HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARYPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
•IRF.'We- Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
AJT Construction Consualting LLC
(Company/Individual Name)
will be using the following sub -contractors for the
project located at 8212 S Ocean Drive
(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
CarneY Eletrical
EC13012944
Plumbing
Master Plumbing
27366
HVAC/
C M 1
18614
Mechanical
Roofing
Micheal Kevin Walsh Roofing
28578
Gas
Como Gas
05594
27064
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
- BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 2 7no 6 4
State of Florida Certification Number (Ifappiicable):s11-T�_�trs#QSS _[ _
r/ u have agr ed to be the
(Company Name/Tndividual Name)
GAS Sub -contractor for
(Type of Trade) Primary Contractor)
For the project located at
(Project Street Address or Property T x ID #)
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:
—472 —, 8 1 00 email: ALMe jW p Como ELoA it bA• �0�
SIGN RE PZ
NAME DATE
STATE OF FLORIDA, COUNTY OF 4zz za�14
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS J641— DAY OF
BY WHO IS PERSONA Y KNOWN OR
HAS
PRODUCED AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOT
PRINT NAME O TARY PUBLIC
ip�"Y `ky_ Notary Public state or Flonde
SLCPDS: 08/06/2014 n Frances Donza
My Commission GG 092440
of n Expires 07/27/2021
the
PERMIT # ISSUE DATE
of Trade)
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
Contractor)
For the project located at U 0'- V
(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.
CONTRACTOR SIGNATURE Will er)
Ale -
PRINT NAME
COUNTY CERTIFICATION NUMBER , /
State of Florida, County of fY`-
The regoing instrument was signed before me this L9 day of
, 2 , y
who is personally known _or has produced a
as
AL'Ir'
PRINT NAME
COUNTY CERTIFICA ION BE
State of Florida, County o
The foregoing instrument was signed before me t 's day of
, 207Z, by
who is personally known Lorr has produced a
as Identification. A f- - _
1,PV PV
• 4t.; FRANCES DONZA FRANCES DONZA
MY CL
S ! toH 11t471 =*: ;*; MYCOMf # HH 111471
Public "%o,iF�cp,: S: July 27,2025 Signature of Notary Public +..P EXPIRES: July 27, 2025
Bonded tary Public Underwriters °p F` ' Bonded Thru Notary Public Underwriters
�rL�l
Notary Public
Revised 11/16/2016
PERMIT # ISSUE DATE
COUNTY
A�;
OA
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Co any Na le/Individual Name)
the ���"�� Sub -contractor
yp (Te of Trade) ^ �
For the project located at
(Project Street Addtless or
ID #)
have agreed 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.
ONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION BER
State of Florida, County of
The fo egoing ins rument/was signed Wore me this dal day of
20L, by
w o is personally known _or has produced a
as identification.
Public
Print Name of Notary
Revised 11/16/2016
COUNTY CERTIFICATION UMBER
State of Florida, County of
he foregoing instrumenntlwas sign d before me is J day of
201✓1by
who is personally known or as produced a
as identification. /\
FRANCES DONZA Signature of Notary ublic /
MY COMMISSION # HH 111471 l
EXPIRES: July 27, 2025
onded hru Notary Public UndeWhOrs
Print Name of Notary Public
FRpNCES DONZA
cur, oo,.,, - -
EXPIRES: July 27, 2025
Bonded Thru NotatY Public UndeN1rr "s
PERNT # - - ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
midm el A eV 1 have agreed to be
(Company Name/Individual Name) fI enik CvJ
the Sub -contractor for r10 o�,� opt
(Type of Trade) ^ \ (Primary Contractor)
For the project located atl %
(Project Street Address or Property T t #)
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.
CONTRACTOR,61GNATU (Qu er)
P N ME
COUNTY CERTiFiCATION iBE
State of Florida, County
The for oing instrument was sign efore me this day
20 �by
o is personally known _or has produced a
as
of
Print Name of Notary
Revised 11/16/2016
— / r
11, 1 -) J1_ 4 1, 4 _�
SUB.0 T TOR IGNATURE (Qualifier)
PRINT NAME
CCC13300el
COUNTY CERTiFiCATiON NUMBER
State of Florida, County of 1460 ON
The foregoing instrument was signed before m/e.this 13 day of
DtCICMU4 ,20A by M_MkW 4l
who is personally known jLor has produced a
as identification.
ub / 0 I� DON, j47$ig ture o otary Public
;:� "' ;• MY C MISSION # H 2O25
OM
' °= 6ond�NRNo ryuP b� �ndotWly 1tltPriat Name of Not
STAMP
MY C011111W" # HH i?=
0WMKWMl#W3'2W
8G„ WtattNoWyPdkunda0bM
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
y = Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
1 have agreed to be
(Corhpany Nanle.11ndwidual Name)
the (r( \(( \
(Type of Trade)
For the project located at
Sub -contractor for ']R\t q
(Primary Contractor)
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.
CONTRACTOR SIGNATURE (Qualifier)
R .'T NAME
(i4� (� - 16:939,54
COUNTY C RTIF'ICATIONNj1�6yE� R��c� "�
State of Florida, County of A)" +`
The f regoing instruments was signed before me this day of
/�
2�'rj b,.
o is personally known V or has produced a
as
stuke,00ff Noottar% Public
Re%ised 11162016
FRANCES DONZA
MY COMMISSION # HH 111471
EXPIRES: July 27, 2025
- 114A_ -
SUB-CONT R SIGNATURE (Qualifier)
PRINT NAME
0Auht`l \
COUNTI' CERTIFICATION NUMBER
State of Florida, Count-, of3m—N )1
The foregoing instrument was signed before me this day of
XJ , 2071 , by - '_ 1
who is personally known "�?or has produced a
as(IUA OdlVI&*—
Signature
STAMP
AUDREY MELLETTE
Notary u ic- ate of Florida
Comrnission # HH 52004
My Commission Expires
November 21, 2024