HomeMy WebLinkAboutSubcontractor Agreement K - -_ =-- _ PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
o 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 8750 S OCEAN DR PH-54
(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
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listed below,I will immediately advise the Building and Zoning Department of St.Lucie C ounty.
St.Lucie County/
Trade Name of Company/Contractor State of Florida
License Number
Electrical Heritage Electric 2928
Wayne Garber EROOi 1355
Plumbing For Him Plumbing 28754
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Dale Hammond UC14 28s15
HVAC/
Mechanical
Roofing
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Gas
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OFFICE USE ONLY.'
PERMIT ISSUE DATE:!
NUMBER:
Revised 07/29/2014
PERhfiIT# PA ISSUE DATE'
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
o BUILDING PERMIT CI Lino�V E
SUB-CONTRACTOR AGREEMENT APR 21 2017
Xfoz__ CA kss ave agreed to be
(Corn any Name/Individual Name)
the ELF)RIAN Sub-contractor for C6(D<1:(S0"S'2V& )0)'J
(Type of Trade) (Primary Contractor)
For the project located at j C� �' �� 'i �;�L
(Project Street Address or Property Tax ID
It is understood that, if there is any change of status regarding our particip�I ation with the above mentioned
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project,the Building and Code Regulation Division of St. Lucie County will be advise)pursuant to the
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filing of a Change of Sub-contractor notice:
CO RACTOR SIGNATURE(Qualifier) S CO C R SI ATURE(Qualifier)
/ � ilr✓ sn. eY 1rL�/l/A�L' i=C��'�L`7L
PRINT NAME PRINT NAME,
7091 29Zg' IfF 001 1_35S
COUNTY CERTIFICATION NUMPER COUNTY CERTIFI ATION NUMBER
1
State of Florida,County of V\ State of Florida,County of
The foregoing instrument was signed before me this� d//ay of The foregoin instrument was signed
/before me this day of
1`` 20 �by G Z"902� f 20�by.
who is personally known_or has produced a who is personally(mown or ha produced a
as iden' do . as identifi
STAMP STAMP
nature ofNota ublic ego re of Notary RutGc / '12
lti LJ ;ti 1P[iga WALTER•1)PAYNE II fd
WALTER 0 PAYNE II
v� Ft/ ��
Print Name of Notary Public 3rR . -, Notary Public-State of Flori ��'. Notary Public Stale o1 Florida
Commission # GG 24467Pri Name of Notary Public �'.. Commission#.GG_24467
My Comm Expires Aug 25.2020 �P." My Comm.Expires.Aug 2�,2020'
gr,n 1r^ ��m,ua�` Bonded through National"Notary Assn.
Revised 11/162016
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•PERMIT ISSUE DATE
• _ _ - _,__._.. -� PLANNING & DEVELOPMENT SERVICES
rvT " -�' Building & Code Compliance Division
-- - BUILDING PERMIT RECEIVED
SUB-CONTRACTOR AGREEMENT
A 2 9 20V
J`t �/�L �^ N► �� ! (have agreed to be
(Company Name/Individual Name)
the PLC)fr 2)F„ Sub-contractor for Gbh aNST-,,
(Type of Trade) (Primary Contractor)
�0- Jam' P
For the project located at U S . yu�" call 5Y
(Project Street Address or Property Tax ID#)
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It is understood that, if there is any change of status regarding our participation with the above mentioned
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project,the Building and Code Regulation Division of St.Lucie County will be advis Id pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) SUB-CONTRACTO NATURE(Qualifier)
PRINT NAME PRINT NAME
Ti
2�o 97 2 75 y c. c/yZ 89/S
COUNTY CERTIFICATION NUMBERCOUNTY CERTIFIC ION//N�/UM,BEER
State of Florida,County of /'v1'A"A State of Florida,County of !r �'i/ ''A
The foregoing instrument was signed before me this 4>_0 day of The foregoin instrument was signet before me this"A day of
,zo'7by �a.�l+a,,. �o®�z 2 zo/7 by
who is personally known Y or has produced a who is personally known or has produced a
as rdentific / as identi ca'
0 I I
Zz�z
STAMP STAMP
Signature of Notary Public lure of Nota" Public
WALTER D PAYNE If
�..� WALTER D PAYNE II
r roq Notary Public-State of Florid ���/ moo' °�' p
h / : Notary Public-State of Florida
! a/� i y
Commission _
,GG 24467
Print Name of Notary Public � �; pp Name of Notary Public _ -r• Commission*GO 24467
'irFOF F��`• My Comm.Expires Aug 25,2021 ;S
,r My Comm.Expires.Aug 8,2020
..``� Bonded through National Notary Assn. '''�Of ft�`�•�
Bonded through National Notary Assn.
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Revised 11/16/2016
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