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SUB CONTRACTOR SUMMARY-AGREEMENT
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division BUILDING PERMIT SCANNED SUB -CONTRACTOR SUMMARY ] -^' "'��� L V �• BY will be using the following sub-co`nStt c`[Wipalrti inr (Company/Individual Name) /n project located at �(�✓"� (\ ��' J� © —/1� —9) (Street address or Properly 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 f`a /mG EIVAC/Al Mechanical Roofing Gas - - - - - - - - - - - OCT 23- 2015 - - DATE: Revised 07292014 PERMIT # ©' 0 ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SCANNED St. Lucie County Contractor Certification Number: By State of Florida Certification Number (If applicabtc): EC 13006771 Ountt/ NOVOA ELECTRICAL CONTRACTORS, INC. have agreed to be the (Company Name/Individual Name) ELECTRICAL Sub -contractor for IMECO, INC. (Type of Trade) (Primary Contractor) For the project located at 40392 NORTHBOUND 1-95 REST AREA(2303-1 11 -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 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: 1580 WEST 38TH PLACE UNIT 3 City/State/Zip: HIALEAH, FL 33012 Phone: 305-824-2858 email: n OSVALDO MONIER PRINT NAME ATE OF FLORIDA, COUNTY OF MIAMI-DADE -- — THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS BY OSVALDO MONIER 10-21-2015 DATE DAYOFOCTOBER 2015 WHO IS PERSONALLY KNOWN V-' OR HAS PRODUCED AS IDENTIFICATION. _ � ,.�� ��f.�k,•• DIANNM HERNPP! P RON 2 d� Il)(.117G V✓L')y�02- f�'�l/� MY COMMISSIION 1t1098 SIGNATURE OF NOTARY PUB C PRINT NAME OF NOTARY PUBL IG . ,� c t tpOtES Mev 20.2010 SLCPDS: 08/06/2014 PERMIT# 1 _y5 i//), 03?C/ I 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): 15 PL0ru1IA/6 ANA GAS, L LC Name/Individual Name) CI"G 1NZ9og0 )edlefNQO /7)F(L6400 SCANNED St. Lucile County have agreed to be the P«Mam✓e Sub-contractorfor _EMP-Inar TAL (Type of Trade) (Primary For the project located at Street Address or Property Tax ID #),' 2303-dam 002—'r� 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 ofthe Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: JeoLAALO S Ptt1fK01"AM0 SAS, LLC Address: Z143o WHALE_4J41Z1gD2 LAn/V City/State/Zip: ram% ljyd rI r, , 3331Z Ph Uone: 5521 — qq , w J SIGNATURE — 397e email: RoLAA�Of%'LuM61 ANO6,45-eaM4ILiCOM P-OLAN66 ME2cAQo PRINT NAME STATE OF FLORIDA, COUNTY OF _ 9r6 .tJ p /yf. DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS / DAY OF d C % 20 I-5 BY 21-0LAfJ00 ME-A<AOO WHO IS PERSONALLY KNOWN ORHAS •11• 1 SIGNATURE"OfrNOTARY PUBLIC AS IDENTIFICATION. ;Vio %ell 11/1 1 - (STAMP) PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 . oVlr Thomas Maliwltz =.,. �r+=CDmmisslm#FF167249 -i€Expires: OCt' 09, 201B BONDED TNAU �• SST ARIDA NOTAAL LLC PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division SCANniC l BUILDING PERMIT St BY SUB -CONTRACTOR SUMMARY LUCID Cr` , IMECO, INC. will be using the following sub -contractors for the (Company/Individual Name) project located at40392 SOUTHBOUND 1-95, FORT PIERCE FL 34946 (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 NOVOA ELECTRICAL CONTRACTORS EC 13006771 Plumbing ROLAND'S PLUMBING AND GAS,LLC CFC 1429040 HVAC/ N/A Mechanical Roofing N/A - Gas N/A OFFICE. USE ONLY! PERMIT ISSUE DATE: NUMBER: Revised 07/292014