HomeMy WebLinkAboutSubcontractor Agreement RECE1\1710 MAR 2� 25117
pe ,_= -; PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
'14 • Building and Code Regulations Division
BUILDING PERMIT
SUB-CONTRACTOR SUMMARY
Cooke Construction, Inc will be using the following sub-contractors for the
(Company/Individual Name)
project located at 9490 S OCEAN DR 510 Parcel ID: 3535-701-0033-000-4
(Street address or Property 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.
St. Lucie County/
Trade Name of Company/Contractor State of Florida
License Number
Electrical Heritage Electric 2928
Wayne Garber ER0011355
Plumbing For Him Plumbing 28754
Dale Hammond CFC1428915
HVAC/
Mechanical
Roofmg
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014
RECE1`7_:D
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
- - BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number: 2928
State of Florida Certification Number(if applicable): ER0011355
Heritage Electric/ Wayne Garber have agreed to be the
(Company Name/Individual Name)
Electrical Sub-contractor for Cooke Construction, Inc
(Type of Trade) c� (Primary Contractor)
For the project located at 01 � / d �5- C7SEf,,�/ Dk r,j)Q
(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, 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- email:
SIGNAT�ot PRINT NAME DATE
STATE OF FLORIDA,COUNTY OF J'/��✓'�"�
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS `—'f DAY OF / Z—C_'` 0
BYE—yd'� ✓ h>`.v,?— WHO IS PERSONALLY KNOWN OR HAS
PRODUCED AS IDENTIFICATION.
WALTER D FAVNE II
(STAMP)
PRINT NAME OF NOTARY PUBLIC ,'�••Y°b�'•
SIGNATURE OF NOTARY LIC ;���� °��: Notary Public .State of Florida
•= Commission#GG 24467
SLCPDS: 08/06/2014 -
'shr� ; My Comm.Expires Aug 25,2020
��'••4„� Bonded through National Notary Assn.
RECEI�.'77 I'Irif 1 2 4 /.TI/
L
T# ISSUE DATE
-j PLANNING & DEVELOPMENT SERVICES
'= Building & Code Compliance Division
- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number: 28754
State of Florida Certification Number(If applicable): C FC 4289 5
For Him Plumbing/ Dale Hammond have agreed to be the
(Company Name/Individual Name)
Plumbing Sub-contractor for Cooke Construction, Inc
(Type of Trade) (Primary Contractor)
For the project located at y q C � U5��
(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, 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 AREA )REQUIRED
Business Name: PLVM.O n1G
Address: P3 aOx ns s
City/State/Zip: ,)iFT\,5-aJ 66lJQ1 F/_
Phone: 3LJ " 9677 email: /V.��IM PLVMB)l�a��(tjtl L , Com
0,
SIGNATURE PRINT NAME DAT1
STATE OF FLORIDA,COUNTY OF �rl61
rN
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS Z3 DAY OF , C 20
BY 7we_ H meµ"N^01 0 WHO IS PERSONALLY KNOWN��R HAS
PRODUCP AS IDENTIFICATION.
�� H� ,,a,Y a I�,,' o PAYNE 11
//Am ��11 �x ;o�'R °®�% Notary Public-State of Florida
SIGNATURE OF N TARY PUBLIC PRINT NAME OF NOTARY PUBLIC :. Commission#GG 24467
SLCPDS• 08/06/2014 oar' My Comm.Expires Aug tar Assn
• ���.F,�,;,;,`,°P,, Bonded through National Notary Assn.