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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTthe i PERMIT # ` "1 u L — U I % 3 ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division — BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SCANNED BY St. Lucie County atu� ions air (Company (Type of Trade) Sub -contractor for n K pauis (Primary Contractor) For the project located at 2600 Industrial Ave 3, Fort Pierce Florida 34946 (Project Street Address or Property Tax ID k) RECEIVED FEB 14 2018 Permitting Department St. Lucie County have agreed to be 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. CONTRACTOR SIGNATURE(Qonfifice) Douglas Davis PRINT NAME CO 8215 COUNTY CERTIFICATION NUMBER /n1 State of Florida. County of n' Ls. . lrY�/7` &) lay The foregoing instrument was signed before e me this .YJ�r .21F{(.Isy_1_3yac' •r: s pd�who is personally known �r has produced a asidenlification. Signature Public SU11,-6NT ACTO SIGNATURE(Qwlifier) Mall Qladyl/ PRINTNAME _ COUNTY CERTIFICATION NUMBER Stale of Florida, County o"cy IT [.� Thhee foreeg�oiinng iin�stru arn�t wassig/9�e/�d,�h�esfayre mQe �I�his546 of T�JI vu.._y_. 201Q•b)'—1!$L.l�Cej(,l tl�GJ� who is personally known ✓ / or has produced a as id lifiention. �j//.�/�J��� ///J STAMP ,-s�/py,[(�c.c- STAMP Signaturcof Notary Public C! �1 C� K tbv�J Print .Fame of Notary Publir MA DEBRAKEBNER a^ s Notary POW • Bt�aa of Florida Exy5.2MY Comm. Expinl Nor t5.2020 Bonded lmough lWianal Witty Assn. Revised 11 /142016 DANA L. LANGEL Notary Public _ State of Florida Commission N GG 040346 My Comm. Expires Doc 21, 2021 Bonded Ihtouoh National Notary Assn FILE COP VA 0 PERMIT # I �1 C (, j ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division gle-g4.10 k 40,f✓!5 60N57 the Name/Individual (Type of Trade) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT �nouGt�s iJff✓/5 RECEIVED FEB 14 7010 Permitting Department have agreed to be Sub -contractor for a�urq+edkiv-f✓/5 ce- iS7-Coavv (Primary Contractor) For the project located at 2600 Industrial Ave 3, Fort Pierce Florida 34946 (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 -contractor notice. pnn�, %-W., CONTRACTOR SIGNATURE (Qualifier) Douglas Davis PRINT NAME CO 8215 COUNTY CERTIFICATION NUMBER /J State of Florida, County of t.' L;+.[.� lo+•?`'\�-"r The foregoing instrument was signed before me this .]cJ of who is personally known has produced a as identification. STAMP Signature of Notary Public Print Name of Notary Public ' .Vp�,, 'CEBRA K EBNER10 - 9F s*+ Notary Puplic.41N� 01 Florida E Commhiton # 60 047B83 's�, c7F my Comm Eapins Nov i5: 2028 �','Z .tt '�� Bonded througn%ationalNolaryAs£�n. Revised II/16/2016 vow - SUB-CONTR4CTOR SIGNATURE (Qualifier) /cb v&G¢S ,&4V/5 PRINT NAME (C c. C. o S 317 5'� C.O '�2.1 S COUNTY CERTIFICATION NUMBER State of Florida, County of 5+- `•� Co..-.�"', II ♦- � The foregoing instruments was signed before me thisN day of 3ev�''�etii , 201 0. by �S& v. S � S who is personally known ✓or has produced a as identification. STAMP Signature of Notary Public L� r— �fG r—Al Print Name of Notary Public r•w"'p,!.,,, ' DEBRA K EBNER --' Notary Public,,Stite of Florida Wyk CommissioniiIG DOBB3. My Comm: Expires Nov 15. 2020 •• ••� Bonded through National Nolary.Assn. FILE COPY PERMIT# ` I OG - v I s6 i ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT RECENED FEB 14 7018 permitting Department St. Lucie COUntV have agreed to be (Co qqy Name/lq�d(vidual Namc) J the �l t.�Y11DlYlG Sub -contractor for RiC`'1ma K • Cbms Cbns+. (Type of Trade) _ (Primary Contractor) For the project located at 2600 Industrial Ave 3, Fort Pierce Florida 34946 (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 -contractor notice. CO.NTRACr R SIGNATURE (Qualifier) Douglas Davis PRINT NAME CO 8215 COUNTY CERTIFICATIONN NUMBER State of Florida, County ofa k. ec"._1"•9 The foregoing instrument was signed before me this .7V da�f • 2tk V, by `1'.. a S who is personally known _11".0as produced a SIGH IATURF. (Qualifier) PRINTNAME //t-051 j /��c li%' 051(6a5 COUNTY CERTIFICATIO(N�(N�U�MBER It tlt State of Florida, County of +raln ��} The foregoing Instrument was signed before `me this-L day of ` FC�i(L�Q)Il' 20«by DAY k5mnikr,Jr- who is personally known )(—or has produced A its identification. as identification. ' Y, STAMP 1�NlYX1 • lL+l A STAMP Signature of Notary Public Siguaium of Notary Public r^� •�� ��y,e, A. Doreen Langford pt'o ct71'�'� a o PUBLIC Print Name ofNomry Public Print Name of Notary Publiro S STATE OF FLORIDA :».. DEBRII N EBNER o��o �•,,` :, Lei Notary Pulille • StMvo1 Fladda W f a Comm# Gf"a04359t ;• , e commiulori i be 017593 SCE 1§1 Expires 12/812020 My Cumm. expiresNov 15, 20t0 "'%RL6Y•i°_� BonaaalNoupb rWionU NolaryAs{n. It"ised l Ul6f-rC16 FILE COPY HEi ( 1 U /_ O 16 2) ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUBCONTRACTOR AGREEMENT RECEIVED FEB 14 2018 Permitting Department St. Lucie County l Name)e,E�iTftc�have agreed to be the ��(Co any Namg/Individual Name) ,/ n�u�ii�., �, Sub -contractor for ,Q;''7u 1;x) (Type of Trade) (Primary Contractor) For the project located at 2600 Industrial Ave 3, Fort Pierce Florida j4946 (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 -contractor notice. CONTRACTORIGNATt(Qualifier) Douglas Davis PRINT NAME CO 8215 COUNTY CERTIFICATION NUMBER //1l State of Florida. County or z The foregoing instrument was signed beforemethis :!W Jnyuf who is personally known ••�r has produced a as i�denti—ficaation. — STAMP Signature of Notary Public St1B- RACTO4SIGNRE(Qualifier) ) F-;ole. PRINT NAME 2-1s75 COUNTY CERTIFICATION NUMBER State of Florida, County of The roregoinginstrument wassigued before me this 31 d y or J_; 1 l4,a.a.Y.20fr.by I`l)r C.�r Rf� A,*JS who is personally known or has produced a as Identification. STAMP Signatureof Namry Publi( 'fo: K �bv.v i� imp► I GftMsAiIA Print Name of Notary Public Print Name of Notary Public , ...... 0EGRA K EBNER ?F r`f• i Notary Poplio • bite of Florida ,. : •E Cemmhafo'a Y 880/7893�iy¢ MONICACASANA s,�e My Comm. Expires Now 15.2020 r j.1Commission#GG070973 BoodedthlougntWlanalNolafy,As{g r o fEupiresJune 8,2021 Revised 11/16/2016 •>:�••�•' aonded :01