HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR SUMMARY St. Lucie County
Owner/Builder - St. Lucie County will be using the following sub -contractors for the
(Company/Individual Name)
project located at 2429-321-0003-000-0
(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
Plumbing
St. Lucie County - Owner/builder
2300 Virginia Ave., Ft. Pierce, FL 34982
HVAC/
St. Lucie County - Owner/builder
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT d_0 12 ISSUE DATE:
NUMBER:IF
Revised 07/29/2014
PERMIT # ISSUE DATE
c �,, �„ , PLANNING & DEVELOPMENT SERVICES
4-4 Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
N/A
N/A
SCANNED
By
St. Luce County
Owner/Builder - St. Lucie County have agreed to be the
(Company Name/Individual Name)
Plumbing Sub -contractor for St. Lucie County
(Type of Trade) (Primary Contractor)
For the project located at 2429-321-0003-000-0
(Project Street Address or Property
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
Business Name:
Address:
City/State/Zip:
ARE REQUIRED
'S4Lu6c Cet CL,',
2300 Virginia Ave
Fort Pierce, FL 34982
Phone: 462-1432: Jeny Flynn, Proj. Mananger
SIGNATURE
STATE OF FLORIDA, COUNTY OF
email: flynng@stlucieco.org
PRQQIN�� T N��AppME
,(}t'. XUCA-_C—
I I AW V5T 2015
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 11-H- DAY OF 120 15
BY 111aD— WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
AS IDENTIFICATION.
4SI
cveue Jo�rJrl Rare K e-i
NATURE OF NOTARY PUBL PRINT NAME OF NOTARY PUBLI
SLCPDS: 08/06/2014
a
•wig""•,, JOANN MARIE RILEY
_.; ..- Commission # EE 846774
g. Expires December 4, 2016
"'4Prka,•• ��>�Tm)Fan lmmarce B00.7B&7018
(STAMP)
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: N/A
State of Florida Certification Number (If applicable): N/A
Owner/Builder - St. Lucie County
HVAC
(Company Name/Individual Name)
(Type of Trade)
For the project located at
Sub -contractor for St. Lucie County
(Primary Contractor)
2429-321-0003-000-0
(Project Street Address or Property Tax ID #)
SCANNED
BY
St. Luce County
have agreed to be the
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: SLCCD V (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: �• LodJ _ Coucri
Address: 2300 Virginia Ave
City/State/Zip:
Fort Pierce, FL 34982
Phone: 462-1432:Jerry Flynn, Pro).Mananger email: flynng@stlucieco.org
SIGNATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF rUT.4c,C
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS I I � DAY OF k� , 20 IS
BY ! VtR- 1✓ arf'r,ZVC_P�- WHO IS PERSONALLY KNOWN OR HAS
PRODUCED �I^ �- -
/ YIGt/�
G ATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
�oAriti Marie- kfey
PRINT NAME OF NOTARY PUBLIC
JOANN MAME RILEY
Commission # EE 848774
Expires December4, 2016
�'9,Q„��, Bativd ihu Troy Falningfarca 8003857018
(STAMP)