HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSCANNED
ED
lay
at. Lucie Country
RECE1`" `_JAY 2 81015
PERMIT # f S7 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
---- - BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
xcie County Contractor Certification Number: I &C5 Li
of Florida Certification Number (If applicable): �ic. 13 :4
fl t-(,11 kPa-+jr-O A-P�r ra�6+ttCr,Ir<) I2ir rd Wh t�bwr.
ave agreed to be the
(Company Name/Individbal Name)
(Type of Trade)
Sub -contractor for d (' 12 � . LL-C _
(Primary Contractor)
F r the project located at 101(11 S . 0(eca� Dr. k(,9'1 Je+,scr\
II (Project Street Address or Property Tax ID #)
-goy-a®9d-ooc�5
ItI;S understood 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)
LIZED SIGNATURES ARE REQUIRED
Name: CmslaI ,r %'1WJ It 'aF Ir4
—4�c L( 8 tn/ �a �wn.es pY
/ : � S-t Sara �fi FL_ <3 �-t 9
email: ('I)GL,StrA`0.Ctood Coll,
�r Kmrc� WkI" tf- ke 01-01
;I%ATl'1RE u" V PRINT NAME DATE
ATE OF FLORIDA, COUNTY OF
[E FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF , 20
WHO IS PERSONALLY KNOWN OR HAS
ODUCED AS IDENTIFICATION.
(STAMP)
;NATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
CPDS: 08/06/2014
MAY 2 $
pLANNiNG & DEVELoPNMNT SERVICES DEPARTMENT
w . ; BUILpING & CODE pEGULATIONS DIVISION
BUILDING PEP -NM
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor CertificatioaNumber:
State of Florida Certification Number (if epp)i-blc)-
do have
have agreed to be the
(CompanyNaWie dividualN e)
o a C, sub -contractor for I- R Cons c-.h'cr-�
(may C ')
for the project located at ! (protect stred Address or PropertY'rax 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 Chattge of Contractor notice. (Form- SLCCDV
No. oat-oo)
D.US1NESS Q-UA.TMFR (Name of the Tn&Vidbal shown on -the Cont adds License)
ORI.GINAL SIIG A
Dusi ness Name:
Address:
City/State/Z4r-
Awe:
=ad:
DATE
�QC^IOT.
% RECEI1 ►r MA12$1015
-n
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUMDMG & CODE REGULAMNS DMSION
leuxa 7YG P wwff
SUwCONTRACTOR A(;RxI Nr
St. Lucie County Contractor Certification Number: 1 (b 02
Stave of Florida CudSoWde Namber of wuawq): FC 000 307,2-
AcCu wte- Eao&ichl ONwouir,; )#1 C have agreed to be the
(Cover" Neme%Mdual Name)
�E=- (Type of Trad*rIMe) sub-coatttactor forme V Tfimary � '� �"� t�,,,' Y
fa?ct( S. Oc ,QkN pP_-46v,-1
for the project located at `) e r's cn e a c ti, �z 3 5l F S7
(Pmject Street Addles or Property Tax ED #)
It is understood that, if them 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 Contactor notice. ()Form: ' 8LCCDv
No. 00"0)
BUSINESS QUALIFIER (taame of to 7odm& W shom on the CaNt'aews License)
ORLG SLGN ARE REQUIRED
Ak-rf? K E OGEL.MA-01
SJ PRINT NAME: DATE
> ire ACCVPPfTF, 1� LCTk ►C4 f C�uTRACrJ�l6� 1V C
Addteas: 7.306 G gL10 tr A.
CAWSta wip: kr & r Lvc if. FG, 3qJ57,Z
Phone: 77-1- 97F` It 71 email: beirmin Alr,, NET'
OMCE USE ONLY:
PERMIT ffi ISSUE DATE
RECEIVE__0 MAY 2 8 2015
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMrr
SUB -CONTRACTOR AGREEMENT
.St. Lucie County Contractor Certification Number: 1 � (0 0-\ 2
State of Florida Certification Number (If applicable):PT LUM S a
h Ur have agreed to be the
Company Name/Individual Name)
sub -contractor for
(Type of Trad (Primary Con actor)
107a1 s. Lic.. Dom,#6i�
for the project located at L/58- t-05- oo Fg-ed
(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)
ORIGINALS GNATURES ARE REQUIRED
1)be4LLJIQm.
1�41G A PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
CoM
OFFICE USE ONLY:
PERMIT # ISSUE DATE
"RE"
MAY 2 8 Z015
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
e _ Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
MEL-RY CONSTRUCTION will be using the following sub -contractors for the -
(Company/Individual Name).ff`` t Q'IU 1 Spp 4 Cf'CtY� i�,•. =� .�c1�'
project located at Lis I I - V J -dcq u — GCi 5 Jensen F7CaC►,;�'� 3y�i51
(Street address or Propert3l 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
[ACCURATE ELECTRICAL
19629
Plumbing
AQUA PLUMBING
18628
HVACi
Mechanical'
"COASTAL A/C
s 3y
Roofing
ONSHORE ROOFING
25781
Gas
OFFICE.USE ONLY:
PERMIT
NUMBER:
Revised 07/29/2014
ISSUE DATE: