HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT00 (,.Q)
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PERMIT # 11812-0166
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT Rscelvao
SUB -CONTRACTOR AGREEMENT JAN 16 201S
.4 pei'mittIn
SCANNED St. L
BY uc/b �Dpulnrl Pl eot
St. Lucie County
FOUR WINDS AIR CONDITIONING LLC/THOMAS PAUL NISA have agreed to be.
(Company Namelindividuat Name)
the Air Conditioner Sub -contractor for TODD WHITE
(Type of Trade) (Primary Contractor)
For the project located at 1430-131-0001-000-4 3000 Curtis King Blvd
(Project Street Address or Property Tax to #)
It is understood that, if there is any change of status regarding our participation with the above nientioned
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.
UUN J KAC FOR SIGNATURE (Qualifier)
MIN I NAME
COUNTY CERTIFICATION NUMB
State of Florida, county or 1406fp � % 'A
The foregoing instrument was signed before me this I L(4 Kiley of
:yC1,-J a C4 20_ft, by _ng�4 W ki e
who is personally known -,/or has produced
as identification.
re. KA_��
bIgnature of Notary Public I
- r-p�',k!q Y. _KrKipax4rz,
Print Name ul r,owry rumn: I .
SUB -CONTRACTOR SIGNATURE (Qualifier)
COUNTY CERTIFICATIQN NUMBER
State of Flori do,Countyof
Ile foregoing instrumeat was signed before me this I OK day of
af4 201ft1by ikJ,Sa
who is personally known 1r has produced a
as Identification.
STAMP STAMP
;uguature OrNotery Public
e5el,�. U 4 K, KZIC�+0r:LZ
Print Name Of Notary Public
If 4VN NoUuyPulsk:SWWOfFs0rma sw NI Notary Putsic state Of F1WdO
"P Emilie K Kirkpatrick
My commission GG 167840'
MY COleff4sa0ftGG'18'1940
Revi d ExPires 121IW2021 Q10 Expires IV172021
XiE I NEE I
TISSUE DATE
FERMIT # 71 812-0166
PLANNING & DEVELOPMENT SERVICES
. Building & Code Compliance'Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
perInz.tt," 1 019
4 9 j)
have agreed to be
.... �ouo-contraetor tor , — v Y, um
(Type of Trade) (Primary Contractor)
For the project located at 1430-131-0001-000-4 3000 Cults King Blvd
(Pr0iW Street Address or Property Tax I #)
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.
ILI
CON FRACTOR SIGNATIJRE (Owilifier)
'-t e
PRiA& Wk' -
COUNTY CERTIFICATION —NIJMBFR
State of Florida, County of. 1AWA" A
The foregoing instrument was signed before me this 1-te-11 day of
'T'L�J%!n4 201ft, by
ag!d WK:+f_
who Is Personally known _&./or has produced a
as Identification.
STAMP
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e
Print Name a N,i; Ple
n��In'wlq P=vIist1t, If F I �.,402
11 ErmlieX =nkoWck f
4 M commission GO 167840
My
C, �
ReviA VIV26 Vasa 1211312021
S -C NTR&ICTOR —SIGNATURE (Quail Fler—)
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rc�'9_ 9
PRINT NAME
gai�3 (3 () (0 -4'7 -+
CERTIFICATION NUMBER
State of Florida, County of 1`4or4,^
The foregoing Instrument was signed before me this 14 41%
day of
,14AJ Ac 201R-,by &4ed- Rrbe,Y�
who Is personally known j,/_'or has produced a
as Identification.
ef'&N
R
N-larl Pubfic seen of Florida
Emille,I(Kirkpatfick
,,)
ONEMONARMAA
My convocation GG 167840
Expires 12113=21
I
STAMP
PERMIT# 1812-0166 SUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
FOUR WINDS AIR CONDITIONING LLC/THOMAS PAUL NISA have agreed to be
(Company Name/Individual Name)
the Air Conditioner Sub -contractor for TODD WHITE
(Type of Trade)
(Primary Contractor)
For the project located at 1430-131-0001-000-4 3000 Curtis King Blvd
(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.
CONTRACTOR SIGNATURE (Qualifier)
T,,k d vi k, 4,e
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Mark,,A
The foregoing instrument was signed before me this I Le\day of
Zo."arej .20-11by :TadW Wk4a
who is personally known Zor has produced a
as identification.
;� r—' KkX49�_ STAMP
Signature of Notary Public I
F-4-l"Atiq Y. 14 or I (,n a-4 r L.L,,
Print Name of Notary Public
1� Notary Public State of Fiorlds
Emilie K Kirkpatrick
My Commission GG 167840
Revi d&016 Expires 12/13/2021
SUB -CONTRACTOR SIGNATURE (Qualifier)
A14-
PRINT NAME
r-A c o -,5e / � 6
COUNTY CERTIFICATION NUMBER
State of Florida, County of t4arA'V%
The foregoing instrument was signed before me this IsIt day of
-�A" aL4 '20tft� by :Jbb �& S AJ "S (X
who is personally known 1) or has produced a
as identification.
&�� 9, K,,���_ STAMP
Signature of Notary Public U
K. re-y—'IrJor"Cit
Print Name of Notary Public
�40020% Notary Public SunG Of lOrlda
J? Emilie, K Kirkpatrick
1. Gl
My Commission OG 1678M41
Expire, 121516312-0021
PERMIT# 11 812-0166 ISSUE DATE
(Company Name/Indivi
the Electrical
(Type of Trade)
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be -
Sub -contractor for Todd White
(Primary Contractor)
For the project located at 1430-131-0001-000-4 3000 Curtis King Blvd
(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.
r
CONTRACTOR SIGNATURE (Qualifler)
-"FoJok vi�Nie_
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Rwit"A
The foregoing instrument was signed before me this Le_ft day of
-LJ Nr-4 20_ft, by TJJ WK. +- e-
who is personally known -../ or has produced a
as identification.
Av':� STAMP
Signature of Notary Public U
&-' , Ue le. - W% c Ko6l_+f� Jc_
Print Name of Notary Public
Revis
3
TSU CONTRACTOR SIGNATURE (Qualifier)
16 f—C 9. 9
PRINT NAME
U- C_ 13 a 0 (� -4 �7 --T-
COUNTY CERTIFICATION NUMBER
State of Florida, County of MaA " A
The foregoing instrument was signed before me this jltd� day of
�Tkyw '201R, by Mer R.rba_K�
who is personally known v/ or has produced a
as identification.
Fm.�J_z' /,/ - K��� STAMP
Signature of Notary Public 0
E;W, 1,0 E-a
Print Name of iv_
Notary Public State of Florida
Emilie K Kirkpatrick
My Commission GG 167840
Expires 12/13/2021
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