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Home My WebLink AboutSUB-CONTRACTOR AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division SCANNE® BUILDING PERMIT SUB -CONTRACTOR SUMMARY �t �UCie County Black Street Enterprises, LLC will be using the following sub -contractors for the (Company/Individual Name) project located at 10786 Grey Heron Court, Port St. Lucie, FL 34986 (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 My Electrician Inc. 19996/EC13003398 Plumbing Miranda Plumbing & Air Conditioning 24319/CFC1427227 HVAC/ Miranda Plumbing & Air Conditioning 24815/CAC1815486 Mechanical Roofing N/A Gas N/A Insulation MER Enterprises dba Leed Insulation 26202 OFFICE USE ONLY: PERMIT ISSUE DATE: kw_ �NUMBER: Revised 07/29/2014 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 19996 State of Florida Certification Number (If applicable): My Electrician Inc./Mark Hand EC13003398 have agreed to be the (Company Name/Individual Name) Electric Sub -contractor for Black Street Enterprises, LLC (Type of Trade) (Primary Contractor) For the project located at 10786 Grey Heron Court, Port St. Lucie, FL 34986 (Project Street Address or Property Tax ED #) 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: Address: City/State/Zip: Phone: My Electrician Inc. 750 NW Enterprise Drive, Ste 100-A Port St. Lucie, FL 34986 772-878-5123 email: Mark Hand SIGNATUREJ PRINT NAME STATE OF FLORIDA, COUNTY OF Saint Lucie 03/14/16 DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 1 4th DAY OF March 92016 BY Don J. Miranda, Jr. WHO IS PERSONALLY KNOWN X OR HAS PRODUCED AS IDENTIFICATION. Kristina E. Davis SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 (STAMP) PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 24319 State of Florida Certification Number (If applicable): CFC1427227 Miranda Plumbing & Air Conditioning/Don Miranda Jr have agreed to be the (Company Name/Individual Name) Plumbing Sub -contractor for Black Street Enterprises, LLC (Type of Trade) (Primary Contractor) For the project located at 10786 Grey Heron Court, Port St. Lucie, FL 34986 (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) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Miranda Plumbinq & Air Conditioning, Inc. Address: l ��(�NW Enterprise Drive, Suite 100-A Port S9N Lucie, FL 34986 772-878j-6123 email: on Miranda Jr SIGNATURE PRINT NAME STATE OF FLORIDA, COUNTY OF Saint Lucie 03/14/2016 DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 1 4th DAY OF March BY Don Miranda Jr WHO IS PERSONALLY KNOWN X PRODUCED SIGNATURE OF NOTARY PUBLIC SLCPDS: 08/06/2014 AS IDENTIFICATION. Kristina E. Davis PRINT NAME OF NOTARY PUBLIC 2016 [0 11401 Ir:�1 (STAMP) PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division have agreed to be the (Company Name/Individual Name) HVAC Sub -contractor for Black Street Enterprises, LLC (Type of Trade) (Primary Contractor) For the project located at 10786 Grey Heron Court, Port St. Lucie, FL 34986 (Project Street Address or Property Tax ID #) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 24815 State of Florida Certification Number (If applicable): CAC 1815486 Miranda Plumbing & Air Conditioning/Don Miranda Jr 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: Miranda Plumbing & Air Conditioning, Inc. Address: 750 NW Enterprise Drive, Ste 100-A City/State/Zip: 772-878-5123 email: Don Miranda Jr I,MkNINA I UKE rKiiN 11NAlvIh STATE OF FLORIDA, COUNTY OF Saint Lucie 03/14/16 DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 14th DAY OF March , 2016 BY Don Miranda Jr WHO IS PERSONALLY KNOWN X OR HAS PRODUCED SIGNATURE OF NOTARY PUBLIC SLCPDS: 08/06/2014 AS IDENTIFICATION. Kristina E. Davis PRINT NAME OF NOTARY PUBLIC (STAMP) 7 PERMIT # ISSUE BATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 26202 State of Florida Certification Number (If applicable): MER Enterprises dba Leed Insulation/Michelle Richards (Company Name/Individual Name) have agreed to be the Insulation Sub -contractor for Black Street Enterprises, LLC (Type of Trade) (Primary Contractor) For the project located at 10786 Grey Heron Court, Port Saint Lucie, FL 34986 (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) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: City/State/Zip: Phone: MER Enterprises dba Leed Insulation 7332 Commercial Circle Fort Pierce, FL 34951 772.466.0608 email: michelle@leedinsulation.net Michelle Richards SIGNATURE PRINT NAME STATE OF FLORIDA, COUNTY OF Saint Lucie 03/14/2016 DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 1 4th DAY OF March BY Michelle Richards WHO IS PERSONALLY KNOWN X PRODUCED AS IDENTIFICATION. Kristina E. Davis SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 2016 OR HAS (STAMP)