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SUB CONTRACTOR SUMMARY-AGREEMENT
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division SCANNED By BUILDING PERMIT St. Lucie County SUB -CONTRACTOR SUMMARY 9/ 6"120 K • &01_( e�ef/f. . Ci ,4P will be using the following sub -contractors for the (Company/Individual Name) fT 11-1-O Ty lle�414 /moo project located at 15&O/ /f, Indli1w ROAD, , h2of- / 3 3-OG/05•. ��� (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 s �L�GTRIG /NG• G �00 9Wl Plumbing S ii/�ED ,®L�/rt'1Pi�iVG, L•YG. d7o o a IIVAC/ G—Q/�br AX71AIG AA7Z� 7 Mechanical Roofing Gas OFFICE USE ONLY- PERMIT QQ ISSUE DATE: NUMBER: Revised 07/29/2014 PERMIT # ISSUE DATE _ PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division ,n ®� SC BUILDING PERMIT SCANNED SUB -CONTRACTOR AGREEMENT St. Lucie County z l St. Lucie County Contractor Certification Number: Slate of Florida Certification Number (Ifapplicable): 0 S& w E6EGrare , /n/G. have agreed to be the (Company NameAndividual Name) aEGTsz/GAG. Sub -contractor for Q14h14.&) MVIr GDN.r�' CD/jP (Type of Trade) S . Zbdl(Primary Contractor) For the project located at /5601 111IM%i?WQOA/> 32D/- /33�DDD5 �OOOD (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 shoxvn on the Contractor's License) NOTARIZED SIGNATURESAREREQUIRED Business Name: S(� W Address: 6C71 UY• Cj2� ARAAO City/state/zip: Phone: 772-20/" 73/h email:]//Jy�g��/�C(; SIGNATURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF e tUGIF_ THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS _�e � DAY OF /[i/A/dG 20 BY LAWAEFAICE syzm f WHO IS PERSONALLY KNOWN OR HAS PROD CED AS IDENTIFICATION. f RO%�� A. PalElT (STAMP) r lwyl�e - SI TURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC ROGER A. PRIEST SLCPDS: 08/06/2014 a�= , dio`� a'�-; Notary Public -State of Florida .' My Comm. Expires Nov 7, 2016 Commission # EE 217267 Notary Assn. Bonded Through National PERMIT # ISSUE DATE _ _`_ PLANNING & DEVELOPMENT SERVICES S o I J 1- 1 Building & Code Compliance Division e y SCANNED _ BUILDING PERMIT BY SUB -CONTRACTOR AGREEMENT St. Lucie County St. Lucie County Contractor Certification Number: 9A %%J State of Florida Certification Number (trapplicable): StiE�D f L� 1144P///Iy& %/UG - have agreed to be the (Company Name/Individual Name) ' P/OM///& Sub-contractorfor 016, aP L( ,I Vlf-G�N%T oo)P- (Type of Trade) (Primary Contractor LdGlE CodrVTY 6Aia AlsOG •/ � For the project located at /-60/ 0005'OO,O (Project Street Address or Property Tar 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: ,fNFc_0 Y1K,11 .,>11AAA�TG, �/�G• Address: 9i/ t3. T6Fey.4 City/State/Zip: �DC1T Qp/ERGF_ . FL 3/�2 Phone: ''%��/�^ /%// email- SI URE PRI�NAME f f4e-49 DATE STATE OF FLORIDA, COUNTY OF S+ . LJu L:LA THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS ZS DAY OF rk"LCA—C-l" BY G le--elJto "Ord)a'm Srs00 d WHO IS PERSONALLY KNOWN PRODUCED I—L - Oe • L--L • AS IDENTIFICATION. `Y` �L_ 13,1 SIGNATURE OF NOTARY AUBLIC SLCPDS: 08/06/2014 ti Je"l-►ej I.0-- o z,',,-Lt,,, PRINT NAME OF NOTARY PUBLIC MECHELLE J. ARBUZOW °s+r�Notary Public -State at Florida My Comm. Expires May 30. 201 7 °.0 ComRIlSelea # FF 17807 ''•...... '� Bonded Through National Notary Assn. 20 1 55 OR HAS (STAMP) PERMIT# I I ISSUE DATE -gym PLANNING & DEVELOPMENT SERVICES 1 - r Building & Code Compliance Division SCANNED ® BY BUILDING PERMIT St. Lucie County SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: yyz c{ State of Florida Certification Number (ifappiimble): /2,C6 tw i% / t-7K//y16;J 0 r tlfi' C 2i4(417l(/N/NG— have agreed to be the (Company Name(Individual Name) VA G Sub -contractor for %2/G�QD l� %��dlTr�Ni?. 4 � (Type ofTrade) (Pri ary Contractor ,TT �d�lE GOl/yTy �9i� ��r©G_, For the project located at /56p/ //j/ /J'%/Df1/<1V �f 9 �2f�/ /3—Q(1lS_ _..r,7e_7aG (Project Street Address or Property Tar 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. (For,: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: L7.Q,!%1�%�,f 1I 1177/,'6 [Y AIIA (✓✓//(/li/%/Q/i!llt,2l Address: &z6izwyy ©l yF City/Stah CG 30v" Ptlgrte: lZ2- 42 6-z// email:.i�r�/�2a.''(©r'�/...1.'O�1-r4ly IA NATURE PRINTNAME DATE TE OF FLORIDA, COUNTY OF ott/ 7irlCJ C THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS _07 DAY OF f� , 20 BY •� WHO IS PERSONALLY KNOWN OR HAS PRODUCED /Y AS IDENTIFICATION. (STAMP) SIGNAT RE OJ NOT RY PUBLIC PRINT NAME OF NOTARY BLIC SLCPDS: 08/06/2014 MEuSSA J. SPICER Notary Public •State of Florida . , .o My Comm. Expires Feb 11, 2019 %y •• = commission # FF 113230 �• n, �, Brorw imelilhtdtfi011d NaUry • PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SCANNED BY SUB -CONTRACTOR AGREEMENT St. Lucie Countv St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): cc � � 38� 3 916A412 D A • I)AI/'f CO/i/f% CO%P have agreed to be the (Company Name/Individual Name) AM61Q/(7 Sub -contractor for ie21611 120 Gr l%%! Y GO/y%T 4;Wp- (Type of Trade) (Pri ary Contractor) For the project located at��''��j-�D05-OooD (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 SIGNATURESAREREQUIRED Business Name: 49% /66O Gf/�L} l�il ��iV�r C�O/1P Address: e• O. 5e 1,6(4 City/State/Zip: Phone: �72-l�-�3'�ci email: ,.ti/ter - 2 SIGNATU4E PRINTNAME DATE STATE OF FLORIDA, COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS J DAY OF i'1 ygm_ , 20/5 BY ��(/JG// �� WHO IS PERSONALLY KNOWN OR HAS PR DDU ED SIG URE OF OT RR PUBLI SL PDS:08/06/2014 AS IDENTIFICATION. n %p 4, J P) 4�jr (STAMP) PRINT NAME OF NOTARY PUBLIC