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)