HomeMy WebLinkAboutSUBCONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
KEMP SIGNS INC
(Company/Individual Name)
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR SUMMARY St. Lucie Countv
will be using the following sub -contractors for the
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
KEMP SIGNS INC
ES0000229
STEPHEN M KEMP
Plumbing
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:'
PERMIT
�JW
ISSUE DATE:
NUMBER:
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):
ES0000229
SCANNED
BY
St. Lucie County
STEPHEN M KEMP have agreed to be the
(Company Name/Individual Name) KEMP SIGNS I N C
ELECTRICAL Sub -contractor for
(Type of Trade)
(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 REQUIERED
Business Name:
Address: 1767 HILL AVE
City/State/zip: WEST PALM BEACH FL 33407
Phone: 561-840-6382 email: HEATHER@KEMPSIGNS.NET
STATE OF FLORIDA, COUNTY OF
STEPHEN M KEMP 5/28/2015
PRINT NAME
PALM BEACH
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 28 DAY OF MAY
BY STEPHEN M KEMP
PRODUCED
Q
SIGNATURE OF NOTAR66BLIC
SLCPDS: 08/06/2014
WHO IS PERSONALLY KNOWN XX
IDENTIFICATION.
HEATHER COLLAZO
PRINT NAME OF NOTARY PUBLIC
2015
OR HAS
HEATHER COLLAZO
{,rl,'R'MIg PUBLIC
STATE OF FLORIDA
Comm# FFIS0957
et Expires 1/25/2016