HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
SCANNED
BY
BUILDING PERMIT St. Lucie Counts
SUB -CONTRACTOR SUMMARY
p I11okP I ,11C, will be using the following sub -contractors for the
(Company/Individual Name) T
project located
address or Property Tax ID #)
3
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
Imo' \
U`� � r �, ed i C C
Plumbing
�3t&Sel9� u, VVI N, C,
I Ci 'l3
HVAC/
CAC,11909
Mechanical
Roofing
Gas
PERMIT
DATE:
Revised 07292014
PERMIT # ISSUE DAiE
FL,A_N G.tJDEVELOFMENT SERVICES SCANNED
Bo Cad* Com�plianea Divicinn BY
BUILDING PERMIT St Lucie County
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: �l
state of Florida Certification Number (If appiicabit):
Have agreed to be the
/
Sub -contractor for L E/_ TIIA!2, f hem,,crelly Ke.
(Type of Trade) (Primary Contactor)
For the project located at
or Property Tex ID
It is understood that, if there is any change of status regarding our participation with tke above meaRoried
project, I will immediately advise the Building and Zoning Department of St. Lucie County by ding a
Change ofSub-contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUA.LIMR (Name ofthe Endividual shown on the Contractor's License)
NOTARIZED SIGhiATii12ES:ttE i+EQtl[I6D
Business Name: Ot t1Ls72 ��w ref L O�/��
Address:
City/Statelzip: /AyOz6l % ':53�f92
Phone: /-7/s /F/(, email: e 3� �LSUtIR+J✓
SIG I1J PRINT NAME DATE
RJnA., vn11NTV OF Fa . _ �n
TJY OR �G/INST/RUMENT WAS SIGNED BEFORE ME THIS �DAX OF /`CGW, �20�0
By �t%I 6bi & 0_111 WHO IS PERSONALLY KNOWN V OR HAS
,SLCPDS: 08/06/2014
(s Caplan
Public
State of Florida
MY COMMISSION # FF 34062
Expires: July 7; 2017
C
EAql�2- --ZZZ.
,�YZ51- Z71'7- ZZZ
Mar 1416 09:32a Jensen Beach Plumbing
REDEI'' 'D MAR 141016
70-225-6779 PA
PERMIT #7
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES OUANNED
Building & Code Compliance Division BY
St. Lucie County
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
24654
RF11067372
Jensen Beach Plumbing, Inc have agreed to be the
(Company Name/Individual Name)
Plumbing Sub -contractor for L & L Interiors & Remodeling
(Type of Trade) _i -•� .�'., .. ; {.s.�..,�:..,`;a...ii (Primary Contractor)
For the project located at 6632 S Federal Highway Port St Lucie 34952
(Project Strect 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
;. t...,,.. ; .,1 1 i_ e
Business Name: , l; � ,. :, b �. T. i.i .. i4.:
Address: 1086 NE Industrial Blvd
City/State/Zip:
Phone:
Jensen Beach FL 34957
772-225-6779
etnail: Jbplumbing@bellsouth.net
nie Culbertson
PRINT
STATE OF FLORIDA, COUNTY OF mL e t ,f)
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS /Y DAY OF 17%aa (I.1? , 20A
BY Lo1n_ Lj� ? <� WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
�SIGNA*RE OF NOTARY PUBLIC
_�SLCPDS: 08/06/2014
AS IDENTIFICATION.
. JACt.i'Ait")LSO"
ya,� a MY COMMISSION IlFFt5 i OF NOTARY PUBLIC _ Y,,';i XPISES November B, 20is
t8
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
'' '' _ Building &Code Compliance Division
I _ SCANN�C�
- BUILDING PERMIT BY
.x SUB -CONTRACTOR AGREEMEN'St. LUCI@ G'OI111bc
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
(Type of Trade)
For the project located at
Name)
have agreed to be the
Sub -contractor for L e' L I_Uerior Q' mope%' n q �nC
r(Primary Contractor)
I ' ederb,l Ti,g4iotv
(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
BusinessName: A, T �p-e_f+_Y
Address:
City/State/Zip:
Phone:
1 3 C:;1S S W &,r �e_C c it C
L
SIZITrAiTURE PRINT NAME
STATE OF FLORIDA, COUNTY OF f L4 ✓TI ,
U
email:_ AI rW'e--r
CLDv•CoC-
31
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF M 01 (1h 201 LP
BY -q ry �nf� WHO I PERSONALLY KNOW OR HAS
PRODUCED
,� k
SIGNATURE OF NO ARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
r e t'ss 1c(C-ej I
PRINT NAME OF NOTARY PUBLIC
to'�ti� anR
e of Fbn r_ � .�chj��+` F 234602 .`,�,'?orn 8f
(STAMP)