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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENT'r a PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division RECEtl� 4 a QED° BUILDING PERMIT SCANNED FEB ? 3 2016 SUB -CONTRACTOR SUMMARY BY PER;v71TTIPyr, ' St. Lucie County St. Lucie Coc,;, FL LI� ail % will be using the following sub -contractors for the ( pany/Individual Name) J _ project located at VZO 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 t Z Z I Plumbing HVAC/ 5o_j . r) COfsl off %--"c I.81 5b1 Mechanical Roofing Gas OFFICE USE ONLY, PERMIT L V� �_ © O� ISSUE DATE: UM NBER: L Revised 07292014 Jul 05 2016 09:31PM Brevard Grouting Ser;M=� 321-7231294 page 2 RECEW'D JUL 0 5 2016 PERMRS l C+ 0-4 O 7 iSSUS DATE PLANNING & DEVELOPMENT SERVICES Buildiag do Code Compliance 1D vWen SCANNED • BY ` BUILDIiGPERMIT St. Lucie County RUgLON MCTOrR AGMZBMMT St. tm=county C.m metu Cemflmb nNmebw 2� Jig `?[4 State ofFiwida t.:adfieauon Number (ffwb. de): -r ;:r i q 4- it 'L 3! have agreed to be the (Co1npW*Wam6&abviftd NMW) U ''1luwti�i Sttb-contrecWrfer �nOTi�d.��q'�@Tr'cp��.c i crwofTme[>'Y For the project located at It is tntdemtood that, if these is any change of "us m e�rding our patticiPS60ft with the above mcnt'WW projc4 I will immediately advise the Building and Zoning Deparmrent of St. Lucie County by filing a Change of Seb-contmcWr notice. (Form: SLCCDV (Nm 004-013) BUSINESS QUALIFIER (N&MOtthelndividW shmnon dwconvames Lioe=) NOTARIZED SIGNATURES ARE REQUIRED anemes Name: 1 dri d e- K S4ns Plo n big.'4ES ,ill e Addrrss r otJ6 Clvr r t a v •. — ..+ ctty�stauivv: ✓ : /tn � .7 PEwpvza� �asr emu.. tta B;/lQl�rt�� al�lnr�(�soruplumb� z�/!o_ SIGNATURE PRINT NAM DATE STATE OF FI.ORIDA, COUNTY OF TM FOREGOING OMMUMENT WAS SMNFD IIEFM ME T M.4 ' DAY OF IMA-ck By 6wkA42 % A�4a pT WeOIBPFiLROWALL wN ORHAS PRODUCED --i--.f�.i, i -r. INIHYS NU1�t1 Alatll; 74 �3% I r,.gy,T,,.frr�'aasm+ s PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (Type For the project located at %-GDD G/ k�ZII S3 " ` - o (Project Street Address or Property Tax ID #) SCg3 2016 St. Ltwj&Ggttm I uc t}nty, FL have agreed to be the 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) T%TATA1DT7rrl 41rCNA rYT1Dr4 AV1 Ari A7TIFIDIM r PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division �� ' • ,BUILDING PERMIT FEB 2 3 2016 SUB -CONTRACTOR AGREEMENT PEF[tllTri7JG St. Lucie County ContaacaorCertification Number: 1815673 St. Lucie County, FL State of FloridaCertification Number prappuckice CAC1815673 SOUTHERN COMFORT INC. have agreed to be the (Company Name/Individual Nam) DAVID RICKS HVAf Sub -contractor for (T"c of Trade) (Primary Contractor) For the project located at _ 2900 Industrial 33rd Street (Project Street Address or Property Tax W Iris understood that, if there is any change of status regarding our participation with the above mentioned project, i wr11 immediately advisee the Building and Zoning Department of St. Lucie County'by filing a Change of Sub -contractor notice. (Form: SLCCDV (No.00"0) BUSINESS QUALIMR (Nameof the Individual shown on the Contractor's License) SCANNED BY NOTa.RIMSIGNATU FSAREREQUIRED St. Lucie County Business Name: Add,., 1546 PULITZER RD. citylstaterzip. FORT PIERCE, FL 34945 Phone: 772-370-Wl email; t✓ Cesar Hetmida 02122L -2ot i„ SIGNATURE PRINT NAME DATE. STATE OF FLORIDA, COUNTY OF- THETOREGOING INST''R//UMENT WAS SIGNED BEFORE ME TIM DAY OV , 2014 BY eesar WMOIS PERSONALLY KNOWN OKRAS PRODUCED E hl- ASFDENTMCATIONt SIGNA. � O _ OTARY PUBLIC PRINT N OF NOTARY PUBLIC SLCPDS. 08105P2014 EDGAR 6. TAPIA $ f Notary odda comdssiong FF 140897 my comma expires J* 26,2016