HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTRECEIVED SEi 08 2015
0 ` PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
SCANNED
BUILDING PERMIT By
Permit # 1506-0158 SUB -CONTRACTOR SUMMARY St. Lucie Count%
Paul Jacquin & Sons. Inc. will be using the following sub -contractors for the
(Company/Individual Name)
project located at R3O1 _R313 Hnity Tray Trail PSI FI 34986/ 3397_am-f oog-nonIg
(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
Pride Electrical
26944
ER13014162
Plumbing
Kemp 4K Plumbang
1001534
CFC032579
HVAC/
Grimes Heating & Air
4426
Mechanical
RA0018071
Roofing
Gas
PERMIT ISSUE DATE:
NUMBER: rd 15
RECERI7D SEP 0 8 7015
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUDDINGPERMU SCANNED
SUB-CONTRACrORAGREEMENT BY
St. Lucie Count%
St. Lucie County Contractor Certification Number: 1001534
State of Florida Certification Number (trapplicable):
CFC 032579
Kemp Krueger 4K Plumbing & Consulting Services, Inc. have agreed to be the
(Company Name/Individual Name)
Plumbing Sub -Contractor for Paul Jaoquin & sons, Inc.
(Type of Trade) (Primary Contractor)
for the project located at 8301.8313 Holley Tree Trail, PSL, FL 349N/33274M-0002-WO12
(Project Street Address or Property Tax
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 personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
Kempton D Krueger 8/2412015
SI NA PRINT NAME DATE
Business Name: Kemp Krueger 4K Plumbing & Consulting Services, Inc.
Address:
City/State/Zip:
Phone:
1341 SW Amboy Avenue
Part Saint Lucie, Florida 34954
77-344-6789
email: Kemperdean@aol.com
OFFICE USE ONLY:
PERMIT # ISSUE DATE
RECEI'_0 SEP 08 2015
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION SCANNED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT St. LUce Counn
St. Lucie County Contractor Certification Number: o G / ii't%
Statue of Florida Certification Number (irapplimble): CC- l sco gs 9
At� have agreed to be the
(Company Name/Individual Name)
sub -contractor for
(Type of Trade)
Paul Jacquin & Sons, Inc.
(Primary Contractor)
for the project located at 8301-8313 Holley Tree Trail, PSL, FL 34986 / 3327-803-0002-000/2
(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 personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
JORIG"ALSIGNAT AREREQUIRED FR NAME
°�
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
ISSUE DATE
k 5a�-- o\ 54
1'd,a L . d On)
RECEIVED SEP 0 8 2015
�_ PLANNING & DEVELOPMENT SERVICES DEPARTMENT
J C _ BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT SC N Ei l
• SUB -CONTRACTOR AGREEMENT BY
I ' / �• Lucie Crn,r„
St. Lucie County Contractor Certification Number: 7 �o%(p
State of Florida Certification Number (If applicable): KLi DO /go
/ 7'hi&�-'E' 4/"/S� .� 4
(113nm� 14„ f S A r fz have agreed to be the
(Company Nam dividualName)
/ V q r— sub -contractor for Paul Jacquin & Sons, Inc.
(Type of Trade) (Primary Contractor)
for the project located at 8301-8313 Holley Tree Trail, PSL, FL 3498613327-803-0002-000/2
(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 personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
�S
GNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone: q7'
n I I
Ar-An S _I1-V1 4firYtnc /tL10!Z ALP
OFFICE USE ONLY:
F`MIT # ISSUE DATE
156� -015�
6-0 I . Ca1