HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTRECEIVED
MAY 0 4 2018
STD Lucie County, Permitting
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
States of Florida Certification Number (ifapplimble):
_iq/(/A)FS/7C��rt/G �h`//L Cy,✓D/Tio.vri✓� have agreed tobe the
(Company Name/IndividualName)
1///,4r� sub -contractor for :Paul Jacquin & Sons, Inc.
(Type of Trade) . (Primary Contractor)
for the project located at 7550 Pruitt Research Rd. Fort Pierce, FL. 34945 2314-800-0001-000-3
(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, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00) SCANNED
BY
St. Lucie County
!S QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
GNATURE n PRINT,NAME D TE /% Business Name: (tR/ir/CS fir*-- �'07A10t— 6HvTdy��/�
Address: 3USys /-/—C 146iV
City/State/Zip:, _ t-027 -sK
Phone;�%72- (-=L = %7�"email a—ikq meSO'rtdkoi.Cor►'L
USE ONLY:
RECEIVED
MAY 0 4 2018
ST. Lucie County, Permitting
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PER,NIIT
SUB -CONTRACTOR AGREENIENT
St. Lucie County Contractor Certification Number: 14454
State of Florida Certification Number itsipperame): EC13004120
Electraserve have agreed to be the
(Company Name/rndividualName) -
Electrical sub -contractor for Paul iacguin & Sons, Inc.
(Type of Trade) (Primary Contractor)
for the project located at 7550 Pruitt.Research Rd. Fort Pierce, FL. 34945 2314-800-0001-000-3
(Project Street Address or Property Tax ID N)
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 personally filing a Change of Contractor notice. (Fort: SLCCDV
No. 004.00)
of the Individual shown on the Contractor's License).
)IRED
)avid Nelson 06/06/17
LINT NAME DATE
Business Name: Electraserve
Address: 901 Northpolnt Parkway, Suite 301
City/Statc/Zip: West Palm Beach, FL 33407
754.205-2070 i�
Phone: --_email etlmin@electraservewpb.com
OFFICE USE ONLY:
PERMIT # ISSUE DATE
PLANNING &aDEVELOPMENT SERVICES DEPARTMENT
BUILDING &c CODE REGULATIONS DIVISION—_
BULLDINGPERMrr I RECEIVED
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
1001534
State of Florida Certification Number (IFappucame): CFC 032579
Kemp Krueger 4K Plumbing & Consulting Services, Inc. have agreed to be the
(Company Name/Inditidual Name)
Plumbing sub -contractor for Paul Jacquin & Sons, Inc.
(Type of Trade) (Primary Contractor)
MAY 04''/T3
Lucie County,
Permitting
for the project: located at 7550 Pruitt Research Rd. Fort Pierce, FL. 34945 2314-800-0001-000-3
(ProjectStreet 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 personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
�pp t ev. o Kempton D Krueger 0610712017
SIGNAYCTI2E PRINT NAME DATE
Business Name: Kemp Krueger 4K Plumbing & Consulting Services, Inc.
Address: 1341 SW Amboy Avenue
City/State/Lip: Pon
7.72-344-6789 email: Kemperdean@aol.com
OFFICE USE ONLY: