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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 . rr Nory Pdbllai $Itlib SI kltsrida 1 or { cmi%ha a hamlfi any Gail»fFFIlb M RMU �� EXOM OYl±01