HomeMy WebLinkAboutSub Contractor Summary & AgreementsPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
JWN Builders, LLC
(Company/Individual Name)
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
will be using the following sub -contractors for the
It
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.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
R. Thompson Electric, LLC
29811
Plumbing
Jensen Beach Plumbing
24664
RF11067372
HVAC/
IDS Air Conditioning
19390
Mechanical
� �1
Roofing
Florida Coastal Roofing
31286
Solutions
CCC13006370
Gas
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
have agreed to be
(Company Name/Indivi teal Name)
the Sub -contractor for _ I
(Type of Trade) (P—rimary Contractor)
,� fa
For the project located at `1 c5c_
(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.
CONTItACxOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
c'
State of Florida, County of
The foregoing instrument was signed before me thls4"1day of
20
iLr �Yyt
.' by_
C-
who is personally known k/ or has produced a
as identification.
P�� ! STAMP
JfgV..�N�
L..U: 4i{{{fflfy��I
Print Name of Notary Public ��x_1
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BER 7g;•: '
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Revised 11/16/2016 ,
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StA�����
SUB -CONTRA OR SIGNATURE (Qualifier)
Ll`7n%rw
PRINT NAME
COUNTY CERTIF
ICATION
I
TIFICATION NUMBER
State of Florida, County of .� Lt I �s ,�
The foregoing instrument was signed before me tho ay of A
20, by
r—
who is personally known or has produced a
as identification.
STAMP
Stgnata a of Notary Public
Print Name of Notary Public \,\`�\�t�>_, �,�MI`
Eto'•.
S
gHFi 180160
ice'/',,I� • rST lf.,
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
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 q6—% V7b—�� �
(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 Mange of Sub -contractor notice.
SIGNATURE (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
,,,�A by James Newman
who is personally known V ar has produced a
as identification.
AMP
Signature of Notary Public ` ',
SIP
:• Airy ISDIGO
•• ar: l::;sar .• 4-
o
Print Name of Notary Public
Revised it/16l2016
B'CON*A,ft4R SIGNATURE (Qualifier)
PRINT 9-WIE
COUINTY CERTIFICATION N01VIBER
State of Florida, County of St.Lucie
The foregoing instrument was signed before me thist:_:�LA day of
` 2il)�, by
who is personally known ,or has produced a
as identification.
STAMP
Signet a of Notary Publilicn
1 V L�L a\1LIIIIIIIININ/.._
Print Name of Notary Public
I
PERMIT # ISSUE DATE
e� tin .� � ., �►
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Co pa y Name/individual Name)
the Sub -contractor for I Qkz
(Type of rade) (Primary Contractor)
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.
CONTRA kTORSTURE (Qnaiifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
i
State of Florida, County of v
The foregoing instrument was signed before me thi ay of
2q ,by�who is personally knownN—/or has produced a
as identification.
STAMP
re of notary Public
jSiig�n\a
�
Print Name of Notary Public
%Q%
ilHH 1B0160
QA••• o eortded
Revised 1111612016
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13 # C
COUNTY CERTIFICATION NUMBER
State of Florida, County of }t .L'Ic �
The foregoing instrument was signed before me this` day of
who is personally knownl� r has produced a
as identification.
STAMP
Signat re of Notary Public
Name of Notary Public
PERMIT At ISSUE DATE
1COUNTY
r t 0 R I D A .
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
St t B-CONTRACTOR AGREEMENT
R. Thompson Electric, LLC have agreed to be
(Company NaineAndividual Name)
the Electric Sub -contractor for AWN Builders. LLC
(Typ( of Trade) (Primary Contractor)
For the project located at J �%� ~ �— U - U " P 1)
(Project Street Address or Property 'Tax ID P)
It is understood that, if there is any change of status regarding our participation with the above mentions d
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of4 Change of Sub -contractor notice.
:s Newman
tiA.%I E
( tNNRl' ctE "TIFICVTIOIN�NUNTBER
slate of Florida, County oa •wQje_
I he foregoing instrumeut was signed before me This GS�1 day nr
whip is personally known V! or his produced a
as identiliration.
Signal rc of Notary Puhlic
..u1111N11��,..
Revised II1160)16
(Qualifier)
Robert Thompson
PRINT NNhlE
EC13007306
COUNTY CERTIFIt' 1 IlON NLUAIRE1
Slate of Florida, Couch or St Lucie
The foregoing instrument Ras signed before me this _' d¢r or
May ZQJ� by. Robert Thompson
whip is personally known Vor has produced a
as identification. s n
S 1 0111
btg turc of Notary Public
Melissa L Butterfield
Print Name of Nulary Public
1P•r►r ti01u-y PUbi;t Sate p•
Melissa L Butlt> is
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