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HomeMy WebLinkAboutSUBCONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division L "M SCAIVIVii[) St. tJ By RECEK-M, AR %a ZM SUB_ BUILDING PERMIT Cie countt, CONTRACTOR SUMMARY R, C, ,E�ae C, �5 will be using the following sub -contractors for the �Fcompany/lndividual Name) project located at P600 4,(�av( Palo,, C)�f F'4- (Street address or Property Tax ID #) �H Vigo 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 2-bK151 [Plumbing HVAC/ Mechanical Roofing oc vtx 20)02( Or 23019 CCC 1325-7.zo Gas OFFICE USE ONLV PERMIT ISSUE DATE: NUMBER: I I I Revised 07/29/2014 RECEIV--:D JUN1' 2015 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): 20108 or 23018 CCC1325720 SCANNED 13Y St. Lucie countv J.A. Taylor Roofing have agreed to be the (Company Name/Individual Name) Roofing Sub -contractor for TLC EXPERTS (Type of Trade) For the project located at 12600 Harbour (Primary Contractor) Ridge Blvd. Palm City, FL 3499C (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: City/State/Zip: 302 Melton Dr. i I Ft. Pierce, FL 34982 Phone: . 772-466-4040 email: 6-16-2015 DATE STATE WFLORIDA. COUNTY OFSt. Lucie THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 16 DAY OF June By C_% 1cJ —1 M In V- WHO IS PERSONALLY KNOWN PRODUCED —AS IDErfiTIFICATION. JJA n fIrn .� - Ji 74RINT NAME OF NOTARY PUBLIC SI6;ATl1k'0F �OTARY PUBLIC SLCPDS: 08/06/2014 K, R E N S., N 1"E - L - S - E - N7 c i.,n'#0 FF ILIS6637 My commission Expires ,.mmia�i.nE.pi,ea June 12. 2018 2015 OR HAS (STAMP) RECEl' D JUN F[ER N 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): 401,10f, ER13013639 SCANNED St. LU BY cie Counti, Hooper Electrical Services have agreed to be the (Company Name/Individual Name) Electrical Sub -contractor for TLC EXPERTS (Type of Trade) (Primary Contractor) For the project located at 12600 Harbour Ridge Blvd. Palm City, FL 3499C (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: City/State/Zip: Ft. Pierce, FL Phone: we Z�_� SIGM&URE STATE OF FLORIDA, COUNTY OF St email: Michael D PRINT NAME Lucie Hooper 6-16-2015 DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 16 DAYOFJune )2015 BY Michael D. Hooper WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. acp �!� n(In SIGNATOI�NOTARY 'PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014