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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENT�1 PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division Gil Hyatt Construction 6(:HNNEL) BY BUILDING PERMIT St. Luce Countv SUB -CONTRACTOR SUMMARY will be using the following sub -contractors for the (Company/Individual Name) project located at 7626 South US 1 - Port St Lucie, FL 34952 (Street address or Property Tax ID ti) It is understood that if there is any change of status regarding the participation of any of the sub -contractors fisted 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 Ace Electrical Systems EC13001386 Michael Dale Fugate Plumbing Dave's Plumbing Inc CFC051625 David Husnander Jr HVAC/ Mechanical Roofing .; Gas ; OFFICE USE ONLY: PERMIT ' /_&� G 3� a ISSUE DATE: NUMBER: o Revised 07292014 PERMIT# 160� 030a— ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): 1711-00004034 CFC051625 J(,B� ED St. CuCie Coupty DAVE S PLUMBING INC have agreed to be the (Company Name/Individual Name) PLUMBING _ Sub -contractor for Gil Hyatt Construction (Type of Trade) For the project located at 7626 S US Hwy 1 (Primary Contractor) (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: Address: 499 SE Seville Street FL 34994 email: davesplumbing499@hotmail.com David Husnander Jr PRINT NAME 1©,1£5,1Co DATE STATE OF FLORIDA, COUNTY OF Ml', THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS JE DAY OF J�, 20_/40 BY David Husnander Jr WHO IS PERSONALLY KNOWN XX OR HAS DUCED AS IDENTIFICATION. Pat McPeak SI NATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 (STAMP) PATMCPEAK vi MY COMMISSION OFF193291 la 9anEXPIRE�S: March S, 2019 •Nfi,K• otayPuhic UMemitem PERMIT# l�D _ �3oa- ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 26182 State of Florida Certification Number (If applicable): EC 13001386 JGB� ED St Lucie County ACE ELECTRIC SYSTEMS INC have agreed to be the (Company Namethidividual Name) Electrical Sub -contractor for Gil Hyatt Construction (Type of Trade) For the project located at 7626 S US Hwy 1 (Primary Contractor) (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: SLCCDY (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNA Business Name: Address: City/State/Zip: Phone: ARE REQUIRED C, 11051 Challenger Ave U Odessa, FL 33556 727-375-2749 email: lorraine@aceelectric0orida.com Michael Dale Fugate /jai Falb SIGNATURE 6 F7T NAME DATE STATE OF FLORIDA, COUNTY OF _1000 THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS /7 DAY OF dhe% , 20,�L BY Michael Dale Fugate WHO IS PERSONALLY KNOWN XX OR HAS PRODUCED !�✓� SIGNATURE OF NOTARY'PUBLIC SLCPDS: 08/06/2014 AS IDENTIFICATION. PRINT NAME OF NOTARY PUBLIC (STAMP) oW'', '•, LORRAINE LOPEZ '�` Notary Public - State of Florida My Comm. Expires Jun 2, 2017 .` '��.; oFi�q,.• Commission # FF 023231