HomeMy WebLinkAboutSub-Contractor AgreementSr. LUCIE COUNTY
DEPARTMENT OF CO DEVELOPMENT
BUH DING PERMrr
SUB -CONTRACTOR SUbUdARY
Paul Jacquin & Sons, Inc. will be using the
(oompanyluWWuW rouse)
following sub -contractors for the project located at 1814 North 13th Street
(street address or Property UX ID 0)
ft is understood that # there is any change of status regarding the participation of any of
the sub -contractors listed below, I will immediately advise the Community Development
Department (Growth Management Division) of St. Lucie County.
,,,,,,.,...... f. �. �....+....
Trade
Name of Company/Conuecbr
St. UN& county/
Staf�bf Florida LloenN
Number
PlurnWno
Triple K Plumbing
CFC 035728
Decttioal
Joe's Electric
ER 0009722
HVAC/MechardoW
Sea Coast Air Conditioning
CACO 16446
Roofing
Paul Jacquin & Sons, Inc.
n co 4V0
Ou
OFFICE USE ONLY: SLCCDV FORM NO.: 003W
PERMIT NUMBER: ISSUE DATE
ST. LUCIE' COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERNUT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (If applicable): C. F' C O 35 199
v r^ �O
has agreed to be
the-� �' sub -contractor for
(type of construction e) (name of the prime contractor)
for the project located at i3is understood that,
(street address or property tax ID #)
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
Form (SLCCDV FORM NO.004-00).
BUSINESS QUALIFIER (original signatures required):
id&( X04JECIFOC I l
sign P nt na a Date
business name: Tr,'ple kG Piuw,to�r�e,
address: I g�9 Copen Inay e r Rd
city,state,zip: F -f- Ae,-ce PC. 154 9 45
phone: 510( - 4Ln1 - Le, (Pfe,*OL
3FFICE-1JSE�NL Y" SLCCDV FORM NO.: 00:
PERMIT # ISSUE DATE
.m
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number. D '7� /
State of Florida Certification Number (If applicable): jo ) 0 �2
-F, rc bt- S7
(company/individual name)
Co .<F� has agreed to be
the 1 �-� A sub-contractorfor
��J�
�c4 V')
- 56�3
(type of construction trade)
(name of the prime contractor)
for the project located at (6 (-A-, 1a�� �3 " eAt is understood that,
(street address or property tax ID #)
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
Form (SLCCDV FORM NO.004-00).
BUSINESS QUALIFIER (original signatures required):
re Print name Date
I �''j
business name: �S C/6c /zfc scC C,
address: Sr/ F l-
city,state,zip: " C 0191 Zzfa . -1 3 V 7-
phone: SE'/ - 6'1� 4'
OFFICEUSEONLY: SLCCDV FORM NO.: 002-00
PERMIT # ISSUE DATE
S I. LUCIE COUNTY
DEPARTMENT OF CO . DEVELOPMENT
BUIMING PERNIIT
SUBCONTRACTOR AGREENCENT
St. Lucie County Contracxor Cefdficon Number.
State of Florida 0e0kodon Number (u appumbw): CAC 016446
Sea Coast Air Conditioning & Sheet Metal, Inc. has agreed to be
(oompa-WfmdWkWW nww) .
the HVAC sub -Contractor for Paul Jacquin & Sons, Inc.
(type of o"Afteow tads) (Hama of IN
prima oontraMd
for the project located at �`� po t� �4d - It is understood that,
street addrow or properly Ux la f)
If there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Community Development Department (Growth
Management Derision) of St. Lucie County by personally Bing a Change of Contractor
Form (SLCCDV FORM NO.ON4q.
OUAUFIER (oriow a graft ae n o@4:
--Tt (/ �' il (7 JP
Oft name 61 1 date
businew flame; Sea Coast Air Conditioning & Sheet Metal, Inc.
add Ann: 3207 Industrial 31st Street
city,SM0,7 Fort -Pierce, FL 34946
Phone: 772 6-2 00
ST. LUCIE COUNTY PUBLIC WORKS
y BUILDING & ZONING DEPARTMENT
R1�P BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable): C (2.0 0 (�P 0l-% S
�^S have agreed to be the
(Company Name/Individual Name)
E) CD`"` ' sub -contractor fory crti Cq .s 5
(Type of Trade) (Primary Contractor)
for the project located at
l?90, 0to�r kk-
(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)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATt!RES A11E ItEQUIRED
t
§IGNATPE PRINT NAME DATE
Business Name: �d"-� ` --L a U ^--,
Address: L7 (25 4 3 4"S
City/State/Zip: 5 +9
Phone: 2�r1 S email: Z
OFFICE ITSE ONLY:
PERMIT # ISSUE DATE