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HomeMy WebLinkAboutSUB-CONTRACTOR SUMARY-AGREEMENTRECEIV'r-'JG 31 2016 PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division BUILDING PERMIT SC ANi LU SUB -CONTRACTOR SUMMARY S&PI �Af'fi¢, -FOt2tzG/1�� jZ t/, * W 0,S,'-6 t.l.owr will be using the following sub -contractors for the (Company/Individual Name) C-PA,W_ iN C_ project located at '41 3 N C a - W 1> (7 ew-re / (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 %C<(//ZI IF(,2'9 Plumbing q5 ti C_ 36 C HVAC/ Mechanical P S A* 1)e— G0/it D ANC, l 7 390 Roofing J cP,306E> Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: bO�056 Revised 07/29/2014 RECEII.­- D AUG 3, PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES - Building & Code Compliance Division g P� BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: I / Cj 9 State of Florida Certification Number (If applicable): 9ww a (Company Name/Indiy�'dual Name) L��2(c� I (Type of Trade) �i�ldjZ �JJGE�r1�Q have agreed to be the Sub -contractor for P_,V I M (Primary Contractor) For the project located at 4S0?, 5 6) - bSQ q —ODD — (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 Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALH ER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: City/State/Zip: 6'0(zT 9-F Lxrcie , FL. 3 49.Sa Phone: �7a ` ��i `9 �%� email: b C �/RI�AIC/-� P� AT A10 AX_5gR 61UG8 b Yv1 fI A1A1 4, SIGNATURE PRINT NAME DAtE STATE OF FLORIDA, COUNTY OF —b THE FOREGOING INSTRUMENT�WAS SIGNED BEFORE ME THIS DAY OF , 20&__ —1 BY Q-t/G �, v � / WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. e r Dorise C. Virci lio . SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 RECE11"r-:D 016 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: Z7� (c tp State of Florida Certification Number (If applicable): cize 7,gs- have agreed to be the (Company Name/Individual Name) () V Uzya&- 9 Sub-contractorfor 0 i 014 R.�,l�J�. (Irype of Trade) (Primary Contractor) For the project located at -JE ()2. -,lal - Qsgq - Cy' (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 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: �P� S • rAAJ, Address: F a A0 , Ar,_ City/State/ ip: Phone: — Z� email: SIGNA f UR PRIN �N%AME DATE STATE OF FLORIDA, COUNTY OF /G,' (a�—�� THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS l DAY OF , 20 / BY 1,161k - �� �71 t - WHO IS PERSONALLY KNOWN OR HAS PRODUCED f_L AS IDENTIFICATION. y z 4 ' /-- �sz /1>> :_ /-- 7- G'(STAMP) SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 TERESA L BENNIGAN Notary Public - State of Florida • _ My Comm. Expires Dec 29, 2017 Commission # FF 717.18 Bonded Through National Notary Assn. RECE_2D nU'u 3 12016 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor; Certification Number: k "1 State of Florida Certification Number (lf appiicabie): ►�f-\OAfi G v s \X-Eave agreed to be the (Company Name/Individual Nam 1) l' 1 1 r Ct rl O \ �'\ `0 n :1�10 1 nG P4 ub-contractor for (Type of Trade) (Primary Contractor) For the project located at 1a) T\ I L%' b-_-) S5t1- 0593 COD- (.o (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 Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) 11 BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: DS B 1' r CC) r d k l On t it �g Address: 1 `: . l 5D1 City/State/Zip: Phone: ��-�— L60 email: i r)1 b WtoLavoor 6-Vioni n� °COM ^ r�r 9 � uy e� (-ACO 1 L" S GNA PRINT NAME DATE STATE OF FLORIDA, COUNTY OF `N n THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS "\ DAY OF 1Q XQ, , 20 W By WHO PERSONALLY KNO OR HAS PRODUCED AS IDENTIFICATION. SIGNATURE OF NOTARY PUBLIC SLCPDS: 08/06/2014 PRINT NAME OF NOTARY PUBLIC (STAMP) ow ft $% Notary Public State o} Florida Michelle Daniel My Commission FF 906496 ��ofF Expires08/04/2019 i R F C 1 D Aid 17.1fi' PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 3 C g Q State of Florida Certification Number (If applicable): 0 0—(J la 1� Comp NamelIndividual Name) J OE)� A I Sub -contractor for (Type of Trade) have agreed to be the (Primary Contractor) Q2rQ�ic- IY�C' 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, 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: email: OZ5c \ -5-cofv,\ KO � 0 � Lt-e- - ?_1 - 2) H (':�? SIG ATURE PRINT N ME DATE STATE OF FLORIDA, COUNTY OF �- . U °Ll,e_ THE FOREGOING INSTRUM�ENT WAS SIGNED BEFORE ME THIS 3— DAY OF - O , 20 l� BY C�VI.C.T-e WHO IS PERSONALLY KNOWN ,, // OR HAS PRODUCED AS IDENTIFICATION. S,fGNATURE OF NO ARY PUBLIC PRIN AME OF NOTARY PUBLIC SLCPDS: 12/16/2013