HomeMy WebLinkAboutReed Sub contractor list with back up 12.22.2020_ PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
AAf
will be using the following sub -contractors for the
( mpany/In' ividual Name) AA6C
project located atqAe
(Street add*s or rope Tax 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 1301 --i n o
Plumbing
HVAC/
` f7 CD
Mechanical
Roofing
Gas
c c` q
OFFICE USE ONLY:
'IPERMIT ISSUE DATE:
NUMBER: I I 1 11
Revised 07129/2014
r
COUNTY
F
L
0 R I
D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
� u
Company Name/Individual Name) y
the Sub -contractor for
(Type of Trade)
For the project located at
(Project Street
ax ID #)
have agreed to be
1 :W '5T cc
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 aiiTier)
A4V
PRINT NAME
3P54
COUNTY CERTIFICATI;ZQ$ag�
State of Florida, County of
�Iooinginumentwas signed before me this day of
,24,,by_
who is personally known v or has produced a
as identififatiou,
STAMP
or.' tart' Public
4p AN`WblPP6tA1c State of Florida
Frances Donza
My Commission GG 082"0
Farm Expires0712712021
Revised 11/16/2016
TUBE
INT NAME
WJUP11 r ULKIIFR..'A'I IOMER
State of Florida, County of /M
he foregoi``nginstrume�,ntl}was signed before this day of
who is personally known _or has produced a
Notary Public State of Fkxii;
Frances Donxa
My Commisalon GG 09244r',
Expires 07l27l2021
.9
STAMP
PERMIT # ISSUE DATE
COUNTY
F L Q R I D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ompany Name individual Name}
the _ Sub -contractor for
(Type of Trade) (Prig
For the project located at 1-/JVdPt—A—d—&RM?K 44
(Project Street Addres r Prope Tax ID #)
Contractor)
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)
4
PRI T NAME
COUNTY CERTIFICATION Nip ER A �1
State of Florida, Con! . of /J/}/rp�c-/�f'
=us
_, 20-7 trument was signed before me thi� day of
, by �
who is personally known _or has produced a
as identification.
Siguahfre of Notary Public
a c
�"Xt°, Notary Public State of Florida
Frances Donza
My Commission, GG 092440
°ji oFn Expires 07127/2021
Revised 11/16/2016
/"'� 1
fBfC NT C OR SIGNATURE (Qualifier)
�PRXT��dNAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of-1���"Ci
The regoin instrument was signed before me this -Z day of
204� , by Imo`/l/�/Il./ti�
t. is personally knownor has produced a
as identification.
STAMP '( Ll�"
Sign4".
lic
Print Name of Notary Publ
v4'r 20 Notary Public State of Fibr i
Frances Donze
+� My Commission GG 092•
6tplres07127/2021
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
.-,. Building & Code Compliance Division
�COUNTY
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(I`�L Jf�\1 I U " JAWA -" I I ,_. ,,.. have agreed to be
' (omp yNa 'e/individua Name)
the � _ Sub -contractor for_(? /
(Type of Trade) (Primary Contractor) /J /
For the project located at Ft
(Project Street Address or Pr Tax
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 (Quolifle
&'42�2 � e' /
PRINT NAME
COUNTY CERTIFICATION N ' B R
State of Florida, County of
&2_'
The regoing instrument was signed bef erne th�zw
, 20 � 1- /�i%
who is p soaaHv known or h p dnced a
aeration.
STAMP
Si tore of Notary Pu c
Print Name of Notary Public
(*F
Notary Public 51att of FloridaFrances Donza�g My Gommissim GG 092440 Vv F Expires 07/2712021
Revised 11 16 2016
�j
SUB -CONY aCTOIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, Countv of
The foregoing instrument
,,si
was signed before m tthis�/ �: it of
who ' sons y known or has produced a
as ide tiflca#ion.
STAMP
Signature of Notary Public
bre,r\V--" 1a
Print Name of Notary Public
x
Not ay Pubk State of Florida
Karen F LambMy Commioaion HH085284
6cp7roo11I1812Q�4
PERMIT #
COUNTYy,,
F!
O R
I D A -4&
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
M iC44e l 1641 n G),IA Rar-� have agreed to be
(Company Name/individual Name)
the Sub -contractor for _ P40eAU _ o^ ff
(Type of Trade) qNr (Primary Contractor)
For the project located at _
(Project Street Address or kro rty 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.
OK/_
CONTRACTOR SIGNATURE (Qualifier)
�J ot, I 4v,
P A E
a& - 16az� t4
COIrNTY CERTIFICATION MBE
State of Florida, County of a4 &RAL�
i,
4=7
ment was signed before me this ✓ day of
zan ny
who is personally known Iasiproduced a
as
Sighature of Notary Publ
Akom
Print •Name or Notary Pu
Pr Notary public State of Flonda
,g Frances (7onza
My Commrsr'rno G 09
2
440
NK Expires 0712
Revi
9 I
UB-C NTR OR SIGNATURE (Qualifier)
A, /
gel 1�)Wdi
PRINT NAND
�8S78 _
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before m� a this day of
`�p _,20 pby'L` C e1 I k1C1�Sr1—
who is personally kno or has produced a
as identification.
STAMP 1 `
gig"'Ore of 111try Public
t_
Pant Name of Noisry-Public
�, •"' •' MATTHEW JOHN SAFFIOTi
= MY COMMISSION # GO 039970
EXPIRE
S:October22 20
• : • t;�'N Bonded Thor Notary Publo llndotw brs
STAMP
PERMIT #
COUNTY
IF L D R I D A—40
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ;2 ?no &
State of Florida Certification Number (If applicable): nA"i S J.omv,__._#0S514
(Company Name/Individual Name)
— (SA. S Sub -contractor for
&-/7
(Type of Trade) (P
For the project located at 7 q
(Project Street Add ss or P67perty Tax ID #)
Contractor)
have agreed to be the
�44�/W_ 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 REQUIREC
Business Name:
Address:
City/State/Zip-
Phone: 2 - _2 q 7 ` / c? 00 email: Rk, % _jW V NjAc aA i bo, . N/6t,
1/ .�d
SIGN RE PRINT NAME AT
STATE OF FLORIDA, COUNTY OF A ( _
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF ll 20�J
BY / WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
AS IDENTIFICATION.
SIGNATURE OF N ARY PUBLIC PRINT NAME NOTARY OU rra=
SLCPDS: 03/06/2014 f .
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