HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTR E C i) MAY 23 2016
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
—W- " -- W Fort Pierce, FL 34982 SCANNED
BY
BUILDING PERMIT St, Lucie County
SUB -CONTRACTOR SUMMARY
_CI-6 V'a Ole C4114 will be using the following sub -contractors for the
(Company/Individual Name)
project located at
(Street 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�S-//
Plumbing
HVAC/
7A CG
L a! k2
Mechanical
Roofing
Gas
PERMIT I I ISSUE DATE:
PL "' & DEVELOPMENT SERA - jES
ng & Code Compliance Divis u"
Aqunoa alonj .1.
BUILDING PERMIT As
SUB -CONTRACTOR AGREEMENT a3NNbas
St. Lucie County Contractor Certification Number: M a:i 44
State of Florida Certification Number (If applicable): EC I 1�t7n (DfLD
(Company
Name)
_I-2Cal sub -contractor for
(Type of Trade)
for the project located at _ /y (
(Project
Tax
have agreed to be the
(Prinadry 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 ofthe Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone: - U(0(a email: &1i u'.SP 1 (11 [ `T [ ('Ct1lS7B . C Dt 4
I A 'PRINT NANM v DATE 4
DATE
STATE OF FLORIDA, COUNTY OF c�,t, l a) c1 q
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS ZUDAY OF MQ.tl 20 1-,—
BY, )abn MC Vr�— WHO IS PERSONALLY KNOWN V, OR HAS PRODUCED
AS IDENTIFICATION.
OF 110TARY P JENNIFERItYNN i NAME OF TARY PUBLIC
c MYCOMMISSION # FF 79469i'
q ,, .• EXPIRES February01. 20:§
OFFICE t
(STAMP)
RECEIMiky 23 2016
PERMIT # ISSUE DATE 11
PLANNING & DEVELOPMENT SERVIC]
Building & Code Compliance Division
SUB -CONTRACTOR AGREEMENT A7uno A8on� 19
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
(Type of Trade)
For the project located at
have agreed to be the
Sub -contractor for l.P �04,,r) d17 e
/ C�onnfictor,)
�
Street Aadress 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)
QUALIIUR (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
:Business Name:
i 'Address-
City/State/Zip:
Phone:
C011"
�brAnn ") . ac)•I(2
SIGNATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF
THE FORE WING INSTRUMENT WAS SIGNED BEFORE ME THIS _i DAY OF 201U_
BY WHO IS PERSONALLY KNO OR HAS
PRODUCED
AS IDENTTFICATION.
-
ATURE OF NOTARY ABLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS: 08/06/2014
(STAMP)
=PublicState of Florida Mannon EE 82760512016
KELLI'. :U MAT 40 ,.Uio
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County Contractor Certification Number: St. LUCie County
State of Florida Certification Number (If applicable): CFC 1428057
B&N Plumbing have agreed to be the
(Company Name/Individual Name)
Plumbing Sub -contractor for Group One Construction
(Type of Trade) (Primary Contractor)
For the project located at �{' �r�] 4--' ]
(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: [3- n P]v b . r
Address: 731 Sw Great Exuma Cv
City/State/Zip:
Phone:
Port St. Lucie FI 34986
772.237.5000 email: bandnplumbing@gmail.com
111111 =01JEW19WIM�
STATE OF FLORIDA, COUNTY OF
Bradley R. Beddome
PRINT NAME
512.o I
DATE
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THE FOREGO^IN�G INSTRUMENT WAS SIGNED BEFORE ME THIS �`-' DAY OF � lei- 20
BY It I ���(� �F WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
AS IDENTIFICATION.
tl1 l� l Q $e t l J q mup IVCV
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS: 08/06/2014
Yp• TANYALNEVILLE
ttC•' %':
=, —QVI MYCOMMISSION fFF15788s
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EXPIRES: October 12, 2018
5a 'r R/1�,r dedThm NUWiYPudkUdem1bs
(STAMP)