Loading...
HomeMy WebLinkAboutSUBCONTRACT SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division SCANNED BY BUILDING PERMIT St. Lucie County SUB -CONTRACTOR SUMMARY KE M P SIGNS I N C will be using the following sub -contractors for the (Company/Individual Name) project located at 8490 COMMERCE CENTRE DR (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 KE M P SIGNS I N C ES0000229 STEPHEN M KEMP Plumbing HVAC/ Mechanical Roofing Gas OFFICE USE ONLY' PERMIT I ib �D �y i ISSUE DATE: NUMBER: '�J�Jy I Revised 07292014 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): STEPHEN M KEMP (Company Name/Individual Name) ELECTRICAL (Type of Trade) ES0000229 SCANNED BY St. Lucie County have agreed to be the Sub -contractor for KEMP SIGNS INC (Primary Contractor) For the project located at 8490 COMMERCE CENTRE DR (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: 1767 HILL AVE City/State/Zip: WEST PALM BEACH FL 33407 Phone: 561-840-6382 email: HEATHER@KEMPSIGNS.NET 'i_ STEPHEN M KEMP 5/28/2015 SIGNATU PRINT NAME DATE STATE OF FLORIDA, COUNTY OF PALM BEACH THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 28 DAY OF MAY 2015 BY STEPHEN M KEMP WHO IS PERSONALLY KNOWN XX OR HAS PRODUCED SIGNATURE OF NOTARY PU SLCPDS: 08/06/2014 IDENTIFICATION. HEATHER COLLAZO PRINT NAME OF NOTARY PUBLIC Sw HEATHER COLLAZO NOTARYPUBUC 8T/$f9R�F FLORIDA Coin# FF180957 mAExpires 1/25/2016