EXPRevised 11/162
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RECEIV'D �31 2017
PERMIT# 1 1705-0252 I ISSUE DATE JULY 31 2017
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT sCAnfNEb
SUB -CONTRACTOR AGREEMENT SY
St. Lucie County Contractor Certification Number: 270055 St. tucikm f'�Jp»tr
State of Florida Certification Number (i£applicable): CAC 1816064
W S HIXON DBA AIR PLUS have agreed to be the
(Company Name/Individual Name)
MECHANICAL -A/C CHANGE OUT NO DUCT WORK Sub -Contractor for AMANT HOMES
(Type of Trade)
(Primary Contractor)
For the project located at 7091 US HINY I. PORT ST LUCIE / 3422-211-0011-000/3 / ZONE CIS
(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: W S HIXON DBA AIR PLUS
Address: 3261 SE SLATER ST
City/State/Zip: STUART FL 34997
Phone: 772.486.2002 email: AIRPLUSFL@YAHOO.COM
W S HIXON JULY 31 2017
SIGNATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF
MARTIN
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 31 ST DAY OF JULY 2017
BY SCOTT HIXON
WHO IS PERSONALLY KNOWN X OR HAS
PRODUCED AS IDENTIFICATION.
KATHLEEN MOUTRAN
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS:OS/06/2014 XATHLeem MOUTRAN
;'- MY COMMISSION # FF898(t49
IlXPIREs July i3.2079
i FkMWm+vSo .c
(STAMP)
To: St Lucie County Page 1 of 1
2017-08-0719:41:02 (GMT)
17729347333 From: Louis Cefolia
G
PERMIT# Q��,_,J ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building &. Code Compliance Division S(;ANNEU
BUILDING YE.Rbflr BY
SUB -CONTRACTOR AGREEMENT St. LUcjP rnIlnty
h- t' (UAL4bfrd G have agreed to be
-npanyNam, It r idualName)
the Nh Sub-contractorfor
'(Type otTrade) I (Primary Contractor)
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.
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PR1kT NAMr%
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STANIP
COUNTY CERTrPrC4TAON NUMaEA
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3.�:m k Notary Publio •State of F1000A
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