HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARY13VA
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PLANNING & DEVELOPMENT SERVICES DIVEST®N
BUILDING & CODE REGULATIONS DIVISION
x." 2300 Virginia Ave
0
d - Fort Pierce, FL 34982
BUILDING PERMIT SCANNED
SUB -CONTRACTOR SUMMARY BY
i J ,, St. Lucie County
firn '�-( [} 2t t1 l C�=�jvill be using the following sub -contractors foe the
(Company/IndMilual Name) _
project located at
address or Property Tax
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
lasted below, I %91 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
Ot—
2 C1(0S-1
Nr Ozn&('+�6ni
Plumbing
,^
Servwp,�i ,✓�Ci n
�$$S�
HVAC/
cJ- l C.
Mechanical
�� ✓ i (%' n
Roofing
Gas
fin.} d' v+Frfk..e.dy,a _ ,' n DEVELOPMENT
Building & Code Complinneel)MAn
;%a► �rh
rr sy°,=tY`tr7 �.0 S,etZy-} fi'^ I 1 1 C'
1. 1•
St Lucie County Contractor Cerdfic douNimlzer: (� u
State of Florida Certification Number arfwlicabl,*
pave agreed to be the .
(Company Nantwindrvrduel N
pl Umht ►net. sub -contractor for pT0YY1F f?AA LI D L
(Type of T7mde (Primary Ccutr-actor)
for the project located at 9jZ�7b (jiJ S1rie�5r f iL 3� I`tS2
(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)
BUSMSS QUAL + i R (Name of the Individual shown on the Contractor's License)
OPSGINAL SIGNATURES ARF. ItFQUIRED
J
/ $ ITr1 l-.E
F,dd, ss:
CiidS, Zk
r:ca z:
Tomos
Pmi—1 11MME DATE
PERMIT ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Cade Compliance Division
BUILDING PERMIT
r,y
SUB -CONTRACTOR AGREEMENT
QG�RrEQEMEN`T�
St. Lucie County Contractor Certification Number. � l o l .� 1
State of Florida Certification Number (if applicable):
Sub -contractor for
have agreed to be the
For the project located at ��'X7 51 11C �� T C t I e_ 1 1 i t✓y
(Proicot Stroet Address or Property Tax ID 4)
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: SLCC.DV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED �^ r {� I
Bu9inegsName: �'71 oLY1.Q l:LC�`T� e 4 {G
Address: ILA LJ w \ r
City/State/Zip: ��� L t% C le—
Phone. „ —)%%1�2 i email;
SIGNA
Ocg o 2
DA E
STATE OF FLORIDA, COUNTY OF t t L A
THE FOREGOINGINSTRUMENTWAS SIGNED BEFORE ME THIS 5:2 DAY OF AtIQ GCS 2014
BY J �(j� QP (��Q t 1 WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
AS IDENTIFICATION.
no
l� c %i N -o ja LL4 (STAMP)
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS: 12/16/2013 y6 ` SARA OLEARY
��/ MY COMMISSIONXFF126322
a alames: Nwmbc 18, 2017
PERMITS ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: -CO(D I Q
State of Florida Certification Number (if applicable);
L n nd (f i onig ave agreed to be the
(tompan Name/in ividuatName) rI J
r t1 Sub -contractor for �f =d Isyr) LfC>z,�s
(Type of Trade) (Primary Contractor)
For the project located at 2�� (_-�
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: s�� G Inc C1c6r' - e - Ae C
Address: U 17 b t" GJ e-
City/Statc/Zip: OC+ 231 LuLke- �I-
Phone: �2 -�Z t� 13 email• /
�� CJI��iGlitG 1r C2 9 v 2
SIGNATURE4MST NAME DATE
STATE OF FLORIDA, COUNTY OF 7 -
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF �l� / , 20�
BY �oraP 1�3ax,\c1 WHO IS PERSONALLY KN0OWN l/ OR HAS
PRODUCED
IDENTIFICATION.
�la,oa_ l Jt-T1C G I) Z� (STAMP)
SIGMAOPNOTARX BLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS: I2/16/2f)13 j SARA OLEARY
MY COMMISSION NFF126322
��� FJO'IRES: Novaabc 1Q 2017