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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