HomeMy WebLinkAboutSUBCONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
SCANNED
BY
BUILDING PERMIT St. Lucie County
��_ SUB -CONTRACTOR SUM� Y
6 �� `
I e using the following sub -contractors for the
(Company/individual /Name) D �
project located at (, C A rl� r l (A S _L 1y t� J+ U('/ Pam/ 3
(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
( r o t d /J rvlco
'- C �G
lro
Plumbing
HVAC/
lz o d 1 l oc
$16 3 y
Mechanical
Roofing
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014
PERMIT 1! 1508-0464 ISSUE DATE
PLANNING & DEVELOPMENT' SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: St. Lucie COUr)ty _ -
Shoe of Florida Certification Number (Irapplicablo; CAC1816347
Kool Flow Inc. /Gervaise J Hylton have agreed to be the
(Company Name/Individual Name)
Mechanlcal Sub -contractor for Delmar Construction Group I
_.� Prima
('Type of Trade) ( ry Contractor)
For the project located at 6668 S US HWY, Port St Lucie FI 34952
(Project Street Address or Property'rax ID 9)
IT.is understood that, if there is any change of status regarding our participation with the above mentioned
project, .l will immediately advise the Building and 'Zoning Department of St. Lucie County by tiling a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED MGNATUR.ES ARE REQUIRFA)
Business Name:
Address:
City/State/zip:
—KI.t _..A-W&.-'rnc,..._,
5889 SW 21st Street
West Park FL 33023
Phone: _ , 954_962.8843 email. service@koolllowair.com
PRGervaise Hylton 10/28/2015
_....—.— _ — �INTNAME --..--.........._. DATE
---
SIGNATURE
-- -- - -- - - - -- - Broward-
STATE OF FL—ORIDA,�ZT[TNTY-OF" - -- --- - - _ - - ---- - --
THE FORECOINC INSTRUMENT WAS SIGNED BEFORE ME THIS 28 DAY OF OClOber' 2015
BY Gervaise
Hylton
WHO IS PERSONALLY KNOWN X OR HAS
PRODC ' :D AS IDENTIFICATION.
Kofie M Wynter it %
STCN t F. OF NOTA4PBUC PRINT NAME OF NOTARY
nnn •d
SI.CPDS: 08/06/2014
Kofie M.omm tr)
tJf MNoYtMWs,2018
R'YIYr.AAR00NOURY.60Y
ZO'd Zb99Z96696 a0'IeI'I00E XV9T:CT ST/92/0T
PERMIT # T1508-0464 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
S `^' Building & Code Compliance Division
4 SCANNED
BY
- BUILDING PERMIT St. Lucie County
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 1�1353 z
State of Florida Certification Number (If applicable): CAC 1816347
Kool Flow Inc. /Gervaise
Mechanical Sub -contractor for Delmar
(Type of Trade) (Primary Contractor)
have agreed to be the
Construction Group
For the project located at 6668 S US HWY, Port St Lucie FI 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)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address: 5889 SW 21st Street
City/state/zip: West Park FL 33023
Phone: 954.962.8843 email: service@koolflowair.com
-Gervaise _ Hylton_ ,__10/28/2015,
SIGNATURE _ PRINT NAME DATE
---
STATE OF FLORIDA, COUNTYrowar't. — - —
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 28 DAY OF October 2015
BY Gervaise Hylton WHO IS PERSONALLY KNOWN X OR HAS
PROD D AS IDENTIFICATION.
?p�, We M. V//�
G Kofie M Wynter �C yE � p )
:-= 17{PIRf�Noteiker5,2ota
SIGNAT E OF NOTARY P LTC PRINT NAME OF NOTARY PU - ,11$1&11 N�,,� WWW:AAROIINOTARV.C69
SLCPDS: 08/06/2014
FFPERMIT# 7S U p O `1 / 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): E-r- 1.3 o b 6 y O R-
SCANNED
SV
St. Lucie County
1 0 U P. qv _S P f u i c J L L c r\ have agreed to be the
IL 1 cC 4, ,'c Sub -contractor for
(Type of Trade)
For the project located at K 6 6 S S CA S YT W y _-�- Po � El L for / e f a
(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: SLCCDY (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:
Phone: 271-- a 0 1- 9 9'
email:
fob
Z
TG / (9lOVPtiS Z
--DATE--- ----, -
GL IiAh�.
INSTRUMENT WAS SIGNED BEFORE -METHIS
BYfio c (D V nu u WHO IS PERSONALLY KNOWN OR HAS
PRODUCED �:k CflM N JqM uWn n AS IDENTIFICATION.
- E__
TLYN LOUPE
�/� : �%Tai 1`p�ylic - State of Florida
IVtiI��� 1�i.1q� Q-Cosondeemmission #FF696646
PRINT NA E OF NOTARY PUBLICtdyComm. Ecpiros Jul 13, 2019
S GNATU FNOTARYPUBLIC tkmldlNltlanalNotaryAssn
SLCPDS: O8/06/2014