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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTRECEI ,`.:-D APR 2'.� PERMIT# I N�ANWW I ISSUE DATE PLANNING & DYVElOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): CG C 1 519276 South East Construction Associates, Inc (Company Name/Individual Name) Carpentry/d oors.wi ndows (Type of Trade) have agreed to be the Sub -contractor for St Lucie Habitat for Humanity (Primary Contractor) For the project located at 7005 Santa Rosa Pkwy Ft Pierce (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: 5&;7"a( 47�'_ Z0erS`rxc-e14 1�5SfC4S Address: 1216 SE Industrial Blvd City/State/Zip: Port St Lucie, FL 34952 Phone: 7722014043 email: secalnc@yahoo. om — ; e,� r SWRATURE PRINT NAME STATE OF FLORIDA, COUNTY OF 7), , L acie—. 22 if DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 2Z DAY OF , 20_PS WHO IS PERSONALLY KNOWN AS IDENTIFICATION. SLCPDS: 08/06/2014 t-� PLANNING & DEVELOPMENT SERVICES ' Building & Code Compliance Division a a BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 28515 State of Florida Certification Number (if applicable): 13014888 Don Green Electric, Inc (Company Name/Individual Name) Electric (Type of Trade) have agreed to be the Sub -contractor for St Lucie Habitat for Humanity (Primary Contractor) For the project located at 7005 Santa Rosa Pkwy Ft Pierce, FL (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: 1305 W 1 st St City/State/Zip: Ft Pierce, FL 34982 Phone: 7724185739 email': dongreenelectric@gmail.com AW i__ f �__, __� � IDeWI-110 SIGNATURE PRINTNAME STATE OF FLORIDA, COUNTY OF . Lrx' e., DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS ��DAY OF , 20 S BY WHO IS PERSONALLY KNOWN ✓ OR HAS P UCED AS IDENTIFICATION. gar r)0 eylol •L DONNA WEATHERINtit011 GNATURE O OTARY PUBLIC PRINT NAME OF NOTARY PUBL Notary Public - State of Filli 1 . � My Comm. Expires Aug 20. 2011 SLCPD;S: 08/06/2014 '•.,yob ��,",�• Commission # FF 31018. RECEI`.'- D APR 23 1015 PLANNING & DEVEY.OPWNT 09VI MS DEPARTMENT CODE REGULATIONS OIVLWN BURMINGTERMtT SUB=CO]�TCt CrORAC REMENT 'St` LucieCounty Con�r�ictgr Cer�iiication �1"ambe'r:, ram_ -.`� .� .', _ . State of ffonda Gertzficafion Number (lfi&l cablcj w have agreed to be:the (Company, Nanic//Inndividual-Name)° sub-contra+c � ` • �-r a torfor. }, . Typeof Trade r"ma`YContractar n, for the,prOjeot. located at eet Address ar Pro ezt Tax 7D # ) (Projec Stx -...,p , y .. If is understood that, 'if flidre is any"change of;stOus regarding our Participation witli` he above mentioned pmjeot, I:wiR immediately advise the:Build ng anti Zoning• Department of Stt Lucie County by personally filing -a. Change crf CozAractor=notic e .(Form: SLCCDV No.=004- 00 BUSINESS "QVALIFIE'R (Name'ofthe Individual shown on the Contractor's License) IGINA : SIGNATURES A %,RED SIGNATURE a _p I NANM- ,DA1 .Bosiness Name: a ✓, .�; City/State(Zip: Phone-. £'8k C3�'FIC USIEWQNILY PERMR`# V' 4. _ ISSUE DATE r.. s. SCANNED BY -: -- ;' PLANNING & DEVELOPMENT SERVICES DIVISION E=' `s FTF. •Rj, � BUILDING & CODE REGULATIONS DIVISION Y 2300 Virginia Ave Fort Pierce, FL 34982 REEE.P. D.-APR `.23 2015 BUILDING PERMIT . Dun" _ 1�1,I'ii�1�`I'OR-SI3iVd�VI��.- _ �T ..... _ g t be using t>ie-followin `sub=contractors for the " ' (ConipanyNdividua Name) er U b -located at.. c -��t-a 4 (Street address or Property Taz IID#) 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. . St: _ . Lucie. -County/ . Trade Name of Company/Contractor. State of Florida License Number Electrical ©1J ✓ c c L 3 Plumbing Q/ v 12 ��S J L�`�. ` v '.Cr- G u a Y S 35 HVAC/ - .. Mechanical Roofing 'Gas. OFFICE. USE ONLY: . PERMIT ISSUE DATE: NUMBER: