HomeMy WebLinkAboutSubcontractor AgreementI
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
will be using the following sub -contractors for the
(Company/Individual Name)
project located at
(Street address or Property Tag 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
Electrical
l --
Plumbing
Aqua Demensions
18628
CFC057526
HVAC/
Delair Heating and AC
27191
Mechanical
CAC032448
Roofing
Sunshine Roofing
25387
CCC 1327796
Gas
PERMIT L I ISSUE DATE:
NUMBER:
Revised 07/29/2014
i
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Comet Electric & Equipment, LLC/Mark Lurtz have agreed to be
(Company Name/Individual Name)
the Electrical Sub -contractor for —mAw
(Type of Trade) (Primary Contract(Ir)
For the project located at
(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)
&'�;v
PRINT NAME
/d to;'
COUNTY CERTIFICATION NUMBER
�j'/�
State of Florida, County of
ThWing instrument was signc b fore me this
, 24-1 by
who is personally known _or has produced a
as identification.
STAMP
ture of Notary Public
ear
:Y°Y�'•., FRANCES DONZA
Y COMMISSION # FF 014070
Name .-blic EXPIRES; Jily 27,2017
of hod', Bonded Thru Notary Pubib UndotW W
Revised 11/16/2016
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SUB -CONTRACTOR SIGN URE (Qualifier)
Mark Lurtz
PRINT NAME
EC13002784
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
The foregoing instrument was signed before me this 5th day of
_December , 20_a, by Mark Lurtz
who is perso Hy knownLor has produced a
as identi ca ion.
of Notar# Public
2p"'Ay p&'9i_
�.
Notary Public State of Florida
Tgnya Adkins
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9,ofv
My Commission FF 207705
EExpires 03/09/2019
STAMP
i
PERMIT# ISSUE DATE
t
C ) .t1NTY
F IL O !R it D •A --
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT I DEC 02 2 Q l o
SUB -CONTRACTOR AGREEMENT I
(Company Nam@/Individual Name)
the Su -contractor
(Type of Trade)
For the project located at zi 1% JI".
(Project Street Address or Prope Tay
for
(Primary Contractor)
ID #)
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 (Qualifier)
41N) �
PRINT NAME
COUNTY CERTIFICATIO
N
�j
e
State of Florida, County of' /
T foregoing instrument was .5ig��nSd®d��before me this / day of
2d�, by 4LGl�'O+/
who is personally known/ or has produced a
as identification.
,A/WO 1144� STAMP
Signature of Notary Public
I
Print Name of No Y ILKG`; ~" TESUUT I
!1.1!' "t)b6 S81O%) �- r� 014070
y EXPR 1017
ic-JiWonvriters
Revised 11/16/2016
UB-CO TOR SIGNATURE (Qualifier)
ober Lx m
PR NT NAME
State of Florida, County
fore oing instrument was si
,2 by
who is personally known _or
produced a
aside ti ication.
STAMP
Signa re of Notary Publ
day of
Print Name of Nota Pi
fRpNCES pON71�
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+=
MY COMMISSION # FF 0 ION
Jul 27, 2017
S: Y
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9:•. •Q
EXPIR E
tlotaryPublwUnderNdlers
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Bonded
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): CAC 032448
Del -Air Heating, Air Conditioning and Refrigeration Inc. hav agreed to be the
(Company Name/Individual Name)
MECHANICAL Sub -contractor for IfIlk
(Type of Trade) A %, (Primary Co ctor)
A
For the project located at
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._00_4-0.0)
BUSINESS QUALIFIER (Name of
NOTARIZED SIGNATURES ARE REQL.
Business Name: �
Address: 531 CODISCO V
City/State/Zip: SANFORD, FL
Phone: 1-8 - 65
SIG URE PRE
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIC , 20/
BY .
-s fi�' 'G. ®ELL®SSO 'RU
WHO IS PERSONALLY KNOWN OR HAS
PRODUCED i AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC It
,`• ,�y I MIRINDAC.TURNER
SLCPDS• 08/06/2014 *1 }, MEGplpE :Jun 4,20110
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
rLAIli vu ' hav agreed to be
(Co any Name/Individual Nam
the nin Sub -contractor for
(Type of Trade) J
A (Primary 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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
41ONTRACTOR SIGNATURE (Q'uallfler)
PRINT NAME
/� cla 5'
COUNTY CERTIFICATION ER
State of Florida, County of '
The fo omg instrument was signed before
me this � day of
2(V,L by/ 6y fC/
who Is personally known _�Lor has produced a
as identification.
Revised 11/16/2016
a C=5 A-)
COUNTY CERTIFICATION BE
State of Florida, County of ��
0 oing instrument was ' before me / day of
by �
who is personally knov or has produced a
I
as iderfication. 61t�
STAMP
Signature of Notary Public
P 4s�'q otary PES DONZA
MY COMMISSION f FF 014070
EXPIRES: July 27, 2017
Pff Bonded Thru Notary Public Underwriters
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