HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division SCANNED
BY
St. Lucie Couny,
BUILDING PERMIT
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 #t)
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&G Electric Services, Inc
ECQ10001279
Plumbing
HVAC/
Mechanical
Roofing
Gas
PERMIT 1 NUMBER: (((� ISSUE DATE:
Revised 07/29/2014
PERMIT# ISSUE DATE I
.�._ PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
• SCANNEL)
P BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie Cnunv
St. Lucie County Contractor Certification Number: N/A
State of Florida Certification Number (If applicable): ECo6OO1279 E C 006 1 Z 7 C1
G&G Electric Services, Inc./Walter 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)
QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: (I--G �IeG�Tti`e — U v ue� ���ft t T�ir .Iv tce S
Address: PO Box 9230
City/State/Zip: Wintet Haven, FL 33883
Phone: 863-299-0020 email: info@g-gelectric.com
�/ak,�—&_.—Walter B. Marks 2/19/2015
SIGNATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF Polk
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 1 9th DAY OFFebruary 2015
BY Walter B. Marks WHO IS PERSONALLY KNOWN XX OR HAS
PROAS IDENTIFICATION.
TEHESA K MOOflE
* * MYfAMf�(S$lQf(1 153858
Teresa K. Moore EXPIAEM.-eem'6er1',2015
SIGNATURE OF NOTARY PUBLIC
PRINT NAME OF NOTARY PUBLIC OPRe BonadThm Budget xday Swim
SLCPDS: 08/06/2014