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HomeMy WebLinkAboutSubcontractor Agreement (_t r ' � 1 --—i PLANNING AND DEVELOPMENT SERVICES DEPARTMENT • Building and Code Regulations Division BUILDING PERMIT SUB-CONTRACTOR SUMMARY Black Street Enterprises, LLC will be using the following sub-contractors for the (Company/individual Name) protect located at 23.11 N 44th Street, Fort Pierce, FL 34946 (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 Bellwether Electric Company 26164/EC13004122 Plumbing Ameri-Tech Plumbing 19769/CFC058027 0(\ HVAC/ Kuebler Mechanical Heating & Cooling CAC058105 Mechanical Roofing Black Street Enterprises, LLC 26256/CGC1509119 Gas N/A Insulation MER Enterprises dba Leed Insulation 26202 OFFICE.USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 PERMIT# ISSUE DATE _ PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division • - - BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St.Lucie County Contractor Certification Number: 26164 State of Florida Certification Number(If applicable): E C 13004122 Bellwether Electric Company/Charlie Hoppman have agreed to be the (Company Name/Individual Name) Electrical Sub-contractor for Black Street Enterprises, LLC (Type of Trade) (Primary Contractor) For the project located at 2311 N 44th Street, Fort Pierce, FL 34946 (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: Bellwether Electric Company Address: 571 NW Mercantile Place, Ste 103 C' State/Zip: Port Saint Lucie, FL 34986 on : (772) 200-3630 email: bellwether.electric@gmail.com Charlie Hoppman 4/7/2017 TURE PRINT NAME DATE STATE OF FLORIDA,COUNTY OF Saint Lucie County THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 7th DAY OF April 2017 BY Charlie Hoppman WHO IS PERSONALLY KNOWN X OR HAS PRODUCED AS IDENTIFICATION. �. &tgKristina E. Davis ........ (STAMP) KRISTINA E DAV13 SIG URE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC :6 MY COMMISSION>M FF960833 SLCPDS: 08/06/2014 �gy, ,. EXPIRES March 08,2020 1407�396-0'$3 rtord.Nw„. S�rvlc.,rgn: i PERMIT# ISSUE DATE _- PLANNING & DEVELOPMENT SERVICES - -� Building & Code Compliance Division • BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St.Lucie County Contractor Certification Number: 19769 State of Florida Certification Number(if applicable): CFC058027 Ameri-Tech Plumbing/Mark White have agreed to be the (Company Name/Individual Name) Plumbing Sub-contractor for Black Street Enterprises, LLC (Type of Trade) (Primary Contractor) For the project located at 2311 N 44th Street, Fort Pierce, FL 34946 (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: Ameri-Tech Plumbing Address: 11733 Citrus Boulevard City/State/Zip: Pqki City, FL 34990 Phone: 7 .879.0754 email: mwhite@amedtechplumbing.com Mark White ap�� N T PRINT NAME D T STATE OF FLORIDA,COUNTY OF Saint Lucie THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 920 17 BY Mark White WHO IS PERSONALLY KNOWN X OR HAS PRODU D AS IDENTIFICATION. �. Kristina E. Davis (STAMP) PRINT NAME OF NOTARY PUBLIC f��'„ i;: KRISTINA E DAMS SIG T RE OF NOTARY PUBLIC III't=OMMISSION#FF880833 SLCPDS:08/06/2014 �' a;nd ` EXPIRES March 08.2020 407i 398-0'53 t i PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES L - 1 Building & Code Compliance Division • - - - BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St.Lucie County Contractor Certification Number: State of Florida Certification Number(if applicable): CAC058105 Kuebler Mechanical Heating & Cooling/AI Kuebler have agreed to be the (Company Name/Individual Name) HVAC Sub-contractor for Black Street Enterprises, LLC (Type of Trade) (Primary Contractor) For the project located 2311 N 44th Street, Fort Pierce, FL 34946 p � 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, 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: Kuebler Mechanical Heating & Cooling ,�;:' •., MARY KUCHTA Address: 535 NW Mercantile Place, #101 MY COMMISSION#GG044970 City/State/Zip: Port Saint Lucie, FL 34986 ,�„ P1RES November03,2020 Phone: (772) 878-2281 email: reelkool@msn.com 4/7/2017 SIGNATURE PRINT NAME DATE STATE OF FLORIDA,COUNTY OF Saint Lucie County THE FOREGOIN INSTRUMENT WAS SIGNED BEFORE ME THIS 7th DAY OF April 20 17 BY 4 6� WHO IS PERSONALLY KNOWN X OR HAS PRODUCED AS IDENTIFICATION. maw 1lucfldq (STAMP) SIGNATU F NOTARY PUBLIC PRINT NA * OF NOTARY PUBLIC SLCPDS:08/06/2014 PERMIT# ISSUE DATE - _ PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St.Lucie County Contractor Certification Number: 26256 State of Florida Certification Number(if applicable): CGC15091 19 Black Street Enterprises, LLC/Lionel J. Dunbar have agreed to be the (Company Name/Individual Name) Roofing Sub-contractor for Black Street Enterprises, LLC (Type of Trade) (Primary Contractor) For the project located at 2311 N 44th Street, Fort Pierce, FL 34946 (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: Black Street Enterprises, LLC Address: 535 NW Mercantile Place, Unit 107 City/State/zip: Port Saint Lucie, FL 34986 Phone: 772.344.8201 email: admin@bsefl.com Lionel J. Dunbar S1 NA URE PRINT NAME DATE STATE OF FLORIDA,COUNTY OF Saint Lucie THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS rNk DAY OF ,2017 BY Lionel J. Dunbar WHO IS PERSONALLY KNOWN X OR HAS PRODU AS IDENTIFICATION. L Kristina E. Davis (STAMP) SIG AT RE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC ;AR KRISTINA E DAVIS SLCPDS• 08/06/2014 =': •'? MY COMMISSION#FF960833 •.,Ip, •. EXPIRES March 08.2020 (d07i;9"'53 rwria+Na� Syrviu curt. PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES - -� - Building & Code Compliance Division • --- BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St.Lucie County Contractor Certification Number: 26202 State of Florida Certification Number(If applicable): MER Enterprises dba Leed Insulation/Michelle Richards have agreed to be the (Company Name/Individual Name) Insulation Sub-contractor for Black Street Enterprises, LLC (Type of Trade) (Primary Contractor) For the project located at 2311 N 44th Street, Fort Pierce, FL 34946 (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: MER Enterprises dba Leed Insulation Address: 7332 Commercial Circle City/State/zip: Fort Pierce, FL 34951 Phone: 772.466.0608 email: michelle@leedinsulation.net 14.0 rx Michelle Richards /.7-0 11 PRINT NAME DATE STATE OF FLORIDA,COUNTY OF Saint Lucie THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF ,20 17 BY Michelle Richards WHO IS PERSONALLY KNOWN X OR HAS PRODU D AS IDENTIFICATION. Kristina E. Davis (STAMP) PRINT NAME OF NOTARY PUBLIC : KRISTINA E DAVIS SIG RE OF NOTARY PUBLIC MY COMMISSION#FF860833 SLCPDS:08/06/2014 EXPIRES March 08.2020 eo�isoaa•es r�darwa sen+c..�: