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HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARYPLANNING AND DEVELOPMENT SERVICES DEPARTMENT • Building and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUMMARY JWN Builders, LLC will be using the following sub -contractors for the (Company/Individual Name) project located at�— (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 R. Thompson Electric, LLC 29811 Plumbing Jensen Beach Plumbing 24654 RF11067372 HVAC/ IDS Air Conditioning 19390 Mechanical Roofing Florida Coastal Roofing 31286 Solutions CCC13006370 Gas OFFICE USE ONLY: PERMIT NUMBER: ISSUE DATE: Revised 07/29/20 14 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division i BUILDING PeRMIT SUB -CONTRACTOR AGREEMENT R. Thompson Electric, LLC (Company Namcftndividual Name) the Electric (Type of Trade) have agreed to bl� Sub -contractor for JWN guilders, LLC (Primary Contractor) For the project located at 4111( (Project Street Address or Property Tax W #) It is understood that. if there is any change of status regarding our participationwith the above mentioned project the Building and Cade Regulation Division of St. Lucie County will be advised pursuant to the y Change. ofSub-contractornotice. OR ht( NALTl`R , (Qtwliller)ewman --- COUN"IY CERTIFICATION K NIB£R .Slate of Ftorids, County or_r r I�1j(t_L The Foregoing instrument was signed briore me this day or - :tl,'�4 by It st hn is pe really known r/ or his produced a _ as idtnrification. /1 STAMP SHMON K. NEIAt#iM Commission # HH 491074 I'rin 'rea8t7 aJEAPifJRgn1 LU, tutu Bonded 7Mu Troy Fain innurance 80OW76" Raked I t06P. lb i I SUIM"(0;V" litui'OR sl(; \ 1TURE (Quatificr) - — Robert Thompson PlI NT NAM EC13007306 COUN I Y ('ERTIRCAT1ON NTr%1BER -'` siatoorn0rida,COLION Of St Lucie The foregoing instrument aas signed before me this 25 dad of May z©� �,. Robert Thompson who is personally known _�iur has Produced a as identiticalion. n 1_19 5-lA'111 tg turcofNotart,P blic Melissa L Butterfield Name or Notary Public +g�f ,Salary pubtc Sate 0Ca : Melissa L Sutlarfe! PERMIT# ! I ISSUE DATE _ PLANNING & DEVELOPMENT SERVICES `- Building & Code Compliance Division s r BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be ornpany Name/Individual Name) '} the IL>, , Sub -contractor fori�,1�'�% (Type of Trade) (r�Contractor) ^� For the project located at qE t ( —R " �� —a (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. l CON 9CTORSIGNATURt(Qualifler) PRINT NAME ]zql,' _ COUNTY CERTIFICATION NUMBER L State of Florida, County of 6 i L The foregoing instrument was signed before me this %S day of . r 20-9J by who is p sonally known or has produced a as identification. STAMP Commission # HH 091074 Expires Aori4 20, 2026 Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signedbeforeme this 1 J j�d. of 20�hy - L %A1-r (i 2 / ike—V who is p onally (mown fur has produced a as SHARON K. NEWMAN Commission # HH 091074 Troy Fain Insufanw 500.38&7019 STAMP the PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code COmpliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Co�anName/IndivictuaI Name) J �(Tyade} Sub -contractor for For the project located at 411� 1 I - - have agreed to be MI5' (Primary Contractor) (Project Street Address or Property Tax lD ##) 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 filing of a Change of Sub -contractor notice. Co RACTOR SIGNATURE (Qualifier) PRINT NAME )X , '- COUNTY CERTIFICATION NUI4TBER State of Florida, County of+fit The foregoing instrument was signed before me this day of '�Mcrl--ally ,2a bynown or has produced a as identification- i` SHARON K. NEWMAN Commission # HH 091074 Tray Fain Insurance 800-38&7019 Revised 11/16/2016 STAMP Lucie County will be advised pursuant to the PRINT NADLE 11g390 COUNTY CERTIFICATION NUMBER State of Florida, County of L — T foregoing instrument was signed before me this --L day of 2y�f+, by who is rsonally (mown jefor has produced a as identificatinic, n Print SHARON K. NEWMAN Commission # HH 091074 Thar Troy Fain Insnranco 80f W&7018 AMP PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division COUNTY r BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Florida Coastal Roofing Solutions, LLC (Company Name/Individual Name) the Roofing (Type of Trade) Sub -contractor for JWN Builders, LLC (Primary Contractor) For the project located at (Project Street Address or Property Tax ID #) 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. C 07,RACTOR SIGNATTdRE (Qualifier) James Newman PRINT NAME 18415 COUNTY CERTIFICATION NUMBER State of Florida, County of St. Lucie The foregoing instrument was signed before me this � day of gay, Ja es Newman who is sonaily known _or has produced a as identification. STAMP Signature of Notary Public : ,RK SHARON K. NEWMAN ;ts=- 9ramissior> # HM 091074 Pri 3 �t o'1g1rR%W 20, 2025 o °¢ Bandded Thtu Tmy Fain lnsura w 800 365 7419 Revised 11I1642016 B-CON T SIGNATURE (Qualifier) PRINT NAME 3),R8& COUNTY CERTIFICATION NUMBER State of Florida, Count), of St.Lucle T e Foregoing instrument was signed before me this jday of 26r?- by mm wbo is P onally known ar has produced a as of Notary Public 4z% SHARON K. NEWMAN ?R go*110, 2025 Bonded Thru Troy Fain Insurance 8006385�7019 STAMP