HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTn^y
RECEIVrD JAN D 5
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code'Regulations Division
SCANNED
Btl"INGPERWIff St. Lucie
SUB-CONTRACTORSUMMARY G+ Ounty
Ectlelber9er Construction Inc. will be using the following subcontractors for the
(Companyllmlividual Name)
project located at
2014 Port St. Lucie Blvd., Port St. Lucie, FL 34952
(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 SL Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical-
Rex Russell
Russell Electrical Constr
EC0002542
Plumbing
Joel MCNatt
McNatt Plumbing Co.,inc.
CFCG45185
H,ACI
Michael Broesler
CACA13004
Mec an�I
Broesler Enterprises Inc.
Roofing
NA
Gas
NA
OFFICE USE ONLY:
PERMIT % \0 _ Oo rJ ISSUE DATE:
NUMBER:
Revised 0729=4 /
RECEI'D JAN 05 2917
PERMITS 1310-0045 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUIIAING PERMIT
SUB -CONTRACTOR AGREEMENT
SL Lucie Ceunty Contractor CcrNcation Number.
State ofFlori& Certification Number(tfappucalx CFC045185
6UANNED
BY
St. Lucie County
MCNATT PLUMBING CO., INC./JOEL MCNATT have agreed to be the
(c°mpanyNamerindrv'dualName) - ECHELBERGER CONSTRUCTION
PLUMBING Sub-conttac(nr.for .
(Type of Trade)- - - (Primary Contractor)
For the project located at 2014 PORT ST. LUCIE BLVD., PORT ST. LUCIE,.FL 34952
(Project Street Address or Property TaxID W)
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 QUALHUR MmeoftheIndividual shovtnonthe Contraetor'sLicense)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: -
Addresr 6800 E. BROADWAY AVENUE
City/Stdazip TAMPA,FLORIDA 33619
Phone - 813-971-610D email: dee@mcnattplumbmg.com
JOEL MCNATT NOVEMBER 14, 2016
S( PRINT NAME DATE
STATE OF FLORIDA, couNT9oF HILLSBOROUGH -
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS '' DAY OF NON. 2016
BY JOEL MCNATT WHO IS PERSONALLY KNOWN XXX ORHAS
PRODUCED AS IDENTIFICATION.
�IAt... L ��
air f'cA2i �o IANA L REGO- - - - (STAMP)�. P NAME OF NOTARY PUBLIC
SIGNATURE OFNOTAR �I�IdC®�_
SLCPDS:08106/2014 � aF B5ra7U. *w
RECEI`.'70 JAN 0 5 r"sli.
PERMrr_ �/ 10 — 6 0 I S ISSUE DATE
COUNTY
,F L O R I D A
the }A V P-e
(Type of Trade)
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
SCANNED
St. Luce Counti,
have agreed to be
For the project located at L 4-3�-PL
(Project StrectAddress or Property Tax ID #
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONIRACT0113IGNATURE (Qualifier)
lahlLin�lh�r'
P NAME
COUNTY CERTIFICATI ER
lhllI.,i,�
SU O CTOR IGNATURE (Qualifier)
"A•c-hle ZrDLra'r
PRINT NAME
COUNTY CERTIFICATIM,B�E/JR�
State of Florida, County of Sf
StateofFlorlda,Countyof ✓VIA: �1The foregoing insttument was s edbeforemethl ✓/ aforegoing instrument was sued before methit day of /
I C� .201.by % ✓0 If-Y
who is personally kaoaa'_9rhasproduceda JJJ who is personally known or lw produced
as identification. ��•.�'(+'�,
si
Sigeuture af.N'alaryPublic�\J
Notary public. State of Florida
MY Comm. Expires Oct S. 2010
Commission# U 166330
.Revised Il/161270I6
as dentifivetioa '
STAMP
Sigaslure ofNofnryPubllc
TAMMERA RUSTENBERGHE
Notary Public - Stale a1 Florida
My Comm. Expires Oct 6. 2018
Commission # FF 166330
Bonded through National NotarvAssn
RECEI''7D j01 05 �
�Ertrn I T �
1
PERMIT# 1� 1rt _ aUlj ISSUE DATE
+5
PLANNING & DEVELOPMENT SERVICES
= = Building & Code Compliance Division
o SCHNNE(J
BUILDING PERMIT BY
i SUB-CONTRACTORAGREEMENT St. Lucie Counts
St. Lucie County Coulractor Certification Number -
State of Florida Certification NumberMapplicable): mull asxta- -
have agreed to be the
(Company Namellodividual Name)
e'&+riCCt'1 Sub-wntractor for 5sH�v� CDnS+rltichan C'.
(Type of Trade) (Pfmtary Cohlraetor)
For the project located at, An 1(4 SE `tit r4- 5=r WCnB Al V d
(Project Street Address or Property Tax ID #)
It is lmdetstood 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)
BUSMSS QUALHUR (Flame of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
BusinessName: QIICSP11ElLC.1'i'ICai ['Afl$3'f1AG'�b5-1_L.C.
Address: I181 at.Jartrss 1SlGnd RA.
City/Stawgip: UMIwm( fi' 3 -70
Phone: (3a) 63fo-53(b email: rIx95eJ13a 7 K+QQI`110u-1 , Cvm
+c R RCISSP(1 I1-1Li
SIG ATURE PRCVT'N DATE
STATE OF FLORIDA, COUNTY OF K! I
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS IADAY OF l 0011130E 20 �W
BY1( i�tl55EI.L WHO IS PERSONALLY KNOWN OR HAS
•PRODUCED�i�. RoiLID-%aI-YR'Ilo�-D ASIDRNTIFICATION.
6-r - `� (STAMP)
SIGNATU# NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC -
SLCPDS: 08/062014
CATHY d TOTO
Notary Public -State of FID663
Commission R EE 852935
my comm. Expires Jan 12. 2017