HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARY-AGREEMENTRECEI'.7D MAR.112016
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
A Building and Code Regulations Division
SCANNE®
BUILDING PERMIT BY
SUB -CONTRACTOR SUMMARY St. Lucie County
fQ�/) l ANS%2t t C � 14 /V 1 be using the following sub-4ontractors for the
(Company/Individual Name)
project located at
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
$ CAI-, e%% !C
Plumbing -
07
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
i
Revised 07/29/2014
RECEI'"'D JMIM 112016
PERMIT # 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 appiicable): FC MoZ Z& %,5�
M
have agreed to be the
t/ ini Sub -contractor for /"d 10 4vA1s 2u c77arV
(Type of Trade) (Primary Contractor)
For the project located at
Street Address or
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 QUAI VIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address: L�ll�i _5. wv.
City/State/Zip: ��,s j sT 2tr r /
Phone: 77��u7 S7 email: bap �a7 mAiL • G�I/yf
is��� l�itis
SIGNATURE PRINT NAME � DATE
STATE OF FLORIDA, COUNTY OF -54• Ly c t°
THE FOREGOING
..__IN__ INSTRUMENT WAS SIGNED BEFORE ME THIS /L DAY OF .20
BY —K� //�'n %�i►n r ; WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
AS IDENTIFICATION.
Ly2 n1. ��ta /1 (STAMP)
KiGWYuRF OF N TARY PUBLIC PRINT NAME OF NOTAi& PUBLIC ,�``:�M• FA
SLCPDS: 12/16/20 3 �. • VO�' .
� 20 i•
t, LV _
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification
State of Florida Certification Number (If applicable):
S �Cr1�✓ � ,V
For the project located at
have agreed to be the
Sub -contractor for (aiy
(Primary Contractor)
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:
City/State/Zip:
Phone:
_6( �email:
SIG ATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF e" Yvc1,ual D -'
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS Z 2 DAY OF b�e_eAj 201l-
BY
PRODUCED
OF NOTARY PUBLIC
S DS:OS/06/2014
WHO IS ONALLY KNOWN OR HAS
IDENTIFICATION.
f°"' (STAMP)
PUBLIC dsnAorssroNa>0AN
4M" �IRFS; PFOGI988
�ftwi� 01, 2017
l'GC is/oyd3
PERMIT # 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 appticabte): C,+ C 0-4 7.359
have agreed to be the
//%6'�✓�.gif/t'ii3L Sub -contractor for %moo /O ��ySi y� /"7s.J Jg"
(Type of Trade) (Primary Contractor)
For the project located at e9lij(,Xs &�/gn/%. V7oiV 4�NE fief 1/?S�
(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:
City/State/Zip:
Phone:
ATURE
uGso �. txwerllrie rc?
FLORIDA, COUNTY OF
email: I1 rcur(�NPCUf . %i2-.
/z/22/���
PRINT NAME DATE
THE F�I GOING INSTRUMENT WAS SIGNED BEFORE ME THIS "-r-DAY OF
BY
SLCPDS:
201C
WHO IS PERSONALLY KNOWN ✓ OR HAS
(STAMP)- -
�St JEFFREYA WSCIAOM
MY00MM141bN I FF 128118
* -FORES June 21, 2018
6u0gaNaarySin'as
PERMIT#
ISSUE DATE
:1
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): CFL° 0z.24E'_&
(Company
have agreed to be the
p v Sub -contractor for :7 /02W'PUd7*1J4"
(Type of Tra (Primary Contractor)
For the project located at
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:
City/State/Zip:
email: _pl�/oiNt 4P— jo:4gwe4 s,7 A-46 _/
9
NforNATU —'PMNT NAME DATE
STATE OF FLORIDA, COUNTY OF 194z-m Jgawo//
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF f /ke t PiY`r1, / , 20 l E
BY e<zg(y 6f/oit� " WHO IS PERSONALLY KNOWN v OR HAS
PRODUCED AS IDENTIFICATION.
D (STAMP)
PRINT NAME OF NOTARY PUBLI
SIGN NOTARY PUBLIC 0 YAKOV GELNt4N
SLCPDS: 06/2014 P
MyooA"SSION 0 FF061988
0 I"IR :D0Caabc01,2017
RECEIVED JAN 06 2016
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
Y a,/a P/,e" 1,�: C //)A �Yrlt be using the following sub -contractors for the
(Camp�idual Name)
project located at
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
Plumbing
t�0ao`u�
HVAC/
C S
Mechanical
Roofing
L/SA I
,y
Gas
OFFICE USE ONLY:
PERMIT
"
ISSUE DATE:
NUMBER:
�
Revised 07/29/2014
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
E ' ` Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (Ifapplimbie):
29442
EC130006897
S&W Electric Inc have agreed to be the
(Company Name/Individual Name)
Electrical Sub -contractor for Polo Construction
(Type of Trade)
For the project located at
(Primary Contractor)
8060 Plantation Drive
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: S4- G, > E le',, t r J C_
Address: 501 West Coker Road
City/State/Zip:
Ft. Pierce FL 34945
Phone: 772-4646466
SIGNATURE
email: stuboutelectdc@aol.com
Lawrence Stubbs
PRINT NAME
3/9/2016
DATE
STATE OF FLORIDA, COUNTY OF, l x I ` 1 L h _ ` Q� / In ' /
THE FOR�EG�OIINGG INS\TIRUMENT WAS SIGNED BEFORE ME THIS C DAY OF 1 � I1 �J I 20 ID
BY + s 1 ' LXJ� WHO IS PERSONALLY KNOWN OR HAS
PRODUCED TL paklt er. LlcfntTe AS IDENTIFICATION. q
�LJ� �IAJ� 1 . R(/9 RfaWOF
(' ,fit _°, �� (sT I Florida
GNA FURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC yo` MY COMMISSION # EE 865978
'�°Fo Expires: January 17, 2017
SLCPDS: 08/06/2014