HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR SUMMARY BY
G I n Q� � � sub -contractors
Lucie County
¢ will be using the following sub -contractors for the
(Company/Individual Name) IIn� /n`�
project located at 3q N• � a Y n u4 . 6 I A
(Stre . ddress or Pr9derty 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/Contractgr
St. Lucie County/
State of Florida
License Number
Electrical
n I / I/
U i Y y V 1
tC l 3C�03715
Plumbing
I �5 N
HVAC/
Mechanical
Roofing
Gas
ONLY.
PERMIT
ISSUE DATE:
Revised 07/29/2014
cuck n l
ERMIT#::i
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
m
o ....... - - - BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County Contractor Certification Number: St. Lucie County
StatteAir'
GC-1_3UU3%1 J`
d iY,l /-1 i r' E [ �e&+r< ca ( r V i CQ S, .D1 C have agreed to be the
(Comgqany�-Nam e/I dividualName) /� /� /I J( ) ,(k -}
Sub -contractor for A 4-G (,1'{�l ( ?I, T) I,5 X _
(Type of Trade) (Primary Contractor)
For the project located at
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: SLCCDY (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:
Phone: email:
SIGNATU : PRINT NAME I DATE
STATE _F FLORIDA, COUNTY OF _1�ennm, iole
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS IL DAY OF bfCL 1 ..20,5
By h WHO IS PERSONALLY KNOWN V OR HAS
D C I PROD AS IDENTIFICATION.
(STAMP)
IG URE O NOTARY PUBLIC PRINT A E OFNOTARY PUBIC
SLCPDS:08/06/2014STEPHANIERALLO
commission # FF 175017
Expires November9, M18
eat! iNu 7m,hln h9un W 10D9BS7019
PERMIT# ISSUE DATE
L.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. LuniPCounty
St. Lucie County Contractor Certification Number:
25959
State of Florida Certification Number (If applicable): CPC1457902
A & G OMMEPE POOIS, INC. have agreed to be the
(Company Name/Individual Name)
PLUMING Sub -contractor for A & G CONCRETE POOLS, INC.
(Type of Trade) (Primary Contractor)
For the project located at
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: A & G CONCRETE POOLS, INC.
Address:
410 SAEGER AVENUE
City/State/Zip: FORT PIERCE, FL 34982
Phone: 772-878-77email:
JAMES T. LEONARD
PRINT
-zl I ('� [[-5
DAT
STATE OF FLO=INSTRUMENT
C`/ i
qT-N
TBE FI�ORE�GnOn/1I rSI'GNE/D�/B� FORE ME THIS � DAY OF 20
15
I-p.�l JAw it / O IS P ONALLY KNO OR HAS
AS IDENTIFICATION. y TRACEY W. McGHEE
NOTARSTATE=6A
PRINT NAD E O ' NOTARY PUBLIC 4 ttn° Camp S1207�
Fires /10/2015
12/16/2013
17