HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
SCANNED
BY
BUILDING PERMIT St. Lucie Count
SUB -CONTRACTOR SUMMARY
Ascend Wireless Networks, Inc. will be using the following sub -contractors for the
(Company/Individual Name)
project located at 7370 South Ocean Drive, Jensen Beach, FL 34787
(Street address or Property Tax ID tl)
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
7
St. Lucie County/
State of Florida
License Number
Electrical
G&G Electric Services, Inc
EC91b001279
Plumbing
HVAC/
Mechanical
Roofing
Gas
PNUMBER: ERMIT 11503 I ISSUE DATE:
Revised 07292014
PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
° BY
BUILDING PERMIT St. Lucie Count
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: N/A
State of Florida Certification Number (ifapplicabie): ECo6OO1279 6-C 00y 1 a? C>
G&G Electric Services, Ine./VValter B. Marks have agreed to be the
(Company Name/Individual Name)
Electrical Sub -contractor for Ascend Wireless Networks, Inc.
(Type of Trade) (Primary Contractor)
For the project located at 7370 South Ocean Drive, Jensen Beach, FL 34957
(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:
City/State/Zip:
PO Box 9230
Winter Haven, FL 33883
Phone: 883-299-0020 email: info@g-gelectric.com
G�/—-Walter B. Marks
SIGNATURE PRINT NAME
STATE OF FLORIDA, COUNTY OF Polk
2/19/2015
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 19th DAY OF February 2015
BY Walter B. Marks WHO IS PERSONALLY KNOWN XX OR HAS
PR9DUCE K, AS IDENTIFICATION.
TEHESAK.MIK)FE
* * MYCAM�S$1 8�153858
eresa K. Moore EXPIREy�.beecem er 2015
SIGNATURE OF NOTARY PUBLIC
PRINT NAME OF NOTARY PUBLIC Earn°" Banded TNuBudget NateySavi:es
SLCPDS': 08/06/2014