The URL can be used to link to this page

Home My WebLink AboutSUB-CONTRACTOR SUMMARYs _ i _ PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division BUILDING PERMIT SUB-CONTRACTORSUMMARY LL� will be using the following sub -contractors for the *(Cpany$ndRvkual Name) /� n project located at (Street add 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 Number Electrical /License (� 1. ` ✓ +7 7 f Plumbing HVAC/ lY14-k, !�'17971 Mechanical Roofing Gas a7 06 c.,UJr1 b OFFICE USE ONLY: IIPERMIT ISSUE DATE: NUMBER: I I ( II Revised 07/29/2014 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES = !COUNTYBuilding & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Corhpany Na e,ndividual Name) C N the y l( Sub -contractor for �t ill &M (Type of Trade) Q I^ c (Primary Contractor) For the project located at 0 (�U V jQ UJ'4J (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 SIGNATUWr7a ifier) %�0 PRINT NAME COUNTY CERTIFICATION N MBER State of Florida, County of T foregoing instrume�n%t�was signe before me this t/"l dar of . 20N , b} - o is personally known _or has produced a as identification. STAMP Sig at re of Not Pu c Print Name of Notary Pu lic j�, srnrnNotary Public State of Florida Frances Donza Rcvisrd 1116 _OIM1 t` � ExpirMy Cs 07/27/202 ommission G 092440 SUB -COST R SIGNATURE (Qualifier) a PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, Count} of The foregoing instrument was signed before me this dad of l . 2011 , by ' 1 who is personally known "�?or has produced a as Wp tion.�� ,h ,V) STAMP Signature of tan i Public AUDREY MELLETTE Print Name of Notary Notary u tC ate of Florida :� Commission # HH 52004 ?+ My Commission Expires ?+n�`` November 21, 2024 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance DivisionLusigh RECEIVED BUILDING PERMIT APR 2 0 2011 SUB -CONTRACTOR AGREEMENT BY: . 1-1() 04\/ «-L)(-- -f-h . rf .e Q. - G,7 (1 4- 1 n b have agreed to be (Company Name/lndibidual Name) ' the �(7 t LU-, Ica 1 Sub -contractor i )ry ir�v�c Wc_.Y. i, i --6 yr !( (WnanfTrnrlpl (Prima Contractor) For the project located at 91 (Project Street Address or Property T . x 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. A. CONTRACTOR SIGNATURE (qualifier) FIRINT NAME G -'/Z� COUNTY CERTIFICATIO�MBER State of Florida, County of/ 1 The regoing instrument was sign before me this day of 20Z) by o is personally knownv or has produced a as identification.rll / f/�iil/� m D A'o, STAMP SigWture of Notary PubricL /► �J rn e f o u 1' +��t Notaryubhc Mate of Florldc� FtSnces Donza 4 My t:.xnmissiw+ GG 08244G �, t�o� Expos o�r2�rma� * Revised 11/16/2016 SUB -CONTRACTOR SIGN (Qualifier) T_'):�r\Ct\ Ck PRINT NAME _0�C. J COUNTY CERTIFICATION NUMB'ER`,, State of Florida, County of "W The foregoing instrument was signed before me this (1 day of 12�4f'k ( , 2011, by Jam. nci l d who is personally kno)wr-or has produced a as Public Print Name of Notary Public Y' y' LAURIE URY MY COMMISSION # FF 210664 EXPIRES: duly 16, 2019 Bonded Thru Plotary Public Undeiwnterss STAMP PERMIT # ISSUE DATE :1 COUNTY F L 0 R I D A J the For the project located at PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division Name) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Sub -contractor for hu L 061'o A (Project Street A ess or Property Tax ID #) have 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. G!/ ONTRACTOR SIGNATURE Quali ) P INT NAME � - ZA 6_4 4 COUNTY CERTIFICATIO�MB State f Florida, County oil he oregoing instrument was sig before met ' dayof 20�, by w o is personally known or has produced a as identifi ation. STAMP Signatuil of Notary Public Print Name of Notary Publr ,arIII ��rY 11 Public State of Florida Frances Donza My Commission GG 092440 F Fc Wires 07/27/2021 Revised 11/16/2016 " "°i�i/ d(_ Th regoing iostru t was sign- before in st 7 day of 29' ' by w is personally knownnA or has produced a asitlenntication. l Signat ire of Notary Public , Print Name of Notary Publi "'I �sp Notary Pu7"JFloriFrances y �MyComm9244 -31 wcF Expires 07/27/2021 STAMP PERMIT # ISSUE DATE :1 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agr I to be U_Lcontractorame ndividual Name) the for ff4 LL ( ype of e) n C actor) 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. e5l:�7_ �� %CCONTRACTOR SIGNFt6 (Qualifl ) '41filu / PRINT NAME COUNTY CERTIFICATIO MBE State of Florida, County o fte foregoing instrument was signed before me thi da of 20``, JJ,. by w o is personally knower or has produced a as idea " cation. /I n STAMP Signatu of Notary Public ►�s -i"p uziq Print Name of Notary Public►A/V pvY �'L. N�irery P;IpNq Gl.WL -A f•ianGa FriiritA'a Viinxa My 00 OO244t; '►1 irxp�rea d�i�ti%2ozi Revised 11/16/2016 S'UB-tONT CT, R SIGNATURE/(Qualifier) l PRINT r4AME OUNTY CERTIFICATIO E State of Florida, County of Q e foregoing instrument was sign before me thi 20�y + w is personally known _or has roduced s 1� w o Name of Notary Public R Notary PublicSta�w of Fionda Frances DonzaMy Commission GG 092440 Expires 07/27/20? STAMP PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES - _ Building & Code Compliance Division COUNTY BUILDING PERMIT SUB -CONTRACTOR AGREEMENT ;C St. Lucie County Contractor Certification Number: i�-Q 6 4 State of Florida Certification Number (If applicable): STATE�ItaW-se #O S514 �� Company Name/Individual Name) / CAA S Sub -contractor for (Type of Trade) _ Primary Contractor) For the project located at (Project yr DV N. Address or Property T x ID #) have to be the 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: Zd Phone: '772 -,2 g T 19 50 email: Awe- iW * � �a"a KaA ii D.Cow b,4,"NY SIGN RE ZT NAME DATE STATE OF FLORIDA, COUNTY OF THE FOREGOING INSTRU ENT WAS SIGNED BEFORE ME THIS J&V— DAY OF , 2� BY WHO IS PERSONA Y KNOWN OR HAS PRODUCED AS IDENTIFICATION. z��_ 4 A= I " (STAMP) SIGNATURE OF NOT NAME O TARY PUBLIC Notary Public State of Honda SLCPDS: 08/06/2014 hk, Frances Donza - ` My Commission GG 092440 '*orn°� Expires07/27/2021