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Home My WebLink AboutSUBCONTRACTOR SUMMARY-AGREEMENTPLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: WRze f 1 'da C 'fi N b /LK od lkl) i/ RY State o F or erh cauon um era apphcabtey t hQEe G"s DB9 1u(". 101J y S � t: gj/Z have agreed to be the I (Company + Name/Individual Name) 4104/i sub -contractor for Paul Jacquin & Sons, Inc. (Type of Trade) (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) ORIGINAL SIGNATURES ARE REQUIRED GNATURE Business Name: Address: City/State/Zip: Phone: �Zl /r�~,5 y" — Z PRRIINNT NAME DATE �CxoI .cwt ) OFFICE USE ONLY: F`iERM7 ISSUE DATE i PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SGANNED St. Lucie County Contractor Certification Number: oG l0 9 yy iUCB COUII[l State of Florida Certification Number (If applicable): [" / .S OU - 0 K5 Y 704� have agreed to be the (Company Name/Individual Name) 7dh_21� sub -contractor for Paul Jacquin & Sons, Inc. (Type of Trade) (Primary Contractor) for the project located at 8301-8313 Holley Tree Trail, PSL, FL 34986 / 3327-803-0002-00012 VrojectStreet 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) DAT Address: City/State/Zip: Phone: '? 9,a- 11(61--;�f72 OFFICE USE ONLY: cv) PLANNING & DEVELOPMENT SERVICES DEPARTMENT 7 f C 7 BUILDING & CODE REGULATIONS DIVISION BUIIAINGPERMUT JLHNN ED • SUB -CONTRACTOR AGREEMENT BY ,r Lucie County St Lucie County Contractor Certification Number: 1001534 State of Florida Certification Number (if applicable): CFC 032579 Kemp Krueger 4K Plumbing & Consulting Services, Inc. have agreed to be the (Company Name/Individual Name) Plumbing sub -contractor for Paul Jacquin & Sons, Inc. (Type of Trade) (Primary Contractor) for the project located at 8301.8313 Holley Tree Trail, PSL, FL 34986 / 3327-803-00024)002 (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 (Named the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED r Kempton D Krueger 8124l2015 WNAqURE PRINT NAME DATE Business Name: Kemp Krueger 4K Plumbing & Consulting Services, Inc. Address: 1341 SW Amboy Avenue City/State/Z,ip: Port Saint Lucie, Florida 34954 Phone: 77-344-6789 email: Kemperdean@aol.com OFFICE USE ONLY: PERMIT # ISSUE DATE Permit # 1506-0345 PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave -)I'HjyNE® Fort Pierce, FL 34982 6Y BUILDING PERMIT l.," IP COUP1(y SUB -CONTRACTOR SUMMARY Paul .lacquin & Sons. Inc. will be using the following sub -contractors for the (Company/Individual Name) project located at Rini _8313 Hnity Tray Trail PSI FI 3498613377-an3-nnn7-nnn/? . (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 Plumbing 1001534 CFC032579 HVAC/ Grimes Heating & Air 4426 Mechanical RA0018071 Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: r PERMIT# 1507-0345 ISSUE DATE: PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: AA (DJ 9 State of Florida CertiScatiouNumber(rrapplimbie): CAC1817204 ROBERT R MCGILL AC INC - DERRICK ANDREha eagreedtobethe (CompanMECHANICALyN�e/lndividualName) Sub -contractor for ATLANTIC BUILDING CO (Type of Trade) (Primary Contractor) For the project located at8313 HOLLEY TREE TRL 332780300020002 (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 QUALIMR (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUMED Business Name: W6ur g• Qaol"U• Address: 333 S 3RD ST City/State/Zip: LANTANA, FL 33462 Phone: 561-588-2630 email: ANGIEQRCBERTRMCGILL,CCM DERRICK ANDRES 2124/16 �f `"-SIGNAT PRINT NAME DATE STATE OF FLORIDA, COUNTY OF PALM BEACH THE FOREGOING INSTRUMENT WAS SIGNED BFFORE ME THIS 24TH DAY OF FEBRUARY 2015 BY DERRICK ANDRES WHO ISPERSON,ALLYKNOWN XX ORHAS PRODUCED AS IDENTIFICATION. I ANGIE KAY GREESON (STAMP) SIGNATURE OF N TARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 ,,, ANGIE KAY GREEGON ORO_;hti pines Dee 9, 201Expires Oec 29, 2018 ,l A a FF 157468!ugh National Notary Assn. Feb 1716 09:00a Maurice Electric, Inc 6617904642 P,1 PERMIT # ISSUE DATE 1S 6"1- U3 4 5 PLANNING & DEVELOPMENT SERVICES S - Building & Code Compliance Division a e - BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida CertificatioaNumber(Ifappucable): Gcco )ill For the project located at Street have agreed to be the Sub -contractor for n 6 A TA (Primary Contractor) 0) 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) N®TARI7LEID sIGN.,ri Rr4,s 2,arL Fi;gL'II�li Business Name: Address: City/State/Zip: Phone: SIGNATURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF _..a I K) prac I W THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 11 DAY OF - �rl Aar 20 (�o BY Mn u n C Q Pa rVf r WHO IS PERSONALLY KNOW ✓ OR HAS PRODUCED AS IDENTIFICATION. 4"0j,. AN C.hGl,* Hunner N10.91s . SIGNATURE OF NOTARY PUB C PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 A NICFpLSSIUN N FF I"MOcicbet 20,2010 ==%311. ta'i tUnOenrters (STAMP) Feb 1716 09:00a Maurice Electric, Inc , - „ 5617904642 p.2 PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUNIrWARY -cbn B r P will be using the following sub -contractors for the (Companyllndividual Name) project located at or It is understood that if there is any change of status regarding the participation of any of the subcontractors 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 1 znc • i Plumbing HVAC/ Mechanical Roofing Gas OFFICE USE ON PERMIT ISSUE DATE: NUMBER: Revised O;R912014