HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARYPLANNING & DEVELOPMENT SERVICES
BUILDING & CODE COMPLIANCE DIVISION
SQA �NED
BUILDING PERMIT St' RUC/@ CoUn
SUB -CONTRACTOR SUMMARY
L�11i4✓d�/oc/C will be using the following sub -contract ors for the
(Company/Individual Name)AbM RI Il�C�9-
project located at ��67/�• -0,- l✓J : p
(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
Plumbing
HVAC/
Mechanical
Roofing
Gas
J i 5 n5
0287��
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER: I�-tio2: O
PERMIT #F I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (inapplicable):
SN,PI/!bd l=W7740W W cCl�itwl.L�s /n/6 o1Dffi✓ C f�.r� have agreed to be the
(Company Name/Individual Name—/
_5t4A 1 Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at /3Y49a 6/490 ✓ g9467
(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 filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: 814X4Gmtd B"rhtAM-S 5t/ .e � 6imr�G�Jw/G,
Address: / 36/ n?AJ &7 A14 4Rsr/LI A,-C' Al
City/state/zip: _s.Lre i& _;P 3 fo5-'r
ao email: GAitn/G. r (9 &¢e4ve,•
PRINT NAME DATE ' '
STATE OF FLORIDA, COUNTY OF pr ✓1 Q LL
THE FOREGOING INSTRUMENT WAKS GNED BEFORE ME THIS I ' DAY OF /vL� / , 20��
1F
BY � D kn L " &Ly lrL is WHO IS PERSONALLY KNOWN V OR HAS
PRODUCED AS IDENTIFICATION.
(sTAW)
SIGNATURE OF NOTARY PUI PRINT NAME OF NOTARY PUBLIC
SLCPDS: 12/16/2013 NDNA C. LEE
ffm
NotaryPublic - State o1 FbrWY
. Expires Apr 2S, 2017sion # Ft 000621upA Noble! %dry Alin,
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
B4.&9jk&S A/LOn 91geir /0will be using the following sub -contractors for the
(Company/Individual Name) %C C.
project located at U Ll lS— 7 u►— B u 3 f— b u v- 5
(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
01 rZ .1iuG.
a R657
FG Ilao6S/7
Plumbing
HVAC/
Mechanical
Roofing
Gas
f Mr..F, IiSF, ON F,V:
PERMIT
n
ISSUE DATE:
NUMBER:
C r�
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: _ a %65-1
State
.of1Florida Certification Number (If applicable): C /-L L 61)
W t r,eylu+7- Il C_ have agreed to be the
(Co pany ame/Individual Name)
C 2 (Co
Sub-contractor for
(Type of Trade)
For the project located at LN a S- 70 / - 6031 - ODU -
(Project Street Address or Property Tax ID /I
fu', I A0 til�s
, h ce P ��, ,
(Primary Contractor) 5rIn/�S IF dr'P116cs,7nc,
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: 1"Fr1"Clef — n 511111
Phone: t4In L - 04;-aj email:
cwl
E4 &" L&Ne-u 1t(fiy
SIGNATURE PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF �. 1LLt 4:1'
THE FOREGOING IN1ST,RUMENT WAS SIGNED BEFORE ME THIS 1-14fiDAY OF 20 tP
BY Lf t L WHO IS PERSONALLY KNOWN OR HAS
ED AS IDENTIFICATION.
C r f C e/ (STAMP)
IRE OF PUBLIC PRINT NAME OF NOTARY PUBLI /
12/16/2013
•""""' LAURIE C. SNYOER
Notary Public -Stale of Florida
` = My Comm FRplles Aug 1, 2017
•''' Commission a FF 041047