Loading...
HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENT- It001- (311I PLANNING AND DEVELOPMENT SERVICES DEMENT Building and Code Regulations Divisio (d�( N) SCANNED FEB 0 3 2016 BY ,{��,BUILDING PERMIT PER; l rTigrC. St. LOP CODLJ���AtONTRACTORSUMMARY St. Lucie Counj,,. FL K141 �o/yia ` ri � 1 fG � will be using the following sub -contractors for the (C mo pany/Individual Name) { / � project located at 7J� m: J �%.5 I? W y �l G%� )�� UGi� L �,y ?3 2 0#- d6 (Street address or Property Tax ID #) 3yz�—�,� ��oo-ao�i7 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 iv con % vc- /G✓` J! Plumbing e n o e�G HVAC/ G G Q ;-ry C, G o5 Mechanical Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 PERMIT# J ` o/ — ow / / ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SCANNED St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): ✓l,� vYl ( '5u c3 have agreed to be the (Company Name/Individual Mime) Cl LC/IYYbt� �7�i Sub -contractor for / t ,C�O l�1 �i �/ /�G� /O✓l %✓G� (Type o rade) (Primary Contractor) For the project located at 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: SLCCD V (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED RECFgn.I�L. , T)O.yres WtQ 11-1 b PRINT NAME DATE STATE OF FLORIDA, COUNTY OF FEB 2 5 2016 rD r� THE FOREGOING \ INSTRUMENT WAS SIGNED BEFORE ME THIS .Z3 DAY OF F2J7Y�ar4 , 20� BY �C,Ma_S F�C,�0.YJatMI�... WHO IS PERSONALLY KNOWN \, OR HAS PRODUCED //JJ �� /�� � pp 11 7�AS IDENTIFICATION. L0 d N't-11,L�G� I�Y2V'ta0. {�. (STAMP) SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 =3FP;. DECARAN # FF246Mly 01, 20191407)543-06arvkc.eorti 11 PERMIT# Tm�l,Dwl ISSUE DATE 61 .. yIiPLANNING & DEVELOPMENT SERVICES y F � F,!1kfFz Building & Code Compliance Division ° 6GHNNED FEB 2 9 2016 a BUILDING PERMIT BY PEWAITTING SUB -CONTRACTOR AGREEMEe* Lllr"P llnl� St. Lucie County, FL St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): C c, —" at /mot ALE t G have agreed to be the (Company Name/Individual Name) - y.. / '7^ �G�7—e./G,qL, Sub-contactorfar / U] e'ern j /y4(/G1 -N%� `\ (Type of Trade) p / (Primary Contractor) For the project located at 2.i h Fr Fail o / illQ11%% o I (Project Street Address or Property Tax ID 4) �OX-T-0 ;x?�6�'0003c%Go2-- 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: SLCCD V (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATUREESS ARE REQUIRED Business Name: / Y �-e- y L�GTjQ LGf1 C. L;-Ie Address: City/State/Zip: L Phone: _S9/- 74,;g - 716 G email: 7r L C-4X.1572QL L ✓'7718 A-� • A-"16F as a a3 /14 SIGNATURE PRINT NAME J BAT STATE OF FLORIDA, COUNTY OF 4w-777 J�4 f� THE FOOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS �.3 DAY OF -/--6 3R1LA A 20-ZL BY �� �O/�� LC r� WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. (STAMP) PRINT NAME OF NOTARY PUBLIC SIGNATU OF NOTARY PUBLIC e`'% o .,,, DALE TOCCI SLCPDS:OSt06/2014 :° Notary Public - State of Florida oco MY Comm. Expires Mar 28, 2017 If t° ' Commission # FF 003191 PERMIT# i ©D�" I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Nicuber (If applicable): C'AC058461 SCANNED BY St. Lucie Countv A/C DOCTORS INC have agreed to be the (Company Name/Individual Name) REFRIGERATION Sub -contractor for K W CONSTRUCTION INC (Type of Trade) (Primary Contractor) For the project located at 7568 S US HWY 1 PORT ST LUCIE FL 34952 (Project Street Address or Property Tax ID #) TAX ID 3422858000100017 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 Business Name: Address: City/State/Zip: Phone: , JENSEN BEACH FL 34957 email: ACDOCTORSINC@GMAIL.COM DAVID J KRUSE PRINT NAME 01 /27/2016 DATE STATE OF FLORIDA, COJNTY OF. io�IC> 4 THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 3 DAY OF 20 I(0 WHO IS PERSONALLY KNOWN AS IDENTIFICATION. ARY PUBLIC SLCPDS: 08/06/2014 OR HAS (Vj*VLq= Notm Pu* WalFlodd %nTt1mlm # iE 1