HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT 2-11-15PERMIT # 11501 _0311 I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
'� Building & Code Compliance .Division
OEM— 0)-
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
;ucie County Contractor CertifcationNumber: 25284
e of Florida Certification Number (.If applicable): EC :# 13006370
awIs Electrical Service Inc. have. agreed to be the
(Company NameAndNridual Name)
(Type of.Trade)
Sub -contractor for THOMAS GRUNDEL
(Primary Contractor)
the project. located at .. Sly 6 Il c-lyles
(Project Street Address or Property Tax
is understood that,,if there is any change of status regarding our participation withthe above mentioned.
I will .immediately advise the Building and Zoning Department of St. Lucie County by tiling a
of Sub -contractor notice. (:Form: SLCCDV (No. 004-00)
QUALIFUR .(Name of the.Individual shown on the Contractor's License)
SIGNATURES ARE R.EQ1TIR.ED
Ei YC L- -I- � . -
5158 Nw Primm ST
Pt St Lucie FI 34983
772 370 4357 email: Johniaw5158@aol.com
Lz&�-`—u -a, /'Z_ 1,- 1 /28/15
SIGNA' RE PRINTNAM.E DATE
STATE'OF FLORIDA, COUNTY OF
THEFOREGOINGINSTRUMENT. WAS SIGNED BEFORE ME THIS. 28 DAY OF' JAN, 20.1_5
xxxx
By J p WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
SI ' NATURE OF NOTARY PUBLIC
SLCPDS: 08106/2014
•AS.ID ENTI.FICATION.
(STAMP)a)� r VA) 13 o m �-e�
PRINT NAM9 OF NOTARY PUBLIC
AKATHRYN sumaERA
NOTARY PUBLIC
STATE OF FLORIDA
CortWO FFW 133
EVrer '3J312018
b.
St.
State
I(Type of Trade)
For th,', project located at
It is
ST
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
County Contractor Certification Number:
Certification Number (If applicable): �( 0,-) S Lf
.S Ap I l 2 W aif, have agreed to be the
ny Name/Individual Name) �I r r
Sub -contractor for howl as LJrt c..YiGY 4-i
(Primary Contractor)
(Project Street Address or Property Tax ID #)
that, if there is any change of status regarding our participation with the above mentioned
I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
QUALIFIER (Name of the Individual shown on the Contractor's License)
QED SIGNATURES ARE REQUIRED
Name: ` 0M S PW b�
.TUBE
Grwidd
PRINT NAME
DATE
CE OF FLORIDA, COUNTY OF
FOREGOING INSTR NT WASH SIGNED BEFORE ME THIS S DAY O / , 20 1 S
V_ 01y " {� l,(,f�l k(WHO IS PERSON LY KNOWN 1/ OR HAS
DUCED AS IDENTIFICATION.
(STAMP)
[ATiTRE OV T40TARY PUBLIC RINT NAME F NOTARY PUBLIC
12/16/2013
a4;lrod i NANCY MIMS ARMSTRONG
'� •= MY COMMISSION It EE059652
2015
EXPIRES January 30,
(407) 358-0153 - Floriq- dallotaryService.rom�� �-
MIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Luci,6 County Contractor Certification Number:
State o ff lorida Certification Number fq applicable):
(Type of Trade)
if
have agreed to be the
—v
Sub -contractor for J Y 1C.YYlEQ,S Qnwn&c_�_
(Primary Contractor)
�v1 �
For a project located at O glp N t(�/l � '�S U
�I (Project Street Address or Property Tax ID #)
Name)
It is 4derstood that, if there is any change of status regarding our participation with the above mentioned
I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
QUALIFIER (Name of the Individual shown on the Contractor's License)
:IZED SIGNATURES ARE RE, QUIREIlD
Name: &,01" �_L4tr
6l0 (-
TE OF FLORIDA, COUNTY OF
'SyS Tm.S
email:
PRINT NAME DATE
FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF , 20�
►/�ti o I\) (��(
J r q WHO IS PERSONAL Y KNOWN OR HAS
V-(D lr AS IDENTIFICATION.
1 f 1 (STAMP)
F NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
S:_1p2/16/2013
NANCY MIMS ARMSTRONG
e, MY COMMISSION # EMI °652
EXPIRES January
'407j 39$•0153 � FlondallotarySerc.•e.cc.,•.
w: PLANNING & DEVELOPMENT SERVICES
•
BUILDING & CODE COMPLIANCE DIVISION
I
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
10NJ' 5 KO 61I2 'tT will be using the following sub -contractors for the
(Company/Individual Name)
project located at U O . ie �
(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
'G
fj b�v^(,6'
G�
/
JoAel �,� ('leGM'c
Plumbing ,
m /S p to r 12 4 rnC_
Das �g
HVAC/
Mechanical
&^4al (q,_sternS
e-4(1— Q_5V7 q
Roofing
Gas
OFFICE USE ONLY:
NUMMBB PERMIT I �1,�� ISSUE DATE: