HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTW ;
PLANNING AND DEVELOPMENT SERVICES DEPARWWWIM
Building and Code Regulations Division BY
i1 nrle County
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY llnrise City CHUG' Inc. will be using the following sub -contractors for the
' (Company/Individual Name)
project located at 6023-6143 S US Hwy 1 (3410-701-0006-000/2
(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
Stony Electrical Contractor LLC
EC13006942
1311 Fairfax Circle, Boynton Beach FL
Plumbing
Cavalier Plumbing Inc.
CFC1426743
2993 SE Orange Tree Place, Stuart FI
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:`
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014
to
7
J
PERMIT# % l 09 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT S(:HNfUtV
SUB -CONTRACTOR AGREEMENT BY
St. Lucie Counts
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): EC 13006942
Stony Electric Contractor LLC have agreed to be the
(Company Name/Individual Name)
Electric Sub -contractor for Sunrise City CHDO Inc
(Type of Trade)
(Primary Contractor)
For the project located at 6023-6143 S US 1
(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 SIGNATURES ARE REQUII2ED Business Name: Stony Electrical Contractor LLC ?,J�
Address: 1311 Fairfax Circle
City/State/zip: Boynton Beach
Phone: 561-642-8905 email:
�Ser-ard ��Illsc�D y� 17
� PRI SIGD ATU NT NAME TE
STATE OF FLORIDA, COUNTY OF 5T— L-V G I P
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS L.DAY OF � udll Ja.r� 20_q
BY C1mm— I el tjSc ik WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC PRIN'
SLCPDS: 08/06/2014
AS IDENTIFICATION.
SOPHIA HARRIS
MY CCMI1,} FF997093
EXPIRES May 30. Z020
11
f -w
PERMIT #
the P 11n r✓,
(Type of Trade)
For the project located at
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
do
oUANNED
BY
)1 Lucie County
have agreed to be
Sub -contractor for S1Ar? r?S •e C ; r y C14bD Inc -
(Primary Contractor)
—60IY3 5-
(Project Street Address or Property Tax ID
It is understood that, if there is any change of status regarding our participation with the above meee�n`i of Vel,
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuantrlt RZ 2017
filing of a Change of Sub -contractor notice.
A ) 4 W OXL�
CONn�T �C R SI NATURE (Qualifier)
1 )0-f-ta
P NAME
AME
COUNTY CERTIFICATION[ +N�U-MBER '
State of Florida, County of J I t-/7/'y�-�
The foregoing instrument was signed efore me thist day of
: [-AW4 rd . 20�, by t,(.
who is person/ally (mown `6or has produced a
as i3dIJ cadon.
r
%
ca STAMP
Signatur f Notary Pubic
of Notary
Revised 11/16/2016
`�BCSNTRACTOR SIGNATURE (Qualifier)
PRINT NAME
e/-C•-/vo639 �
COUNTY CERTIFICATION NUMBER
State of Florida, County of -/1 Ly i.("e.
The foregoing instrument was signed before me this000d y of
ati�y .2917)Iby<�GW►`5 i'V1aNdsk'I
who is personally (mown X ar has produced a
as i dfication. TTT"""`--- '• - SOPHIA 1iARRIS
�• MY COMMISSION • FrfeI1093
EXPIRES MaY 30 4620
Signature o No[ary Public t.
SOPHIA HARRIS
MY COMMISSION # FF997093
EXPIRES M Print
May 30, �020