HomeMy WebLinkAboutSUBCONTRACTOR SUMMARY-AGREEMENT�_ _ � I I I PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT SCA�fVSD
SUB -CONTRACTOR SUMMARY St. t Sy
Commercial contracting Division, Inc. 'Joie C01Jn4'
will be using the following sub -contractors for the
(Company/Individual Name)
project located at3492 Ceabapple Dr., Port St. Lucie, Fl. 34952
(Street address or Property Tax 11) #)
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
Blosser Electric
20618
EC13001570
Plumbing
HVAC/
Mechanical
I
Roofing
V.M. Iron Work & Structural Steel Corp.
CBC1253448
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUNMER: I I I
Revised 07/29/2014
ISSUE DATE
M,
COUNTY7,_
R
PLANNING & DEVELOPMEN� SERVICES
Building & Code Cotnplian'�e Division
BUILDING PERMu -
SUB-CO'N"TRACTOR AGREEMENT
St Lucie County Contractor Certification Number 20618
-State of Florida Certification Number (It'appliCable) �1313001570
Blosser Electric
Kent Blosser
(Company NamelIndividual Name) have agreed to be the
Electrical Sub -contractor for Cornercial Contracting Div., I
(Type of Trade) (Primary Contra
For the project located at 3492 Crab Apple Drive, Port St lucie, Fl 3495,
SCANNED
BY
St Lucie Countv
aticut.,woress or vroperty 1 ax 10 #)
It is understood that. if there is an), 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 sho%vri on the contractor's License)
.NOTARIZED Sic.N.-viriTIRFSARE RrQUIRED
Busmes,i Name r -. r
Address. PO Box 7305
Phone
rron 131
I LUCIe, FL 34985
772-337-0055 email: nrblosser@gmail.com
8/17/15
FR"N r N."IE DA
Kent Blosser
STATE OF FLORIDA. COUNT)' OF r
T] I E FOREGOING INSTRUMENT WASSIGNED BEFORE METHIS DA)'OF
BY A-1:4nt-N —WHO IS PERSONAIAXKNO% 0 N 1 014 HAS
PRODUCFD t�L:�L= AS IDEN"riFICATION.
A,) (STAMP)
S I GNAVT U R F F N% A R I' P B 1, 1 C
i
SLCPDS: M06/2014
M-� SANDY CROGM
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My Comm. EoMfgh t 2019
PERMIT 0 ISSUE D E
PLANNING & DEVELOPMENT SERVIC4WANNED
Building & Code Compliance Divisi?q BY
_Ucie COunty
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (If appflcable�.
CBC1253448
V.M. Iron Work & Structural Steel Corp. have agreed to be the
(Company Name/Individual Name)
Roofing and steel erecting Sub -contractor for Commercial Contracting Division
Crype of Trade) alrimary Contractor)
For the project located at 3492 Crabapple Dr., Port St. Lucie Fl. 34952
(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)
BUSINESSQUALMER (Name of the Individual shown on the Contractor's License)
BusinessName: V'M' I C Oil \Ncc�� �fAo�:J tl"r. ".�e�)'U�'
Address: 2170 SW Poma Drive
City/State/Zip: Palm City, FL 34990
Ph
on
61G41%
STATE OF FLORIDA, COUNTY OFMartin
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 17 DAY OFAugust 2015
.. Lonnie Hopkins WHO IS PERSONALLY KNOWN X OR HAS
PRODUCED N/A
A 4
S -JATURE
14 JF �OiARY PUBLIC
SLCIIDS: 0810612014
1 i
AS IDENTWICATION.
Made -Ann Heveron
(STAMP)
PRINT NAME OF NOTARY PUBLIC
":
PIN
Notary Public State of Fkmida
Jef �
6
I -
/
Fib;
Made -Ann Hevemn
My Commiasian FF $97418
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