HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
JGHNNED
BUILDING PERMIT St. Lucie County
SUB -CONTRACTOR SUMMARY
St. Lucie County will be using the following sub -contractors for the
(Company/Individual Name)
project located at 1419-334-0001-000-2
(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
Owner / builder
2300 Virginia Ave., Ft. Pierce, FL 34982
Plumbing
Owner / builder
2300 Virginia Ave., Ft. Pierce, FL 34982
HVAC/
Mechanical
Roofing
Gas
.OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
- Building & Code Compliance Division
BUILDING PERMIT S(;ANNtV
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County Contractor Certification Number:
N/A St. Lucie County
State of Florida Certification Number (If applicable): N/A -
Owner builder - St. Lucie County have agreed to be the
(Company Name/Individual Name)
Plumbing Sub -contractor for St. Lucie County
(Type of Trade) (Primary Contractor)
For the project located at 1419-334-0001-000-2
(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)
QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQWRED
($usinessiName:
C
Address: coves vuynud rive
City/State/Zip: Fort Pierce, FL 34982
Phone: 772-462-1432 email: flynng@stlucieco.org
SIGNATURE _"__ "'""` ` PRINTNAMEDATE
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 24`+1- DAY OF , 20 I (o
BY 1 V�An.K� /-�w�CTe-_G� WHO IS PERSONALLY KNOWN ✓ OR HAS
PRODUCED AIR TDR.NTTRYC A TynN.
�yaVfly JOANN MARIE RILEY
A a r Commission # EE 848774 (STAMP)
Expires December 4, 2016
S GNATURE OF NOTARY P BLIC IC
SLCPDS: 08/06/2014
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SGANNEL
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County Contractor Certification Number: N/A St. Lucie Count,
State of Florida Certification Number (If applicable): N/A
Owner builder - St. Lucie County
Electric
(Company Name/Individual Name)
Sub -contractor for St. Lucie County
(Type of Trade) (Primary Contractor)
For the project located at 1419-334-0001-000-2
have agreed to be the
(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 //te�r
HiisinessNiin`e, _w._,_, �_ �F+ Cau
Address:
City/State/zip: Fort Pierce, FL 34982
Phone: .�7772462-1432 email: flynng@stlucieco.org
7&21� MAY= St'PTET u6C u&, dy &
SIGNATURE PRINT NAME ATE
STATE OF FLORIDA, COUNTY OF ,4,• euc-
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 9"L DAY OF 120
BY r ' "^^-w ^'a' `� WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
Y V�.t-ate
SXPATURE OF NOTARY PUBLI
SLCPDS: 08/06/2014
AS IDENTIFICATION.
FN"!Ii�
JOANN MARIE RILEY
re Item er 2 1 IC
BattleETNU Trgranl�rarce B0638ST018
(STAMP)