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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division SCANNED BY BUILDING PERMIT St. Lucie County SUB -CONTRACTOR SUMMARY ANATOM Construction Company will be using the following sub -contractors for the (Company/Individual Name) project located at 2950 Rosser Blvd, St. Lucie, FL 34953 (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 Pride Electrical Services of Florida EC13005859 Plumbing Mister Plumber CFC056681 IIVAC/ J.B. A.0 & Electrical Inc CAC1816319 Mechanical Roofing N/A Gas N/A OFFICE,USE_ONLV PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES MHUI . Building & Code Compliance Division SCANNED BUILDING PERMIT BY �f. Lucie County SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 4AUnlSl 1 ) State of Florida Certification Number (If applicable): t •..L 110 , have agreed to be the 1 Name) Sub -contractor for ANATOM Construction COmi (Primary Contractor) For the project located at 2950 Rosser Blvd, St. Lucie, FL 34953 (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: SLCCDY (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: SIGNATURE �(J PRINT bed. DATE STATE OF FLORIDA, COUNTY OF ?8 I M bed. it h THE FOREGOING INSSTTyRUI�MMENT WAS SIGNED BEFORE ME THIS I DAY OF rl U.c 1 • .2& BY_ �(>.0 l/I �' lnL WHO IS ERSONALLY K OWN OR HAS PRODUCED �eirJOf lQ.� 1 V. 7� L' 1 Of l U 1 AS IDENTIFICATION. S GNA NOT PUBLIC SLCPDS: 08/06/2014 PERMIT# I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division SCANNI:b BUILDING PERMIT St. LuCB COUnrI- SUB-CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. � J�5 //L. l State of Florida Certification Number (Irapplicabte): l-1 C /'ill � jt3 ABC C �l ((�� (Company Name/fndividualName) _H 1 V .Cvvi1 —h m t 0 Gi Sub -contractor for (Type of Trade) Dnlw h unq have agreed to be the ANATOM Construction Comi For the project located at 2950 Rosser Blvd, St. (Primary Contractor) Street Address or Property Tax ID tU Lucie, FL 34953 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 THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS _qVDAY OF 1-4J a U S.r 20J_(� BY JT) 0 r� _��o W N 1 Oaf G WHO IS PERSONALLY KNOWN OR HAS PRODUCED TL- 7Z>f�wr_ L' c s' AS IDENTIFICATION. OF NOTARY PUBLIC 08/06/2014 1 *" (STAMP) PRINT NAME OF NOTARY PUBLIC �ro�e.� CICERON FLDRES DE VALFAZ tie a�' _ e Notary puLllC -State ¢I FIor10a ;yam ,o � My C¢mm. Expires Nov 3, 2017 ,y� ,.o�'' Commission 8 FF 067840 nu. PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division SCANNED BUILDING PERMIT BY SUB -CONTRACTOR AGREEMENT St. Lucie C t OUntl St. Lucie County Contactor Certification Number. _ qG 9y�i Number(uapplicbl): &Lo /1100 agreed to be the Sub -contractor for ANATOM Construction Company (Primary Contractor) For the project located at 2950 Rosser Blvd, St. Lucie, FL 34953 (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: �IJ/ey�yd-d Address: 1 at& Ydl j SQL /Oy 8 Cityistateaip: 11 tt caa ep . a,7L 3H� 9H Phone: 97a•4461 e%%%i email;(h.'(/I adnzd( VlAdAi'aj. COm S GNATU PRINT !NAME _ DATE STATE OF FLORIDA, COUNTY OF eS� L11,f-C/ q THE FOREGOING INSTRUMENT �WAS SIGNED BEFORE ME THIS / DAY OF 2016 BY M,c_f_c e,I J�Yr�U P.� WHO IS.PERSONALLYA�OR HAS —Tr— PRODUCED O SIGNATIJJk OF NOTA &PUBLIC SLCPDS: 081062014 e- 4 L' PRINT NAME OE'�`y¢i IC P F7�T pta' ti rzao (STAMP) PERMIT# I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: n/a State of Florida Certification Number (if applicable): FPC14-000010 SCANNED BY St LUC113 f;ntlnr, RBK FIRE SYSTEMS INC have agreed to be the (Company Name/Individual Name) FIRESPRINKLERS Sub -contractor for ANATOM Construction Company (Type of Trade) (Primary Contractor) For the project located at 2950 Rosser Blvd, St. Lucie, FL 34953 (Project Street Addressor 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: RBK FIRE SYSTEMS INC Address: City/State/Zip: 2365 Vista Pkwy, Ste. 10 West Palm Beach, FL 33411 email: basilio@rbkfiresystems.com Riaboukha PRINT NAME OF FLORIDA, COUNTY OF Palm Beach 08/11 /2016 DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 11 DAY OF August .2016 BY Basilio Riaboukha WHO IS PERSONALLY KNOWN XX OR HAS PRODUCED SIGNATURE OF NOTARY PUBLIC SLCPDS: 08/062014 AS IDENTIFICATION. PRINT NAME OF NOTARY PUBW ;J" •'i(�;; JAN STEPANOVSKY MY coatmissibm d FF219924 EXPIRES April 13.2019 IJCII SY°L:.1 clwNrucavaeri.-c _er (STAMP)