Loading...
HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTs BY St. Luoie County /' r) project located at PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DMSION 2300 Virginia Ave Fort Pierce, FL 34982 ifloo BUILDING PERMIT JUN9 ® 7 2o16 PEP,!e71TTING will be using the following sub-contraciiOUR 0911'€ty, Fi_ 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 Plumbing o HVAC/ CSC LI %f' f Mechanical Roofing Gas OFFICE USE'O1VIY;- PERAM ISSUE DATE: NUMBER: _ have agreed to be the (Company Name/Individug Name) St. Lucie, ounty IO IA-yi CChA sub -contractor for 1-0 •2 r (Type of Trade) (Prim Contractor) for the project located at (Project YIF it 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 QUALHUR (Name ofthe Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: City/State/Zip: Phone: PLJ` ZING & DEVELOPMENT SF "ICES ` y nailding & Code Compliance Division RE E BUILDING PERMIT JUN, 012016 SUB -CONTRACTOR AGREEMENT PERNF,r Ii\!" St. Lucie County Contractor Certification Number: aZj Q -i 4 SL Lucie ❑nP L State of Florida Certification Number (if applicable): EC. 1300 lc 5 (.aQ SCANNED `1"la •Yq8 - 8Cdfl3 . email: _� elms 1 CriC1 E�@ �pD e SIGNATURE STATE OF FLORIDA, COUNTY OF �jht� mCvsLa 5� wl Il a PRINT NAME DATE COµ THE \\FOREGOING INSTRUMENT WAS SIGNED BEFORE ME TFIIS ZU DAY OF � � 20J�— BY�JO A 1 mc! k) S! L• WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. My COMMISSION # FFIW97 EXPIRES February 01. 2019 OFFICE PUBLIC (STAMP) PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division JUN 0 7 2016 BUILDING PERMIT SCA WT4,iC SUB -CONTRACTOR AGREEMENT St Qa 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) QUALIFIER (Name of the individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: ACMann. TnQ. Address: City/State/Zip: YlkT I Phone: email: an I •CO"'n" n 1 rOO II9 SIGNATURE PRINT NAME p DATE STATE OF FLORIDA, COUNTY OF � ucCN � r, THE FORE ING INSTRUMENT`n`` WAS SIGNED BEFORE ME THIS ZCQ DAY OF 20JU BY � p T \y \�} WHO IS PERSONALLY KNO �_ OR HAS PRODUCED AS IDENTIFICATION. NOTARY PUBLIC PRINT SLCPDS: 08/06/2014 (STAMP) Ee% No aryPublicStaleofForda John Roberl Mann MyCommission EE 827608 Expires 08(1812018 PERMIT # w ISSUE DATE PLANNING & DEVELOPMENT SERVICES RECEUVED Building & Code Compliance Division SCANAB 0 7 2016 BUILDING PERMIT BY PERia11TTING SUB -CONTRACTOR AGREEMENT St. Lucie C'tiirntf1o� � . 'I St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): B&N Plumbing (Company Name/Individual Name) Plumbing (Type of Trade) For the project located at CFC 1428057 have agreed to be the Sub -contractor for Group One Construction (Primary Contractor) 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: City/State/Zip: Phone: " R- SIGNATURE .),II F'&mr).. 731 Sw Great Exuma Cv Port St. Lucie FI 34986 772.237.5000 email: bandnplumbing@gmail.com Bradley R. Beddome PRINT NAME S1z01ILf DATE STATE OF FLORIDA, COUNTY OF ST (.Q_ Ci�l THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS%�AY OF 0s L/ 2 BY ) acl I-el,1 :2yd O 0"()— WHO IS PERSONALLY KNOWP4,--� OR HAS PRODUCED AS IDENTIFICATION. (STAMP) SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS:08/06/2014 .•'•P' TANYAL.NEWIIF g+uA• MY COMMISSIto 6 FF 157883 n'• EXPIRES: October 12, 2018 • ;per ,` Bonded Thm Notary Pubib Under t,