HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
6GANNED
BUILDING PERMIT St. Luce Coun SUB -CONTRACTOR SUMMARY tV
St. Lucie County - owner/builder will be using the following sub -contractors for the
(Company/Individual Name)
project located at 2404-516-0001-150-3
(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
Matula Electric -
SLC #20502
1010 W. Midway Rd., Ft. Pierce, FL 34982
FL# EC13001643
Plumbing
HVAC/
St. Lucie County - owner/builder
N/A
Mechanical
2300 Virginia Ave., Ft. Pierce, FL 34982
N/A
Roofing
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/292014
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SUB-CONTRAC OR AGREEMENT J�JNNED
St tUn�0Ounty
MC'A'ukrx rD CdY1 G have agreed to be
(Company Name/Individual Name) C�
the �lech-'ICoJ Sub -contractor for a- Lrlc Couv-t4N • oWytea_� e-y-
(Type of Trade) (Primary Contractor)
For the project located at -24" — 51 U - 0o01- 150 - 3
(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, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CO CTOR SIGNATURE (Qualifier)
PRINT NAME
Z.C6OZ
COUNTY CERTIFICATION NUMBER
State of Florida, County of $TLVG/C
q TN
The foregoing instrument was signed before me this 10 day of
,}PRIL _2017•by JAM ES MA'TUL,}_
who is personally known V or has produced o
as identification.
/ /✓^'"" STAMP
Signature of Notary Public
Dm lifdel 15gW1
Print Name of Notary Publicires
y. Danlelle Biglin
_x �C�ommission # FF901099
25,2019
Revised 11/16/2016 err O j0.ssyss`� Bond . (IlNAugest ilaron Notary
SUB -CONTRACTOR SIGNATURE (Qualifier)
1041,31sl
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _ day of
20_, by
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public