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Home My WebLink AboutSubcontractor Summary Lot 17 Flynn 10.21.2021PLANNING AND DEVELOPMENT SERVICES DEPARTMENT • Building and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUMMARY (_L.e will be using the following sub -contractors for the (C pany Individual Namel rLn A i project located at 0, (U o" /-`u (Street address r Proper ax tD #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, 1 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 f Jithat, Plumbing t ao )C ? HVAC/ Mechanical Roofing daAam deb 133 Uvsq Gas ae7 06 /Como OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 PERMIT # ISSUE DATE _ PLANNING & DEVELOPMENT SERVICES 1 - Building & Code Compliance Division • — -- --- BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Corilpany Na e.�Individual Name) the (�( \(, Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at ?Oaq_�- 1 ��1 (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 � CONTRACTOR SIGNATURE ualifier) lil PRINT NAME me'15A3B-4 COUNTY CERTIFICATION N 'MBER State of Florida, County of T foregoing instrument was signe before me this t/` ! das of . 20N , b} o is personally known _or has produced a as identification. STAMP Signal re of Nolan Puoic (-I N Le NIJZA Print Name of Notary Pu lic �Snr n� Notary public State of Florida . Frances Donza � J My Commission GG 092440 Revised 11 16 2016 or M1 Expires 07/27/2021 SUB-CONT R SIGNATURE (Qualifier) a' PRINT NAME COUNTY CERTIFICATION NU�M�B,,E�R}; {� State of Florida, Count• of1 � 1�, +11 The foregoing instrument was signed before me this � dai' of J]�L� 2011 , b,. who is personally known has produced a as 1 RntiTi (j��ion. If STAMP >ignature of tan I Public mom AUDREY MELLETTE Print Na mc of Notar Notary u IC ate of Florida �*= Commission # HH 52004 °. My Commission Expires '�%�111101 �, November 21, 2024 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division REC73TIVED BUILDING PERMIT APR 2 0 2011 SUB -CONTRACTOR AGREEMENT BY: hc- e) (kf 1!�) nI L do �k `t'h�_ T_J C (4,S . G2 (1&� Ihave agreed to be (Company Name/In ' idual Name) the 0, 1'_ u to I CA Sub -contractor 0r fy 1r�r ,'� �c.eC- (T pe of Trade) AW (PrimaryContractor) For the project located at�'IY'r (Project Street Address or Property T . r 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. /Si 0'.Z / CONTRACTOR SIGNATURualifier) �19A) /77 FrRINT NAME d' &' 16�q 6y5-4 COUNTY CERTIFICATION 1y,�1MBERVow,, State of Florida, County of �� _The regoing instrument was sign before me;�this^ay of 20Z) by o is personally known v or has produced a as identification. � / (/�iiln iw B 11/�_' STAMP SigWthre of Notary Publ cL r ; e f Not.,T.y blrc state of Florl&q Frances Donza My commission GG 092440 Expims 07I2712021 Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) T3bnC(k rl \ PRINT NAME I/J \t-1 COUNTY CERTIFICATION NUMBER State of Florida, County of M04Y 1 The foregoing instrument was signed before me this (1 day of Il 241,by D?yNcJd k4-iLU who is personally knoyrt4or has produced a as LL (-1 Prime of Notary Public LAtJRIE URY MY COMMISSION # FF 210664 lN:.•, o EXPIRES: July 16.2019 �I F Bonded Thru Motary Public Undetwnterss STAMP PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES J i:1,_ Building & Code Compliance Division r BUILDING PERMIT SUB -CONTRACTOR AGREEMENT U have reed to be (Co ame Individual Name) l , r the _ Sub -contractor for (Typo Trade) 0-ma-ntractor) IIR` For the project located at V (' ttw 1� (Project Street A ress or roperty 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. IL ONTRACTOR SIGNATURE Qualif ) l P NT NAME �'4 — COUNTY CERTIFICATIO MBE /�' I State f Florida, County o a h "going instrument was sig before me tl I da of 20'�, by(' �� w o is personally known or has produced a as identifi atil4kx, on. STAMP Signs tu of Notary Public t5iof Print Name of Notary Publ ,,ar- ar, r1rYtrt1 1 � _ No�rY Public State of Florida Frances Donza My Commission GG 092440 F fc ENO-- 07/27/2021 Revised 11/16/2016 " "`ri�� Th regoing instrunwy�t was signe before e s2L-L day of eOJI) + Y w is personally knownn or has produced a as writitication. (P Signs re of Notary Public Print Name of Notary Public — OW Notary Public State of Florida tr Frances Donza �o� My Commission GG 092440 aka wd" Expires 07127/2021 STAMP PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agr to be Wqaine ndividual Name) the U-Lontractor for�jw (' ype of e) n C actor) For the project located at I - UM "LL (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. �CCONTRACTORSIGNATU (Qua6fi ) kfio PRINT NAME COUNTY CERTIFICATIO E State of Florida, County o before me thi� Ae foregoing instrument wassIgned da of 20``1 11,. by w o is personally knownv or has produced a as iden ' tcstion. Signatu of Notary Public Print Name of Notary Public yp7 xv, N"ts'ry FubifG :7t}I'.L' :.t t'IGrf•�u °� F f41ItG�d [)Ei:7ad ,S f M f Ca rfrr•!�e cr 0(3 09�440 'A� pdR°' �xpirtns d9/�ti�2o17 Revised 11/16/2016 _AZ4/a'z� S'U&tONT C� R SIGNATURE (Qualifier) PRINT NAME CCu 3 '�W �k< OUNTY CERTIFICATIO E State of Florida, County of e foregoing instrument Iva was sign before me thiy f 20�y . w is personally known _or has roduced a a�ientificstion. STAMP Signat re of Notary Public Print Name of Notary Public RE C St-,te of Fionda onza sion GG 092446 712(:? , STAMP PERMIT # ISSUE DATE FM COUNTY F L O R I D A-40 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 1 ;2 3�0� 4 State of Florida Certification Number (rfapplicable): __5T 6 �ICEWSC (Company Name/Individual Name) ,LP - GAS Sub -contractor for (Type of Trade) For the project located at (Project Street Address or Property T x ID #) -A'OS594 Contractor) have aarced to be the It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: City/State/Zip: Phone: email: ALhL",7'V *_ Como F4oR,bi,. NtA, ANY CkLBa.t SIGN RE NT NAME DATE STATE OF FLORIDA, COUNTY OF a �� zonz, THE FOREGOING INST=NTWASGNED BEFORE ME THIS 10 DAY OF , 2 BY WHO IS PERSONA Y KNOWN OR HAS PRODUCED AS IDENTIFICATION. Lid (STAMP) SIGNATURE OF NOT PRINT NAME O TARY PUBLIC Notary Public State or Florida SLCPDS: 08/06/2014 Frances Donza My Commission GG 092440 Expires 07/27/2021