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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANPAND DEVELOPMENT SERVIC" EPARTMENT Building and Code Regulations Division BUILDING PERMIT SCHNNEG SUB -CONTRACTOR SUMMARY BY Gil Hyatt Construction St. Lur/ will be using the following sab�omractor�"iorYhNJllti (Company/Individual Name) project located at 4878 N. Kings Hwy, Fort Pierce, FL 34951 (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 Star Electrical Contractors Inc. EC0002303 James Seitz Plumbing Royal Plumbing Corp. CFC1425760 Joel Gonzalez HVAC/ Certified Energy Service Inc. CAC051463 Mechanical Glen Craft Roofing Gas OFFICE USE_ ONLYf PERMIT 1608-0135 1ISSUE DATE: NUMBER: Revised 07/29/2014 II�W�i I PERMIT# ) / OG O I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division 6UANNED BUILDING PERMIT BY St. Lucie COurlty SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): EC0002303 Star Electrical Contractors Inc./James Seitz have agreed to be the (Company Name/Individual Name) Electrical Sub -contractor for Nunno Builders (Type of Trade) (Primary Contractor) For the project located at 4878 Kings Hwy Street Address or Property Tax 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) N �,rvj es NOTARIZED SIGNATURES ARE REQUIRED /1 Business Name: .S�O..r` Et e— �� r t C, CJ Cori♦ d-CL60rs rl Address: 1614 Latham Road City/State/Zip: West Palm Beach, FL 33409 561-471-2744 email: mailbox@starelcon.com OF FLORIDA, COUNTY OF James Seitz PRINT NAME Palm Beach /0-�9 DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS S DAY OF OC,+o IOe.r" 20_p BY �S Gi rv1 es, WHO IS PERSONALLY KNOWN OR HAS PRODUCED SIGNATURE pF NOTARY SLCPDS: 08/06/2014 AS IDENTIFICATION. Debra J Snodgrass PRINT NAME OF NOTARY PUBLIC (STAMP) ogap DEBRAJSNODGRASS u NOTARYPUBLIC QR1;� ^ y�STATE OF FLORIDA Comm# FF045522 «Z rJto Expires 9/18/2017