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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT" Building and Code Regulations Division "' SCAM\itu BY JAN -bf-L9c1e0niint% BUILDING PERMIT Public Works SUB -CONTRACTOR SUMMARY St. Lucie county, FL ��g/R bi_T IAiG will be using the following sub -contractors for the (Company/Individual Name) project located at or 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 444— Plumbing Qtvrt C`C �9L��/ HVAC/ Mechanical Roofing / Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 fYo• ISf l - PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division SCANNED BUILDING PERMIT ��,BY SUB -CONTRACTOR AGREEMENT C0ljrlr,, For the project located at 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 SIGNA Business Name: Address: City/State/Zip: Phone: ww_ `IDS G ATU E ✓ , PR�tl T N"—AME ' oCDATE STATE OF FLORIDA, COUNTY OF. n THE FO/R�EGO�I,NG INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF k �%, i� , 20� BY l X/ Ul W I l Q Met WHO IS PERSONALLY KNOWN � OR HAS PRODUCED AS IDENTIFICATION. i �; IAA: ,�� / ����i !// ►. t t, '_ , l: L/ � PRINTORAME OF NOTARY PUBLIC SIGNA�ARE OF NOTARY PUBLIC SLCPDS: 08/06/2014 (STAMP) ';'••.. N10UtL BROWN :,�,w Notary PaMk P $NO o1 Florida • My Comm, fgkn Mu i®. 2017 .Comminioo.I EE 011l76 ''•ninn IOMIOtko*WWII Notary bm. 02/09/2016 16:11 FAX Ia0003/0003 PERMIT# 1 & 0d _ 013' ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: � %d N State of Florida Certification Number (If applicable): SCHNEI SCANNED BY St. Lucie County have agreed to be the J-P GAS Sub -contractor for MI6L6- 146FAaA"O (Type of Trade) (Primary Contractor) For the project located at /0537 , ' Cr_6410 0LU D , )C&66ty 04ACH , rL 3110 5 7 (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: Terreligfls DErirJ 5[HNErDE2 Address: 3 a 3 a. S L D r 3e, 4F 14 w �t City/State/Zip: S'Cu e m Phone: 5'&.-,L/-370S email: DeanSCHti6-/DE&=escerrei1e).}S..Copil DER0 ScNN6rbE2 .2.9•/% SIGNATURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF MAR-Tif J THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 97DAY OF P�'r(Jt10h 4 ,20 /le BY DEAiy 560Nelzlcm WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. -12�-- KATRIN/{ C3C- AN60L SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 PERMIT# I 16 11— 00 A -5' 1 ISSUE DATE PLANKING & DEVELOPMENT SERVICES SCANNED Building & Code Compliance Divisi j�ul E%., • Ole County BUILDING PERMIT JA� — 2�'s - - - SUB -CONTRACTOR. AGREEMENT St. Lucie County Contractor .Certification Number: t t".'�-3-1 PuhlicWorks St t ie 6e--�32y;-Pt State of Florida Certification Number (if applicable): C.. 130 0 b 3 % G !6 have agreed to be the Sub -contractor for (// (Type of Trade) (Primary Contractor) For the project located at (� J' 7 $ DGC".RX� DR/vL (Project Street Address of 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) BUSYNESS QUAL + BIZ (Name of the. Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business,Name: L/.jL✓Sl.Cc-��r'c,•rt �i'✓lit"<eh� Address:, City/State/Zip: Phone: 170 L/.357 email- U.El ..�. 1 q SIGP di�TURE `P'RINT NAME DATE STATE OF FLORIDA, COUNTY OF Lt THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS -DAY OF G VL�,L�.r4 BY n�h R �CL LJ ,,.( WHO IS PERSONALLY KNOWN (� OR HAS PRODUCED IDENTIFICATION. SIGNATURE & NOTARY PUBLIC PRINT NAME.OF NOTARY PUBLIC SLCPDS: 08/06/2014 (STAMP) FyJJ`.!%{�• CATMENYN LYNNE MCFARLAND - MY COMMISSION a FF237809 . '�%p� EXPIRES June 04. 2019 i1C']9!A'S1 rAwiJnYo:a YSe::u w: PERMIT # 11511-0045 1 ISSUE DATE PLANNING & DEVELOPMENT SERVkECES� Building & Code Compliance BY BUILDING PERNM JOPt WOMountt, SUB -CONTRACTOR AGREEMIENT St Lucie County Contractor Certification Number State of Florida Certification Number (Ifapplicabie): CRS Plumbing CFC1426853 Public Works St. Lucie County, FL agreed to be the -` ---- -- — Vanwal Contracting, Inc. Plumbing Sub -contractor for g (Type of Trade) (Primary Contractor) For the project located at 10537 S. Ocean Dr Jensen Beach, FL 34057 (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) NOTARIZED Business Name: Address: QUALIFIER (Name ofthe Individual shown on the Contractor's License) I:1-4 *,I 2Glt)1��17 CRS Plumbing P.O. Box 12755 City/State/Zip: Fort Pierce, FL 34979 Phone: 772-466-7763 email• crspiumbing@bellsouth.net a@bellsouth.net Reed Sudderth SIGNATURE PRINT NAME STATE OF FLORIDA, COUNTY OF St Lucie DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS /O DAY OF AIW .20f�L BY Reed Sudderth PRODUCED SI ATURE OF NOTARI SLCPDS: 08/06n014 WHO IS PERSONALLY KNOWN X OR HAS Edward D. Jendon EDWARD D JENDON My COMMISSION MFF124587 EXPIRES May 19, 2018