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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division SCANNED BY BUILDING PERMIT St. LUciP Cri, ,t„ SUB -CONTRACTOR SUMMARY Richard K Davis Const Corp will be using the following sub -contractors for the (Company/Individual Name) project located at 16891 Carole Noon Lane, (Save the Chimps) (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 Joe's Electric of St. Lucie Co. f;Q000 plaTi 5t� g2-(o7 Plumbing IIVAC/ C Ma00 W/ Mechanical GAC� 10 -q 4Z 7 Roofing Gas OFFICE 'USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07292014 PERMIT 11 ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGRMMENT St. Lucie County Contractor Certification Number: State of Florida Cerli Joey VJrlc. (Company T electrical (Type ofTrade) onnlNumber (Vappliuble): _ ✓R. 00/0 LQ 21i 7t �{-JGtL 6IIA45( �i� l� Gn'i., P M.or, SCANNED BY B¢• LllCie Countv have agreed to be the Sub -contractor for Richard K. Davis Construction Corp (Primary Conlradoi) For the project located at 16891 Carole Noon Lane, (Save the Chi (Project Streel Address or Properly'raz ID 11) 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:.l d Q.S'G�NC/CiG dT J%1�Gi e (,.fJ��.Lc^ Address: City/State/Zip: Phone: %7,7-- 3 3 email: _}ssss eC'��G%B® 0d eUk, ' RE �-•A��-SPRINT NA � �( ATE �O /•If --- STATE OF FLORIDA, COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS-2 (0 AY OF ©C%J &r , 20/� BY G/,s 01 WHO IS PERSONALLY KNOWN A"/ OR HAS PRODUCED SIGNATURE OF NOTARY PUBLIC SLCPDS: 08/06/2014 AS IDENTIFICATION. ;e: RANDOLPH uct)ANIFI .44 ?4t (fir&lotulyllssroH r PI=s,sea �Civt 6' a liJ . ¢s� i F yT. EXPIREs SePtember o7. 201s PRINT NAM P OF NOTARY PUBLIC 19a7r99D-0'6, SCANNED BY St. Lucie Countv PERMiT N ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERM IT SUB.CONTRACTOR AGRIUiMENT St. Lucie County Contractor Certification Number: Stateof!rlorida Certifcation Mimber(lrappiicab!c). M of (Company HVAC (Type of Trade) have agreed to be the Name) sub-contrac(or for Richard K. Davis Construction Corp (Primary Contractor) ror the project located at 16891 Carole Noon Lane, (Save the Chimps) (Project Street Address or Property Tax lD 8) II 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 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 SIGNATURES. ARE REQUIRED Business Name: KQ McLn Address: leno -310 2},'.ri City/Stale/Zip: &' CI�,,G'i , �t r icn Phone: ✓i—tc7' ' 1'l0'/* email: CUM lo. SIGNATURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF J* ukx rz THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME TIiIS a \ DAY OF OCtI.]iyLtt, 20� BY l-0 R \a () n WHO IS PERSONALLY KNOWN '> \ OR HAS PRODUCED AS IDENTIFICATION. (STAMP) SIGNTAMkE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 Notary Ober statnn Flo,iae John Robert Mann My Commission EE 627605 ?o p0� Expires 081162016