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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTNUANMW I _ BY PLANNING &>��'=L� T SERVICES DEPARTMENT J BUILDING & CODE REGULATIONS DIVISION le _ ® BUILDING PERMIT o SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: % 912 P/ State of Florida Certification Number (tfapplicable): (%CG 03(v V70 Q,�oi1 ?00 ri have agreed to be the (Company Name/Individual Name) Rao & q sub -contractor for I A✓ (Type of Tra efl) (Primary Contractor) for the project located at // -ef 0,T-- QI ®,1--c`�tV -i (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 personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's -License). ORIGINAL. . I N 'I'URES ARE REQUIRED i• banis l F • _Heahn SIGN URE ' / PRINTNAME DATE Business Name: iI i✓ahon R00 4i1Q . c_ . Address: P O 0.0 x i ('F 3 City/State/Zip: Pa I M C A4 F L- 3(-( q4 J Phone: Ir(a_ Aqq- 0116 email: In (s nnkeaADn RoO nc�• C+0M OFFICE USE ONLY: PERMIT# ISSUE DATE S PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUMMARY JWN Construction, Inc. (Company/Individual Name) project located at 45 1 1 -805-0 1 will be using the following sub -contractors for the -000-7 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 Laws Electrical Services 25284 F113014098 Plumbing Jensen Beach Plumbing 24654 RF11067372 HVAC/ Mechanical Cold Remedy A/C Inc. 9691 CAC048125 Roofing Heaton Roofing, Inc. 18284 CCC036970 Gas )FFICE .USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 _ PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: a S 'A, S Lf State of Florida Certification Number (if applicable): r l 130 l y U L ,4 W S S evd, i e r-t& have agreed to be the (Company Name/Individual Name) j e-c-4vtr ..,-/ sub -contractor for —s- W iV (Type of Trade) (Primary Contractor) for the project located at JAI - C? Ds- D I O,)� - O oo i (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 personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-'00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED SIGN URB PRINT NAME DATE Business Name: LAWS ELECTRICAL SERME Address: lPI�"�T City/State/Zip: Phone: 270 L/ III OFFICE USE ONLY: email: i c36K (,/Iv .S-1S-f q__ -40J%C`0 1 PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT • . i SUB -CONTRACTOR AGREEMENT i i i tf�Sg St. Lucie County Contractor Certification Number: y�p2 7 State of Florida Certification Number1` , (If applicable): F' 1 Q 6 !2 3 2 a �.�c,_ have agreed to be the (Company Name/Individual Name) -, -10 C, sub -contractor for (Type of a ) I, (Primary Contractor) for the project located at 9,�j j — P D S- D 10 a ` b 6 7 '? (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 personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: Lnncil e CLaberfi!�orn PRINT NAME DATE L b [a email: PERMIT # ISSUE DATE PERMIT # ISSUE DATE I PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division COUNTY BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 9691 State of Florida Certification Number (If applicable): CAC048125 Cold Remedy Air Conditioning, Inc. (Company Name/Individual Name) have agreed to be the air conditioning ' Sub -contractor for AWN Construction, Inc. (Type of Trade) (Primary Contractor) For the project located at ° f Jy J — $ d 5-- D (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: C F,U A. Address: 633 Horizon Ln City/State/Zip: Port St. Lucie, FL 34983 Phone: 772-878-2754 email: rvolkart@comcast.net Richard Volkart 21,/u o2W dol j SI A U PRINT NAME DATE STATE OF FLORIDA, COUNTY OF St. Lucie THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS ,44 DAY OF - ` t 2015 BY Richard VOlkart WHO IS PERSONALLY KNOWN X OR HAS PRODUCED hO",4 1>/Ll eAS AS IDENTIFICATION. (STAMP) °,Par PG°! Wanda Nieves SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC w N"° State of Florida SLCPDS: 08/06/2014 v,� aPQ MY Commission Expires 101161201; OF Fe® Commlaslon No, FF 63696