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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