HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY1 � \
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR SUMMARY BY
,q (� ,// St. Lucie County
V Y.Iy-1 ,Y,' ',l.' 1 pc� 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
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Ec l � L05
k�\W,-m Pt- anA:, u 5r.
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Plumbing
1 1
Ge�ra�d W -cr
HVAC/
Mechanical
Rooting
Gas
OFFICE USE ONLY:
PERMIT I - - ISSUE DATE:
NUMBER:
Revised 07n9/2014
PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES SCANNED
Building & Code Compliance Division BY
BUILDINGPERMIT St. Lucie County
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number. O tpap
State of Florida Certification Number (If applicable): GCi Iwo Its
Ger6co Ele0oaxl CArTJrCiC�ofS,�11C.�Kf'TI A GereK&Rhave agreed tobethe
( ompany Namelladividual Name) _
Sub -contractor for_ 1 L _px-is
(Type of Trade) (Primary ConMrac ort )
For the project located at
(Project Street Address or Property Tax ID t))
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: Gefd(b f-k4r iccj C6Rkad0rS .1nC,
&Am% A . Genm;a d (-
PRINT NAME
STATE OF FLORIDA, COUNTY OF 5k Ljw_�e-
A. 6ecemir, Je.
y.1-1-lu
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS al DAY OF %(t1 , 20«D
BY_gvP nyi-h -Ckka Yiq Ai- WHO IS PERSONALLY KNOWN `� OR HAS
PRODUCED AS IDENTIFICATION.
i� alm -- l/�� t7 (STAMP)
GNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
'• TORI L WARNER
SLCPDS: 08/06/2014 MY COMMISSION # FFM394
p� EXPIRES October 11, 2019
Ua139MI53 FIRIEeNga nylpp,ppm
PERMIT # ISSUE DATE BY
St. Lucie (
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDINGPERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
have agreed to be the
PMCompan{ �Name/Individual Name)
rt 7n Sub -contractor for owac i z3l"af\ pbas
(Type of Trade) (Primary Contractor)
For the project located at
(Project
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:
Address:
City/State/Zip:
Phone:
SIGNATURE
STATE OF FLORIDA, COUNTY OF
�r. Q �.". Cv / �. f .s Sal•
1412L�Ic�
DATE
THE FOREGOING INSTRUMENT WAS
SIGNED BEFORE ME THISaVDAY OF � 1 / 20A0
BY \—�G) f[�11 �/V 0_§CSIWHO IS PERSONALLY KNOWN V OR HAS
`PRODUCED
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
AS IDENTIFICATION.
i 'ttbA.X.I\ (STAMP)
PRINT NAME OF NOTARY PUBLIC
rti�•;;...ANcaSI TON
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My Comm
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