HomeMy WebLinkAboutSub contractor list with back up 12.22.2020PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Wo Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
I W&C0rEf1119§ME,01A1L4"4A-V 1%1 will be using the following sub -contractors for the
"( mpany/Individual Name}
project located at� /W
(Street addq S)or ruper 'lax 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
C 13(91 XR LI7
L
Plumbing
Cl-[% Al 9'
HVAC/
Mechanical
Roofing
17 Amw
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014
h
COUNTY
I D
�4
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Company Name/individual Name)
the Sub -contractor for
(Type of Trade)
For the project located at
(Project Street
(Prohary Contractor)
`�'- �, W 5
ID #)
have agreed to be
Im
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 alifier)
PRINT NAME
dim .. z 5.� 3ps- 41
COUNTY CERTIFICATION BER �J
State of Florida, County of Q(?
f egoing in rument%was signed before me this �
`' day of
, ZQ�—ntb'y —d /
who is personally known vor has produced a
as identificatinn.
STAMP
Public
per_ 1 74
.'.W'A1V'WbWP6b11c State of Florida
Frances Done
My Commission GG 092440
or n Expires 07/27/2021
Revised 11/16/2016
YA-CMN�TRACY05X4GNATURE ((
NT
State of Florida, County
/ -
he foregoing instrument was signed before this day of
21� , byAu UPI
who is personally known _or has produced a
as
Print Name of Notary Public
ai .rA
r
ry s Do ze of Flori ,
ces Donna
ommlralon GG 002440
_ F_upirea 07127/2021
ti.u*
STAMP
PERMIT # ISSUE DATE
COUNTY
F L
O R I D
A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
ompany Name/Individual Name}
the
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
n�,,:
have agreed to be
r%Pin�' P-P6110 8-6w
(Primary Corltractor)
For the project located at
(Project Street Addres r Proper 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)
10 1-41? &'�
PRI T NAME
COUNTY CERTIFICATION NIrBER
State of Florida, County of /—�/--J���/
Th regoing instrument was signed before me thi O day/o�f
� 20 0 , by Cltn"
who is personally known 1 -r has produced a
as identification.
algns tt reboil Notary
ru,bm
'Mr1'4atrlt` 01 TNotary rurm+c - - • - -
gyaY " Notary Public Slate of Florida
Frances Donza
My commission GG 092440
ofnd' Expires0712712021
Revised 11/16/20M
TURE (Qualifier)
es-
L..d 1u w&
NAME
tP_ os-Isa f'.
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The regain instrument/was sigued before me this Z day of
, 20r'/ � , by
ho is personally know. r has produced a
as identification.
STAMP
Signature of Notary Public
i
Print Name of Notary Pub[
�+ti Notary Public State at Flomu
�F4 . Frances Qonza
My commission Go 092,
�fi Expires 0712712021
STAMP
PERMIT # ISSUE DATE
OUNT7DA:�
I
0 R
I __J
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
St)B-CONTILk( "1-0It AGREEMENT
M;C�Af ! 164,1" whl ear-
(Company Name/individual Name)
the odn Sub -contractor for
(Typ(Nof Trade)
(Primary Contractor)
For the project located at qL_A4�0�
(Project Street Address or ro rry Tax 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.
O Z
*ONTRACTOR SIGNATURE (Qualifier)
CO(iNTY CERTIFICATION MBE
State of Florida, County of
5
The foregoing instrument was signed before me this day of
20.' by I —
who is personally known _� or as produced a
Public State of Rondo
E:N0tarV
rances DonzaCOmmisswnc7G 092440.607, PRev
r/OR
47
13 C NTRAGNATURE (Qualifier)
41
� PRI N � �4161?
R8 W
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed `before me this, day of
r e \O C , 2(IAjbytk P7MQ 1 �A�� n�S�
who is personal) kno �+' or has produced a .
as identification.
STAMP �� `
�gn re of t ry Public
qwk�kpv� �s3z
'PrintName'RNotary-Trublic
MATTHEW JOHN SAFFIOTI
AMY COMMISSION*G(303W9
_��EXPIRES' oclobw 22, 2020
z"...�n�a Bonded Thru Notmy Public 11'di�M
STAMP
PERMIT #
t��.l7�R�1'7D
F
L
O:A;—
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): 3Ai E 419"Sc # 0S5 94 _..
(Company Name/Individual Name)
- GA, s Sub -contractor
(Type of Trade)
For the project located at
(Project
(Primary Contractor)
or Pyqperty Tax ID #)
have agreed to be the
�zzz
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:
Address:
City/State/Zip:
Phone: - P9 Q email: J)Uj�@,Twp. C!`o,&&a oRibA,. NtA-,
SIGN RE PRINT NAME
� AT
j
STATE OF FLORIDA, COUNTY OF A& eo�
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 20,Ze/
BY , WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
AS IDENTIFICATION.
.�,. ftf,�
..— 410&& IAV�� x6g,&
PRINT NAME QVINOTARY PU x T
ia
SIGNATURE OF N ARY PUBLIC era`
SLCPDS• 0810612014 f, . art.
�ti N� tlotrfy PUhll� 819% bf ?11 a
49 D 4- {
Frances on �_
c My GnmMlIlbH