HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
S(;ANNE[,
BUILDING PERMIT BY
SUB -CONTRACTOR SUMMARY St. Lucie Countv
will be using the following sub -contractors for the
(Company/Individual Name)
project located at ������ Ni "
(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
pc— c-
� Lpl�
C �
Plumbing
C
IIVAC/
Mechanical
Roofing
Gas
OFFICEUSE ONLY'
PERMIT —16
I
ISSUE DATE:
NUMBER:
3—
Revised 07/29/2014
Mr
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
J' Building &Code Compliance Division
D I '
BUILDING PERMIT C NEb
SUB -CONTRACTOR AGREEDIENT By
St'
St. Lucie County Contractor Certification Number: 23169 Lu Cfe i'iOunh,
State of Florida Certification Nmnber (1rapplieable): EC13002784
Mark Lurtz - Comet Electric & Equipment, LLC have agreed to be the
(Company Nante/Individual Nano)
Electrical Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax
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
i� 11 y
IiG"ly1L f L_ UtyJ/)'1m`'i
L-I-L
Business Name:
Address:
197 65th Terrace North
City/state/zip:
West Palm Beach, FL
33413
Phone.
5616894400 email:
admin@comelelectricine.com
M. Lurtz
2/4/16
SIGNATURE
PRINT NAME
DATE
STATE OF FLORIDA,
COUNTY OF Palm Beach
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE \iE THIS 4th DAY OF February 2016
BY
P s 1 A ie 1L LLI 2-7 Z'
WHO IS PERSONALLY KNOWN x OR HAS
PRODUCED
AS IDENNTIFICATION.
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SIGN URE OF N
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TAIL PIt�� - OF NOTARY PUB % Csd roN RoolleN48naV1 PaP�0 „o,lid3'
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SLCPDS: 08/06/2014
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Notary P Expires
1 My Comm. Ezplras May 12, 2018
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
BUILDING PERMIT St. Lucie County
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): CC��C�`�—1 3Z`t
have agreed to be the
(Company Name/Individual Nank)
�y17i`ll1 l V-,\ Cr Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or PropeAy 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 SIGNATURE^^S ARE REQUIRED
Business Name: 1 �1C�7u���L��S
Address: —12ci KA\%Ylj��)L oCft,_\_A
City/State/Zip:
Phone: 4�0\" cEE�)Z- email:
A-4 U—A-9— 4ok-D
SIGNA t
URE PRINT NAME DAT
STATE OF FLORIDA, COUNTY OF
THE FOREGGOINGG INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF , 20_
BY \�>�� LA —A i �— WHO IS PERSONALLY KNOWN OR HAS
PRPKCED AS IDENTIFICATION.
SIG ATURE OF OTARY PUBLIC PRINT NAME OF NO BLIC
SLCPDS: 08/06/2014 RACNEI. GRCSS
io• ��-; Notary Public - Stale of Florida
v• s
.3 My Comm. Expires Oct 5, 2016
,• P Commisslon # EE 832351
Bonded Through National Nola
(STAMP)