HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARY & SUB-CONTRACTOR AGREEMENT PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
• Building and Code Regulations Division
BUILDING PERMIT
SUB-CONTRACTOR SUMMARY
JWN Builders, LLC will be using the following sub-contractors for the
(Company/Individual Name)
project located at 4502-501-1256-0007
(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.
St. Lucie County/
Trade Name of Company/Contractor State of Florida
License Number
Electrical R. Thompson Electric, LLC 29811
EC13007306
Plumbing Jensen Beach Plumbing 24654
RF11067372
xvAC/ IDS Air Conditioning 19390
Mechanical
CAC058715
Roofing Florida Coastal Roofing 31286
Solutions CCC13006370
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/24/2014
PERMIT# ISSUE t)ATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
r .
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
_R" Thompson Electric, LLC have aureed to be
(Company N,aineAndividual Name)
the Electric SLib-contractor ror JWN Builders, LLC
(Type of Trade) (Primary Contractor) ^
For the project located at
(Project Street Address or Property Tar ID#)
It is understood that, if there is any change of status regarding our lnulicipation with the above mentioned
project.the Building and Code Regulation Division of St. Lucie County will he advised pursuant to the
tiling ol'a Change of Sub-contractor notice.
/ames
COR Str-NNI 'RE(Qualifier) Si!13 L 43 t R:1CrQR SIC\:ti U1tL'{Quatifer)
Newmart Robert Thompson
;Y�IY13 EC13007306
[:ot-.%TYcEtiTII:ICATIONNU"11I F-R v COUN']YCERT11:iG:t"'OL Nl,NIBER
�(titxte or County o � State of Florida,Cnunty of 5t Lucid
E;Inritl9, t �,
The rorrgoi ng in5tromrot was signed before mr this Ws ;ly nr 'ncc forrgaing instrument nas signed Wore mr this 25 dat'of
2d1, May ^� � Robert Thompson
try
ci ho is personally known or has produced a w ho is personally known ' or has prodtitcd a
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
a R 1 P
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Florida Coastal Roofing Solutions, LLC have agreed to be
(Company Name/Individual Name)
the Roofing Sub-contractor for JWN Builders, LLC
(Type or Trade) (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
tiling of a Change of Sub-contractor notice.
CON RACTOR SIGNA 'RE(Qualifier) B-CQN T SIGNATURE(Qualifier)
mes Newman ,
PRINT NAME PRINT NAME
18415 T
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION INILN BER
State of Florida,County of St. Lucie State of Florida,County of St.Lucie I
The foregoing instrument was signed before me this 1�day of The foregoing instrument was s' ned before me this i� day of
7 \b) James Newman �^ zlK_ by
who is personally known or has produced a who is personalty known-V`r has produced a
as identification. as identification.
STAMP
Signatu of Notary Public Sfgnatu6f of Notary Public
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Print Name of Notary I'uhttc •��"�p;•,• w1r, Print Name of Notary Public
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PERMIT#:]:::: :: ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
A Budding & Code Compliance Division
WENE
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individuai Name)
the EA�,J t\C Sub-contractor for t I
(Type of Trade) yy (( (Primary Contractor)
`
For the project located at A bl_JU I �
(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.
CO RACTOR SIGNATURE(Qualifier) SUB-CONTRACTOft SIGPSA'1 F�(Qualiiier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County o i State of Florida,County o 1 • - l
The foregoing instrument was signed before me this day of The foregoing instrument wassigned before me his day of
Tr c—
,20�,by
w z n� by
ho is personally known ar has produced a who is personally kno� nnL'��VZ or has produced a
as identification. as identification.
STAMP STAMP
ignatu a of Notary Public Signatu of Notary public
1lNM#i1#IN/
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T—yam, ,, ��i�w+nTlC,.a•• /�/ \\ •aa.•sa:7 //
Print Name of Notary Pubhc Print Name of Notary Public ` •_.tli��' � •••
BER
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PERMIT# ISSUE DATE
_ PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
r
have agreed to be
—.(Company Name/Individual Name)
the Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at �� �— 1�b� —
(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.
CON RACTOR SIGNATURE(Quatitaer) SUB-CONTRA?!T(OR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
ro
State of Florida,County of +� � State of Florida,County o LU���
'
The foregoing instrument was signed-before me this day oo(f A The foregoing instrument was signed
-before me this t �day of
2�by �i 1 �/V�} 1lV L \ ' 2 ,by
who is personalty known 'L/or has produced a who is personally known_or has produced a
as identification. as identification.
STAMP C to
► _ STAMP
Signatur of Notary Public ,11111111IIIII/���� Signatur of Notary Public
I411 J 11 `Osy11111111H111o."
Print Name of Notary Public X. ? .. Print Name of Notary Public •G0 •� ,��
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180160
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Revised 11/16/2016
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