HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT & SUMMARY�
J
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
project located at
It is understood that if there is any chang
listed below, I will immediately advise the
BUILDING PERMIT
:ONTRACTOR SUMMARY
will be using the following sub -contractors for the
AMW I
address or Property Tax ID #)
status regarding the participation of any of the sub -contractors
[ding and Zoning Department of St. Lucie County.
Trade
I
Name of Company/Contractor
I
St. Lucie County/
State of Florida
License Number
Electrical
Comet Electrical
013 i6q
1�'Wmo
Plumbing
Aqua Demenisions
18628
CFC057526
HVAC/
Mechanical
Delair Heating and AC
27191
CAC032448
Roofing
Sunshine RoOng
25387
ICCC
1327796
Gas
I
I
I
I
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OFFICE USi+ys—nNLY
PERMIT
ISSUE DATE:
NUMBER:
it
Revised 07/29/2014
I
� 11
I
I
PERMIT # I (� ISSUE DATE
& DEVELOPMENT SERVICES
& Code Compliance Division
Mark Lurtz/Comet Electric & Equipment, LL,
(Company Name/Individual Name)
the Electrical
(Type of.Trade)
For the project located at
(Project Street
It is understood that, if there is any change of
BUILDING PERMIT
INTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Phoenix Companies
(Primary Contractor)
or Property Tax ID #)
regarding our participation with the above mentioned
project, the Building and Code Regulation Divilsion of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
iqIRV 1�Ail
PRINT AME COUNTY CERTIFICATION NUy�L(t�/
State of Florida, County of
The foregoing instrument was signed before me this L_#_ day of
00
Una"- 20M by V&
who is personally known or has produced a
as identification.
STAMP
ignature o otary Public
f'�o11(�>�s oA)ZA
Print Name ofltfotary Public
e, yW vo Notary Public State of Florida
_° �; Frances Donza
< My Commission GG 092440
�oFao�`' Expires 07/27/2021
Revised 11
X.
SIGNATURE (Qualifier)
Mark Lurtz
PRINT NAME
23169/EC13002784
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
The foregoing instrument was signed before me this day of
. 20� by
who is personally known _for has produced a
STAMP
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
& Code Compliance Division
the
(Type of Trade)
Name)
For the project located at 11--W a
(Project Street
It is understood that, if there is any change of
project, the Building and Code Regulation
filing of a Change of Sub -contractor notice.
XCONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
0-5-0 IOvG5
COUNTY CERTIFICATION�BE�State of Florida, County of?'C
he foregoing instrument was signed before me this day of
20 by A
who is personally known _or has produced a
BUILDING PERMIT
)NTRACTOR AGREEMENT
or
as identification.�—y/7 <4412 //L M /J(J -01� STAMP
Signature of Notary Public - U
lvCi�.3 /
Print Name of Notary Public
�, Notary Public State of Florida
Frances Donza
My commission GG 092440
orwo� Expires 07/27/2021
Revised 11/16/2016
RECEsIV ID
J UN 0 12017
BY:
have agreed to be
for flomes/1�
(Primary Contractor)
Tax ID #)
regarding our participation with the above mentioned
of St. Lucie County will be advised pursuant to the
SUB CONT'RICTOR SIGNATURE (Qualifier)
' her•f- Lud la wt
PRINT NAME
1�
CITY CERTIFICATION NUMBER
State of Florida, County of .Jt wc.i e
The foregoing instrument was signed before me this 31sa y of
20_a, by �d1Xf t L J I lL F&
who is personally known 'or has produced a
as identification.
C STAMP
Signature of Notary Pub6c
(Afird&
r-- tC r
h� -
Print Name of Notary Public
;,►is�% RHONDA LAFFERTY
'c MY COMMISSION # GG058720
EXPIRFS January 08, 2021
PERMIT# I 10-5 U�cp I ISSUE DATE
U0 vv V
PLANNING & DEVELOPMENT SERVICES
Builditig & Code Compliance Division
(Company Name/Individual Name) it
the t-U/A e.
(Type of Trade) For the project located at �q'a'5
(Project Street Ad(
It is understood that, if there is any change of
project, the Building and Code Regulation Di
filing of a Change of Sub -contractor notice.
BUILDING PERMIT
1NTRACTOR AGREEMENT
6 6'0-1 -7AC-, have agreed to be
Sub -contractor for ���^�c
(Primary Contractor)
or Property Tax ID #)
regarding our participation with the above mentioned
ion of St. Lucie County will be advised pursuant to
CONTRACTOR SIGNATURE (Qualifier) I
414A)
PRINT NAME
/7 kJnqg5?C/,,a5
COUNTY CERTIFICATIONLNUMBEPA
State of Florida, County o
The foregoing instrument was signed before me this day of
241, by Qj4! ?
who is personally known _or has produced a
as identification.
jW42 U i
STAMP II
Signature of Notary Public
1U S --awn
Print Name of Notary Public
Revised 11/16/2016
PRINT NAME ()
/119
COUNTY CERTIFICATION NU�M�B,E�R�
State of Florida, County of5e ...y 4e—
The foregoing instrument was signed before me this day of
who is personally known ✓or has produced a
i entification.
, &
1 STAMP VA.AA
Signature of Not ublic
Print Name of Notary Public
C"- -Ryl- AKr--Rs
MY COMMISSION # FF998962
K; ne 05, 2020
EXP IA ES JUSerrice.com
(407)398-0153
i
PERMIT# ISSUE DATE
PLANNINQ & DEVELOPMENT SERVICES
Building & Code Compliance Division
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
Sunshine Roofing, LLC
BUILDING PERMIT
INTRACTOR AGREEMENT
7
C1327796
(Company Name/Individual Name)
roofing Sub -contractor for
(Type of Trade)
For the project located at 3 d5 3��'
have agreed to be the
(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, I will immediately advise the Buildii g 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: PO Box 1083
City/State/zip: Palm City, FL 34991
Phone: 772-260-8195 email: sunshineroofingllc@gmail.com
� 1
Jamie Cisco
ZSIG ATURE PRINT NAME DATE
ATE OF FLORIDA, COUNTY OF
THE FOREGOI INSTRU ENT WAS SIGNED BEFORE ME THIS _Zy DAY OF , 204—
' I
BY I WHO IS PERSONALLY KNOWN OR HAS
PROD ED AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOTARY PALI =O Y p`B4^ Noli M6TC1V*MLFl®FN ARY PUBLIC
Frances Donza
SLCPDS: 08/06/2014 y c o My 6ommisslon GG 092440
9?of�o� Expires07/27/2021 - -