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HomeMy WebLinkAboutSub-Contractor AgreementST..LUCIE COUNTYPUBLIC WORKS BUILDINQ & ZONING, DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 7t!j� State of Florida Certification Number (if applicable): araarr raaaaarawrraaaaaaaaaarrmrawa,ra,�ax.arraraaaa*rrraraatr* ,has agreed to be tcompanynnaiviauai name) the _/cc,�a�C� sub -contractor for (type of construction trade) !name of the prime contractor) for the project located at , It 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). wrra►awaaarwaararrarawraaraaaa*aaaaaaawrrrrraararaaarrrraaaararraaaaraaraaraaaraaaraa BUSINESS QUALIFIER (original signatures required): zll C/Ict _ d A/Li -0/ signature Print name Date business name: titd�� o-,tfi address: �o ,. Sw. /< _Syl city,state,zip: phone: _3 — 7 o 00 OFFICE USE ONLY: SLCCDV FORM NO.: 002-00 PERMIT # ��� / D , /�� ISSUE DATE sT. LUCIE' COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT BU1IJ)ING PERMIT SUI3-CONTRACTOR AGREF.MENT St. Lucie County Contractor Certification Number - State of Florida Certification Number (if applict"o) 622 RF-0037479 rrtrtwrrtrrkrr#*rrrtrr�rtrtrrtwwrtwkwrrrtrtrrtrkkrrtwwrrrk.rwrtwrtwrtwrwkkwwwkwwr*wwrkk,r*wwrt�rwwwrkrrtw Lindquist Plumbing & Supply Company, Inc. has agreed to be (companyrindividual name) the plumbing sub -contractor for (", c(construction trade) for the project located at #3403-502-0023-000/4 (stroct address or property tax fo #) G.M. Worley, Inc. (name of the prime oor&aaor) . It is understood that; if there is any Mange of status .regarding our participation with the above mentioned project, I will. immediately advise the Community Development Department (Growth Management Division) of St. Lucie County by personally filing a Change of Contractor Form (SLCCDV FORM NO. 004-00). k*k****#**k**##kttttyrt#*#1r******#tF***###k##4kk**#*****#**#*#***#**k**k**k********###* BUSINESS QUALIFIER (original signatures oq.Jr0d)- Robert A. Case 1 18 01 signature print name date business name: _Lindquist Plumbing & Supply Company, Inc address: 1270 Bell Avenue city,state,zip: Fort Pierce, Florida 34982 phone: _(561) 461-1969 SLCCDV FORM NO.: 002-00 PERMIT ISSUE DATE '3 1: luUl.IC. I UUIN I Y 1,UtSLII. W VltttJ BUILAING, & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): rArn1g9A? xrrxwxxrwwwrrrwrwrxrxrxrrrrrwxrrrrrrwrrrrrrrxrrrrrxwxrrrrrwwr++.�rrwwwwwrwrrrrxwwrwxrrr —NEWMAN AIR CONDITIONING INC. has agreed to be (company/individual name) % the HVAC/MECHANICAL sub -contractor for M. WORLEY, INC. (type of construction trade) (name of the prime contractor) for the htoject located at 3403-502-0023-000/4 It 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 N0. 004-00). rr•*xrxrrxxwrrrrrrrrrr*rxxrrwr,rrrrrrrwrrrrxxrxrrrrxxxxrxrrrw�wrrrrrrrrxrxrrrerr►rxr BUSINESS QUALIFIER (original signatures required): (In1 -- C'ttf i'�t t`;�.uv►�.vL S /UL�•tlMA-N O 1f 18 /O 1 signature Print name Date business::=e: _ Newman Air Conditioning, Inc. address: 207 NE Park Street" city,state,zip: Okeechobee, Florida34972 phone: 863/763-7073 OFFICE USE ONLY: PERMITV aroro� 16 ISSUE DATE SLCCDV FORM NO ,� 002-00 ST. LUCJE COUNTY PUBLIC WORKS BUILDINQ & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. State of Florida Certification Number (If applicable): !/ AJ I✓ . name) has agreed to be the sub -contractor for 6 -A 10 0 4!L Ak • (type of construction trade) (name of the prime contra or) for the project located at (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 Form (SLCCDV FORM NO. 004-00). BUSINESS QUALIFIER (original signatures required): --)uLt IWAt E ldo et q signature Print name business name: address: city,state,zip: phone: tSF'1nNVYr I/ ZZ L101 Date PERMIT # J /� � ISSUE DATE SLCCDV FORM NO.: 002-00