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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 F.'y ��tl' t::3>res 02}1412023