HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARY�_ s ; •- —_ --- PLANNING & DEVELOPMENT SERVICES
1 BUILDING & CODE COMPLIANCE DIVISION
o SceYNEO
BUILDING PERMIT Sf
j SUB -CONTRACTOR SUMMARY CUCtt? COUnti
117JLLrYI � /at/G will be using th` 1 11 sub -contractors for the
(Company/Individual Name)(�lA ( i e �j
project located
(Street address
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
Plumbing
FIVAC/
Mechanical
Roofing
Gas
nS
z i 1 e: c-ws 62 ,vs . Ga.
028�l��
;r;.vc
9
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBERL
PERMIT# ISSUE DATE —7
PLANNING & DEVELOPMENT SERVICES
0
Building & Code Compliance Division
0 0 -
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: #
State of Florida Certification Number (ifappucable):
*A W.f 400271av'T 'vlcaw � /A/6 • c10~ L-&:Xrr�� . have agreed to be the
(Company Name/Individual Name)
�lGiA15 Sub -contractor for &, n,,+
(Type of Trade) (Primary Contractor)
For the project located at /90 3 5 E 2Wmo JaA0
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 REQUIRED
Business Name:
Address:
City/State/Zip: t /L4pZr&x i �LFo„te�yryt 3 fP A
ne: ,SIOI S%j r70 20 email•S/�h/GT.
doi� G _
ATURE
PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF �a2d,yryp�QyE� �� QAC�Iti
THE FOREGOING INSTRUMENT
,W'A,���IGNED BEFO"E THIS DAY OF �QY CAI"- 20A
BY � ,1 0 k yy �• &-(4 t' �5 WHO 1S PERSONALLY KNOWN be' OR HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 12116/2013
AS IDENTIFICATION.
�+ 4�2 ' t! L4Z�
PRINT NAME OF NOTARY PUBLIC
(STAMP)
••.,, SANDRA C. LEE
;p`~+P It Notary Public - State of Florida'
y . • My Comm. Expires Apr 25, 2017
e;� Commission # FF 005521
Bonded Through WongWMAM
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DMSION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
FW f6Aw &✓j 1?oXd IJf S �L;i��k/FI will be using the following sub -contractors for the
(Company/Individual Name) / � C
project located at q4 15— (p b -3- — 0 U p i -- b n o —
(Street address or Prope
It is understood that if thereis 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
G.fn2LsNKrx. /!✓c .
CABGsf
6G/3ooSs'/�
Plumbing
fN �—
HVAC/
/CJ
Mechanical
Roofing
Qv
Gas
/?/(.Q,SaN�
1tiaG�n-r4.d /SIG .
OFFICE USE ONLY:
PERMIT 1 ' ISSUE DATE:
NUMBER: I �O2" O % 41
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: r]t 9 6S1
State fof""F'�lorida Certification Number (If applimble): 3 60 !M 7
V V I f2rtilL -t►xL have agreed to be the
(Company Name/Individual Name) Y��//�l1 � /
E�eGFfict� Sub -contractor for Co►�cep+t,r^I 1J2Siayy/�6trrusRr.ilKs
(Type of Trade) (Primary Contractor) St j n s i 6r4�tius, ��c
For the project located at 'I A_� — 6 0 1 ` 000 1 — 0 0G —
(Project Street Address or Property Talc 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 REQUIRED
Business Name:
Address:
City/State/Zip:
Phone:
qG 6 -OS.Dv
4q0/, Ir—
SIGNATURE PRINT NAME ` . DA E
STATE OF FLORIDA, COUNTY OF C St Lu u-b
THE FOREGGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF �" LLG-r 20 t�
BY Ivl%f b `�� l t �✓LP eLr� WHO IS PERSONALLY KNOWN _ZO R HAS
IDENTIFICATION.
l AA� ✓"! Vn � 4 nKirii� (STAMP)
OF NO Y PUBLIC PRINT NAME OF NOTARY PUqLIC
12/16/2013
d'"r o '•6 .�+' �s, , LAUNIEC. SNYOER
p Notary Public - State of Florida
AGOMy Comm. Expires Aug 1. 2017
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