HomeMy WebLinkAboutsubcontractor summary and agreementsPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
o 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, l 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 2sa11
Plumbing Jensen Beach Plumbing 24654
RF11067372
HVAC/ DS Air Conditioning 19390
Mechanical
Roofing Florida Coastal Roofing K31ss
Solutions CCC13006370
Gas
OFFICE USE ONLY:
PERMIT
NUMBER:
ISSUE DATE:
Revised 07/29/2014
POUNTY
F t O R I D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
R. Thompson Electric, LLC
(Cnntp;ury NarneilndMZ l Nance)
the Electric
(Type of Trade)
RUILBING PERMIT
SUB -CONTRACTOR AGREEIt2F.NT
have agreed to be
Sub -contractor for JWN Builders, LLC
(Primary Contractor)
For the project located at 1/51/ ` _157/ C
(Project Street Address or Properly Tax 1D .i)
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.
t'O514MI
Sl'U t : ((Ji_rineor
JamesNewman
man
f'OUNIN CERTIFICATION NUMBER
stale of Florida, count) or:Irt- I�y�'
the hiregoin2 instrumeot was signed heforr me this iday of
4cho is rie� i.oawn r has produced a
as ideatifiration.
Sigh nr�.a ,: o
5XANIP
i' Li S
Commission A GG 100722
'F-==
Expires June 3, 2021
Pri
RO V;cd I HI612f116
SLxR [, , R, lots SIGN.-1 11RC { ualiCer�
Robert Thompson
PRf I' h:ah1E
EC13007306
CErf INS' CER7 n� I C:1iI(T,ti 1V [_III gFR� —�
State of Rorida, Count% or St Lucie
'rhe foregoing instntment was signed before me this 25 day or
May 201! liv Robert Thompson
»hu is prrsonally knownJ�or has produced
as idrafiliealion.
tg tore of Noran Public S7.1I41 P
Melissa L Butterfield
Print Name of Notar, Public
fiN vote PI
ru y a utg' State o, G r
Melissa L Bunerroei❑
- '` Y Certisn�as�on GG 3W' =
02I7�1423
(Company amellndividual Name)
the I ' 'x) it Sub -contractor for
(Type of Trade)
tilj
(Primary Contractor)
For the project located at
�1 ip 00V 0.-
(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.
CO / RACTOR SIGN TURF (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me thisc.,Kday of
who is perso ly known _or has produced a
as identification. -
1A 0 J)
�j��J
Signatur"j 'otary Public
I
Print Name;f Notary Public,_._.
Revised 1i/16/2016
SUB -CONTRACTOR
SIGNATURE (Qualifier)
[Gno f r
La y-t--Vtt� n
PRINT NAME
COUNTY CERTIFICATION NUMBER _ j
State of Florida, County of �VH7- 'F"
The foregoing instrument was signed before me this ay of
2 by
who is perso ly known or has produced a
as identification.
STAMP U CA J�,Ii. �f D STAMP
Signature of Notary Public
Jriu, un��1�'In.���
Print Na o Notary pablk 2 I !
I I I L y;: i a,m iC
the
NUB -CONTRACTOR AGREEMENT
(Cqyipany Name/Individual Name)
Sub -contractor for
(Type of Trade)
have agreed to be
PLC
(Primary Contractor)
For the project located at - 6) f D
(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.
A
CO TRACTOR 51 ATTIRE (Qualifier)
PR1N
! A 7 I s—
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this �K day of
20 by
who is pers lly known or has produced a
as identification.
LA A
Signature of Notary Public
NIARIAH IuIiLLS
Print N iiie of 3, 2021
[ i Bon, -A Th'J Troy Fain Insura�rs AOOJ85 7019
Revised 11/16/2016
PRINT NAME
! � 39 V
COUNTY CERTIFICATION NUMBER
State of Florida, County of :!5�4 Lt
The foregoing instrument was signed before me this t day of
CY-4 202by
Who is person known ��er�has produced a
as identification.
STAMP
Signature of Notary Public
.4ARIAH A&US
=. Commissicn'
Print NN G$Wime 3, 2021
i3orLod Thru 7rgyFaio I�ran� d00,3B570ig
STAMP
PLANNING & DEVELOPMENT SERVICES
Building & Cade Compliance Division
o
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Florida Coastal Roofing Solutions, LLC
(Company Name/individual Name)
the Roofing
Sub -contractor for
(Type of Trade)
JWN Builders, LLC
(Primary Contractor)
For the project located at 51/0 — 00k'/ — 0 U(� 4<
(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.
� Xai�
CO RACTOR 5 NATURE (Qualifier)
J mes Newman
PRINT NAME
18415
COUNTY CERTIFICATION NUMBER
State of Florida, County of St' Lucie
The foregoing instrument was signed before me this 25day of
120 b}, J mes Newman
who is per. ly known _ar has produced a
as identification_
Al L P4
Signature of Notary Public
d'I .,^xmug ,r1HRIAH ILnILLS
Commtssicn # GG 14Li?22
Print Name ',near= Vie;, r;.ila,nEnsucanseoo-aasauie
Revised 11116/2016
C, /2'
_CON T SIGNATURE fQualirlerj
PRINT NAME --
1
COUNTY CERTIFICATION NUMBER
State of Florida, County of St'Lucie
The foregoing instrument bras signed before me this day of
. 2Q21 by
who is perso ly knowwn _ar has produced a
as identification. � wl
STAMP l/V C/t
Signa�rewF4eter� ,
.:,t�P.r: �. MARiHH Islii L5
Colrvnission # GG 100722
£x fires June 3 2621
Prin Ntixliffl� �°{Insurance8P03�51o18
STAMP