HomeMy WebLinkAboutSub contractor summary and agreements5= ry PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
' Building and Code Regulations Division
WNW
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
JWN Builders, LLC
will be using the following sub -contractors for the
(Company/Individual Name)
project located at 4502-501-0568-000-0
(Street address or Property fax 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
:EC:130=07306
Plumbing
Jensen Beach Plumbing
24654
RE11067372
HVAC/
IDS Air Conditioning
19390
Mechanical
CAC058715
Roofing
Florida Coastal Roofing
31286
Solutions
CCC13006370
Gas
- iEj
OFFICE USE ONLY:
F
.. F_
RMIT ISSUE DATE:
UMBER:
Revised 07/29/2pI4
Im
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Lgy _UC have agreed to be
1m any Narge/individual Name)
the i� w�V r Sub -contractor forLy� LSE
(Type of Trade) 0 (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.
CO�ISTRAA7h `OR SIGNATURE (Qualifier)6illl
PRINT NAME
CR4�J
COiJgTY CERT'IFICATION NUMBER
<�,
State of Florida, County of(
The foregoing instrument vas signed before me tlils� day of
who is personally known _ or has produced a
as identification.
(' " I - IV '
'�
STAMP
tgnat a of Notary Public
..r,1i1i111111#�llr..
Print Name of Notary Public
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
��__5q _
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
who is personally known k, or has produced a
as identification.
L STAMP
11 at re of Notary Public
PLANNING d& DEVELOPMENT SERVICES
Building & Code Compliance Division
]BUILDING PERMIT
SUS -CONTRACTOR AGREEMENT
�'Ss t' s , have agreed to be
(Company Name/Individual Name)
the Sub -contractor for
(Type of Trade) { (Primary Contractor)
For the project located at
(Project Street Address or Properly 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.
1 � `-#' 1
COUNTY CERTIFICATION NUjM�BER�+ ,�
State of Florida, County o & • Lb � A_
COUNTY CERTIFICATION NN-UMBER
State of Florida, County of " 1 k`o
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
y ,21 \\ be t s4V\� _..�� c4s,63
who is personally known �or has produced a who is personally known �'� or has produced a
as identification.
�/� e
V ► L%—— STAMP
Ignatu of Notary Public Ml�4 ��
///i/i
Print Name of Votary Public Z- ty
:*
* H 16o16o
Revised 11116I2016 ''/',�����oe��,-�QMpi�•���\`\``
as identification.�& "� ��v
STAMP
Siguat re of Notary Public
.. y;it111111/!!/
tAH
T�, 4I�4Qs
Print lame of Notary Public _ 411
ER
WH iaiit&0
�_ZZ
�
'9� = oy °/►de l tt's�nc .
tip r1-p'. Fain Inso �.• Odi
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Florida Coastal Roofing Solutions, LLC
(Company Na]nellndivirlual Name)
the Roofing
Sub -contractor- far JWN Builders, LLC
(Type of Trade) (Primary Contractor)
For the project located at
(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 mcritioued
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.
COACTORGNATURE (Qualifier)
James Newman
PRINT NAKE
18415
COUNTY CERTIr•ICATION NUMBER
State of Florida, County of St. Lucie
The foregoing instrument was signed before me this
20; l by James Newman
who is personally known\/ or has produced u
as identification.
Signat c of Notary Public
ipiF! ttWtblt ' �
B-CON T SIGNATURE (Qualifier)
PRINT NAME
COIF Y CERTIFICATION NUMBER
State of Florida, County of St.Lucie
day of The foregoing instrument Was si ned before me this clay of
N%-bo is personally known _ar has produced a
STAMP
Print Name of Notary Public
Revised I l/1612016
as identification.
STAMP
Signatore of Notary Public
71.4 �
Print Name of !Votary Public
PERMIT #!
ISSUE DATE
PLANKING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUR-CONTRACTOR AGRErMENT
R. Thompson Electric, LLC
(Compam, Nwrie/Individual Natne)
the Electric
-- (Type of Trade)
have agreed to he
Stub -contractor for JWN Builders, LLC
(Priittary Contractor)
For the project located at —4 '��7
(Project Street Address or Property Tax I D + )
It is understood that, if there is any, change of status regarding our participation with the above mentioned
project, the ]wilding and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing oF.Whange of Sub -contractor notice_
(Qualifier)
nes Newman
StIB-C_pYt 2:1CrORSIGNATURE{Quxliricr)
Robert Thompson
PRINT NAME
_I(1 W EC13007306
COt''.s, I Y CERTIFICATION NUMBER COUNITY CERTI F IC A11()v 'CUMBER
Stair of FtOr n. County of �^ Lucie— Slute of Floridzt, C"ouniy of `St Lucie
Iltc rururjcgnire� ius[rumcnt ci'us signed bcforc me thi+IIJ Clay of
'..✓`, �� -- ��' b/y �`�
who iz pers[tnally Lnuwn ttr has produced a
as idrniifiration.
The furrguiug instrument nas signal before me this 25 dot 'if
May zll, by Robert Thompson
Willi is personally [mown-por has produced a
asidentificalion, s �' l
tiig [Lire of Notary Public
Melissa L Butterfield
Print tiatne of tiol2n Public 479F
1ti�a ��Qy • Print Nante of IYfltsrrr
#M 180160
pain ;Sal!
fAeilssa L Butted o
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