HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT-T
PERMIT# ~J �� ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (Ifapplicablo l.r
SOQ VAA QC&f , 9vN)A)01n :
(Company Namellndividual Name)
(Type of
For the project located at 1 b
have agreed to be the
for C► m COA2" 04 d n u C
(Primary Contractor)
3 oc ea n o.r. Lo
Street Address or Property Tax ID #)
S Alen Ci tctA �(..
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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. om-oo)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address: C
City1Stateaip
Phone:
email:
C9J q 1
A PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF M(N
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF , UY-'e , 2
BY os,f I W) 0---es WHO IS PERSONALLY KNOWN _\�Ol
AS IDENTIFICATION.
W14 k co (Y-\ . (STAMP)
OF NOTA Y PUBLIC PRINT NAME OF NOTARY PUBLIC
+fy CWMNTERCORN
y t r_ W COMMISSION # EE 852551
e0.
EXPIRES: March 18, 2017 `
$tRf�NO Bonded Ttxu Notary Public Underwriters
s
1LA
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
MpLI ING PERMIT
SUB -CONTRACTOR SUMMARY
1.Q"ill be using the following sub -contractors for the
(Company/Individual Name) P_
project located at
(Street address or Property Tax ID #) 3 --1 1S
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
i
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
S (0 4 Ge - I
Plumbing
�V Y Y �' � ` L�
1?z �5
HVAC/
Mechanical
c IrYI
Z 5
Roofing
J l? .-Ta 10 2. ► -oU
C.132.CjgQ
Gas
OFFICE -US-E ONLY:
PERMIT I �r� ISSUE DATE:
NUMBER: `f W
PERMrr # 1 1 1 ISSUE DATE
_ PLANNING &I DEVELOPMENT SERVICES
Building & Code Compliance Division
U401411
- BUILDING PERMIT ✓
DA
SUB -CONTRACTOR AGREEMENT (�
St: Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable); ._
GI i 2Z
have agreed to be the
(Company Name/Individual Name) U� _
q-� C (� �, Sub -contractor for e M 1 1 C n &�%(_
(Type of Trade) (Primary Contractor)
For the project located at `q* S 1 S Oca&D Or. Lb4' p'� cr"- so DCC__Jh J_ sT
(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 wiffimmediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: iSLCCDV (No, 004-00)
i
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name. felilli-e—TI�f1�lCLCI-T ..Lc.� 1e
Address:___ fJ� Akry t.E -kL L 03
City/State/Zip; PGQ-i Si L,UL-y, '449 S(p.._�_:.__
0NA
: 112-1 alll- i LIC01 email: �llw 2tHer: _ �-hv c. `►g tma, ctwL
TURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF
THE FOREGO NG INSTRUMENT WAS SIGNED BEFORE ME THIS JL DAY OF 20��
By WHO IS PERSONALLY KNOWN OR HAS
NOTARY PUBLIC -
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
• Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
GM Construction LLC
will be using the following sub -contractors for the
(Company/Individual Name).,
project located at 10751 S. Ocean Dr. Lot B-8 Jensen Beach, FL 34957
(Street address or Property Tax ID #)
It is understood that if there is any change i 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
Bellweather Electric
26164
Charlie Hopprnan
EC13004122
Plumbing
South Park Plumbing
27350
Jason Wintercorn
CFC1426656
HVAC/
A/C Mann
22570
Mechanical
Ted Mann
Roofing
Treasure Coast Roofing
19496
Brian Maloney
RC29027087
Gas
N/A
OFFICE USE-0 NLY:
PERMIT
NUMBER:
Revised 07/29/2014
ISSUE DATE: