HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
ECEIVED
' SCANNED BY JAN' 1 2016
St. Lucie Cnunt, BUILDING PERMIT PEWgITTING
SUB -CONTRACTOR SUMMARY St. Lucie county, FL
J.Crompton Electric, Inc. / Michael Poirier
will be using the following sub -contractors for the
(Company/Individual Name)
project located at 10600 South Ocean 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
l3VAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT I ISSUE DATE:
NUMBER:
Revised 07/2912014
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICE _
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Lude ConttSUB-CONTRACTOR
AGREEMENT pERd ARITrING
A
St. Lucie County, FL
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
EC13002872
J.Crompton Electric, Inc. / Jonathan Crompton have agreed to be the
(Company Name/Individual Name)
Electrical Sub -contractor for J.Crompton Electric, Inc. Michael Poirier
(Type of Trade)
For the project located at
(Primary Contractor)
10600 South Ocean Drive.
(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:
1290 Old Congress Ave.
West Palm Beach FL 33409
Phone: 5615886559
SIG RE
STATE OF FLORIDA, COUNTY OF
email: DylanW@Jcromptonelectric.com
Jonathan Crompton
PRINT NAME
Palm Beach
12/30/15
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 30 DAY OF December
BY Jonathan Crompton WHO IS PERSONALLY KNOWN X
PRODUCED
r T I OF NOTARY PUBLIC
SLCPDS: OS/06/2014
IDENTIFICATION.
Dylan Washburn
PRINT NAME OF NOTARY PUBLIC
2015
OR HAS
Commission # FF 12 ,"
Expires May 14, 2018
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