HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
J.Crompton Electric, Inc.
SCANNED
BY
St. Lucie Countv
will be using the following sub -contractors for the
(Company/Individual Name)
project located at 5690 Environment Drive.
(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
J•Crompton Electric, Inc.
EC13002872
Jonathan. Crompton
Plumbing
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT NUMBER: I '�-- 02? U ISSUE DATE:
Revised 0729/2014
PERMIT# TISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie Countv
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
EC13002872
J.Crompton Electric, Inc. / Jonathan Crompton
(Company Name/Individual Name)
Electrical
(Type of Trade)
have agreed to be the
Sub -contractor for J.Crompton Electric, Inc. / Michael Poirier
For the project located at 5690 Environment Drive
(Primary Contractor)
(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: J • C nc fx �P)onayj r_ inc.
Address: 1290 Old Congress Ave.
City/State/Zip:
West Palm Beach, FL 33409
Phone: 561-588-6559 email: DylanW@Jcromptonelectric.com
Jonathan Crompton
SIGNATL4PRINT NAME
STATE OF FLORIDA, COUNTY OF Palm Beach
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS
12/17/15
DATE
17th DAY OF December 2015
BY Jonathan Crompton WHO IS PERSONALLY KNOWN X OR HAS
PRODUCED
AS IDENTIFICATION.
Dylan Washburn
4
SKNWURE OF NOTARY PUBLIC PRINT NAME OF NOTA
SLCPDSt OS/06/2014
DYI AN N
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