HomeMy WebLinkAboutSubcontractor Agreement -; - PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
• Building and Code Regulations Division
BUILDING PERMIT 1
SUB-CONTRACTOR SUMMARYJJ�
LARRY NEESE LLC
will be using the following sub-c ntractors for the
(Company/Individual Name)
project located at
278 BERMUDA BEACH DR, FORT PIERCE, FL
(Street address or Property Tax ID#) 1
It is understood that if there is any change of status regarding the participation of any oI r 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 DON GREEN ELECTRIC EC13007447
DON GREEN 29720
Plumbing B&N PLUMBING CFC11 28057
BRADLEY BEDDOME 26109
HVAC/ MILLER CENTRAL AIR CAC058675
Mechanical S EA N B RA U C H L E R 19381
Roofing,
Gas
1
OFFICE USE-ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014
I
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
l_1 ` Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
DON GREEN ELECTRIC LLC have agreed to be
(Company Name/Individual Name)
the Electrical Sub-contractor for Larry Neese, LLC
(Type of Trade) (Primary Contractor)I
For the project located at 278 Bermuda Beach Dr Fort Pierce FL
(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 o nge of Sub-con for notice.
C OR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE, (Qualifier)
Don Green
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
nn
State of Florida,County of IJ , State of Florida,County of /�T�/1 � y,
The foregoin
g instrument 201 was signed
,before me this I "d�of The f regoing instrument was s� nI ed before me this day of
.l'by �—+�X 1'U IVL �L4-4- ,20a by
who is personally known)6or has produced a who is rsonally known or has produced a
as identification. as i C.f I f
t r'
STAMP {%MP
Si re o`+f�Notary.
Public Si re` otary Pub le
Pr .it Name of Notary Pu lic P ON me o otary Public
P HEATHER RING JOy CHRISTINE COPELAND
MY COMMISSION#FF140529 ZB
My CDOMISSION#FF948042
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Revised 1 U162016
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PERMIT#.. -18SUE.DATE
PLANNING.& DEVELOPMENT SERVICES
Building & Code:Compliance Division
B ILDI' U " NC PERIGIIT' .
SUB:'CONTRACTUR'AGREEl1EINT
Miller's Central.Air lnc
have agreed to be .
.(Compan}-Nlacne/lndividuW,Ne mej
the Mechanical/HVAC Sub conttactor.for Larry Neese, LLC
(Type ofTrade)' (Primary,Contractor)
For the pf•oiect located at 278"Bermuda Beach Dr; Fort Pierce,FL
;(P.roject Street'Ad iress`or Property Tax D#)
it is understood chat,;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 pursuantao th.e
tiling of a Char ;e of Silb-contract once♦
C I'OR SIGINAT Rl.(Qunlificr) SUB` ONTILACTOR S1GNA7 URIi,( ualiPer)
a L
•
$RINT NA 1 PRINT.MANIC
COUNTY CEWrIFICATiON N 'XIBFR COU TS CERTIFICATION
State of Florida County ofCt' State of Floridit,County of
The foregoing instrument n'as signed before rme.this�d—np jof' The fo goin instrumc(nt��t}as signed before'me this Jj 2 dajly of
_t �D��by {.� .J{- - l� j : ;1201�/,by
who is personally koo ttipZor•has produced a who is perso" dll}krioWn or has p�oduceii'a
ai 1 lenhfcation as idenlircc` it
t
Zm
STAMP f STANIP
4,azure of iVotan• i bhi Signdture of Nota y lick
Una
Pr n Name'of tiotary puHe Print Vame YJ
Pri ofNolal Public
opvP I-MATI�R.RINC' �o��y"`�� NORMA iACK
b1yCOMM1SSION#FF140529 e y f+ NQtafy.PubliC-.SIafE Ot Florldi
7 'l EXplxEs:7uty lo;2020 . . a _ My COMM Expires May 5,2019
OF"` = � a�AP COmmISSIOn#EE 864200,
F�evrsed I t161?016 �' „t�! ) ionded Through National Hatary Assn.
PERMIT# ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
Building & Code;Complian'ce Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
I
B&N Plumbing Lve ag reed to be
(Company Name/Individual.Naine)
the Plumbing Sub-contractor for Larry Neese, LLC
(Type of Trade). (Primary Contractor)
For the project located at 278 Bermuda Beach Dr, Fort Pierce, FL
(Project Street Address or Property Tax ID#)
_ 1
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
;T f a C`an iSub &Qt1tl�tt�.�T—ti€hilt
s
t _t C)K Tf +�`C itf (Q'suthlier).' SUB--RCONTRACTOR SIGNATURE�(Qualiiier)
3liltiT'.�t�PL'J PRINT NAME
Ul !"S C II tt'I Il P� 1 11C)\'.l�'Sl2f It. COUNTY CERTIFICATION NUMBER
�'.j State of X lorida County of .51 l J_U e t C
Fl fore v±sr nsSruPncntnfaassc ncl P�cf�rthn th s�Z d;,v-s1
T foregoing Pnstrument was signed before me this- /Clday of
Who 6 r nail+ !f,oit u it tia,r cru - >vho-is personally known or has produced a
ilentifiziitii. identification.
x GLC STAMP
>t;z wiiiTe a ublic
4°Nai ublic of Signature of.N a .P 1
1
Print Naine of:Notary Public
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HEATIR Vic'
%fY.CO IISSION#FE1d0529 t TANYA L NE11111 E
.EX['I Iuly]0,2020 w � Y� ¢� _ M COMMISSION tl FF 15i8B3
EXPIRES.•0ciober12,2018
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