HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
• 2300 Virginia Ave
_- - Fort Pierce, FL 34982 SCANNED
BY
BUILDING PERMIT St. Lucie Counts
SUB -CONTRACTOR SUMMARY
n /'r;CgQ o l7 e _ y Tot fe A will be using the following sub -contractors for the
ompany/Individual Name) 11
projectlocated
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
7 ed (cc J'v r w
, 7 �7`j"
Plumbing
IIVAC/
:q11_2
Mechanical
Roofing
04
Gas
OFFICEtUSE�ONLX
PERMIT ISSUE DATE:
NUMBER:
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (if applicable):
/W 6- yv (q h l/\ have agreed to be the
(Company Name/Individual Name)
A/c� Sub -contractor for 61-0u p eh e
(Type of Trade) (Prunaty 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: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: 1 f / L p' l I /1 6
Address: G 50 11/-
City/State/Zip: t ELG
Phone: 2 L%G t/� email:
_716 Mann
S GNATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF N l 1 A C .1 V
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DID DAY OF Y� A X 201a
BY _ P A 1 1 ,Qnn WHO is PERSONALLY KNOWN OR HAS
PRODUCED AS IDENTIFICATION.
(STAMP)
P T NAME OF NOTARY PUBLIC ,raw Notary Public State of Florida
SI OF NOTARY PUBLIC av,`4t; John Robed Mann
c' • My Commission EE 827605
SLCPDS: 08/06/2014 and@ Expfrea o@116/2ot6�
PLAT � 71NG & DEVELOPMENT SET, - -CES
.,..ilding & Code Compliance DiV ,iJn
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: Cy. 1 X1
State of Florida Certification Number (If applicable): EC. J 30 o (oS(o b
SCANNED
BY
1t 12S CieCAr[c CR4 \�)Cjh Flori Cho.. In have agreed to be the
(Company Name/Individual Name)
Electri c o.l sub-contractorfor Crocia One Coe, "C,4,dq
(Type of Trade) tPrimary Contractor)
for the project located at
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)
$USINESS QUALIFIER (Name of -the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone: `11 a- LH9, &66 3 email: S i CAxe e *riC4g as lJ. o-hoo. Corr
(`tic Nox a L
SI NATURE PRINT N� DA
TATE OF FLORIDA, COUNTY OF I U
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS&a DAY OF Gui I 20 IL,
BY
WHO IS PERSONALLY KNOWN V"'OR HAS PRODUCED
AS IDENTIFICATION.
c�extirit�er l_ynn�ancion
S NAT OF OTARY PUBLIC ii i PRINT NAME OF NOTARY PUBLIC
OFFICE
(STAMP)
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT By
SUB -CONTRACTOR AGREEMENT St. Lucie Counth
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
B&N Plumbing
(Company Name/Individual Name)
Plumbing
(Type of Trade)
CFC1428057
/�++ ��7] have agreed to be
the
Sub-contractorfor C IOeta V4e- hail!i�c4e, s
(PriAry Contractor)
For the project located at 10173 US1 Port St Lucie Fl
(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: 731 Sw Great Exuma Cv
City/State/Zip:
Phone:
g
SIGNATURE
Port St. Lucie, FI 34986
772.237.5000
Bradley
PRINT NAME
email: bandnplumbing@gmail.com
R. Beddome 4.25.2016
DATE
STATE OF FLORIDA, COUNTY OF 5T Ll i C 1 nn ��11
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS d 54DAY OF 20 K0
BY t2A C�I��(t 0��� L� WHO IS PERSONALLY KNOWN L--'ORHAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
� N 4 nl e-\_11 r
PRINT NAME OF NOTARY PUBLIC
'� •., TANYALNEVIt1E
MY COMMISSIONOFF 157883
EXPIRES: October 12, 2018
`��•.lt7��C+'l� awed Tlw NdW ftbrc UederMbM
(STAMP)