HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTi
a 0AM
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR SUMMARY BY
St. � g
O i L 1 Q/Y? S 16L`—,� will be using the following sub -contractors or eQUnty
(Company/Individual Name)
project located at
-g ,Lv,,
or Property
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
Number
Electrical
Fad (� I c Q g /,.
�License
< Z
Plumbing
✓ -2
C$FG 02_03z7
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY'
PERMIT ISSUE DATE:
NUMBER: S I ci 3 ��
Revised 07/29/2014
RECEI`.'^D OCT 2910�
ft
STATE OF FLORIDA, COUNTY OF
PERMIT# MAO m I>_ ��� � ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTORAGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (Irapplicabte):
22775
SCANNED
BY
St. Lucie Countv
FASTRAC ELECTRIC CORP have agreed to be the
dualName)
ELECTRICAL CONTRACTOR
DON WILLEMS
Sub -contractor for
(Type of Trade)
(Primary Contractor)
For the project located at 9545 Range Line Road, Ft. Pierce, FL 34987
(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 ofthe Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED /�
Business Name: a!:," ac �2 LGi/iG LOYP.
Address: 810 Saturn Street, Ste # 25
City/State/Zip:
Phone:
Jupiter, FI, 33477
561 743 8055
email: info@fastracelectdc.com
4232: SHAWN BLY
SIG TORE PRINT NAME
PALM BEACH
10/20/15
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 20 DAY OF OCTOBER ya 15
BY SHAWN BLY
WHO IS PERSONALLY KNOWN )OC OR HAS
PRODUCED AS IDENTIFICATION.
STEPHNIE HALL
SIGNATURE O N AR PRINT NAME OF NOTARY PUBLIC
SLCPDS: 081
06/2
IE HALL
No4aryccTTvnmry State of Florida
e My Comm. EXPires Mar 8, 2017
Commission # EE 666247
Banded Through National Natty Assn
PERMIT# S I-C - IS I 0 - 03 I.7 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St Lucie County Contractor Certification Number.
State of Florida Certification Nuritber (if applicable):
CFC 020327
SCANNED
BY
St. Lucie County
FARMER & IRWIN CORPORATION have agreed to be the
(Company NameflndividualName) WILLEMS CONSTRUCTION COMP
PLUMBING Sub -contractor for
(Type of Trade) (Primary Contractor) For the project located at 9545 Rangeline Road Ft. Pierce, FL. 34987
(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 ofthe Individual shown on the Contractor's License)
1'4OTARI'Z3 D SIGNATURrS tVR }i1 QI4 ItiEl)
Bminess Name:
Address: FARMER & IRWIN CORPORATION
City/State/Zip: 3300 Ave. K Rivera Beach, FL. 334P`f
Phone: 561-842-5316 email:.11rwln@fandicorp-coal
A/L _.'� Steven R. Irwin 11/312015
GNATU Y PRINT NAME DATE ,
STATE OF FLORIDA, COUNTY OF PALwl 36&H
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS A ah DAY OF All) flee m1de /L / , 20 1-5"
BY .S1'e ve J y/LttJi tJ WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
AS IDENTTFICA
4-
SIGN TURE OF NOTARY PUBLIC PRINT NAME OF
SLCPDS: 08/0612014
iFF 152280