HomeMy WebLinkAboutSubcontractor Agreement PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT
SUB-CONTRACTOR SUMMARY
�d hlGS �G S LLC will be using the following sub-contractors for the
(Company/Individual Name)
project located at ( � U U Y c S: U
(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.
St.Lucie County/
Trade Name of Company/Contractor State of Florida
License Number
Electrical' �t �. 'b 661
Lpc1S
Plumbing V r S 0 h l I(/ K4, d 2
J r�-yv��S d✓v�SO�
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PEKMW ISSUE DATE:
NUMBER:
Revised 07/29/2014
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RMIT# ISSUE DATE
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- - L PLANNING & DEVELOPMENT SERVICES
; 4JIL Building&Code Complianee.Division
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-- - BUILDING PERMIT j
SUB-,CONTRACTOR AGREEMENT 1
have agreed to be
(Compaii),NamOlpdividunl Name)
tile Sub-contractor for LZ({Jy
(Type of Trade) (Primary Contractor) e
For the project located•at_ ry—ye-e'ri L.i1 V c S I i��i C�C+ y✓!
(Project Street Address or Propeny-Tax-ID#) i
i
It is understood that,if there is any change of.status regarding our participation!with the above mentioned
project,ahe ding and Code Regulation Division of St.Lucie County will be advised pursuant.to the
filing of a .hang of- b ontractor notice.
CQ�TRA. R SIGINATtiRE'(Quitti it SUR-CON7W rOR SIGNATURE.(QustirierV
r
I'R111' 11 PRINT NANIE .
c jsogNi ' I3 (mOf
t:Ot F F.RTtP �TiQ��U�1RIiR COI N tl URTIFICATION NUMBER
state or Florida,County or_�u(:Y start of Mori"C:ounly o[ 1,,d 1)21t
The Z�rument w-ts signed before_mt this -day or The foregoing instrument inns sued before me ibis,VJ day or
zoa. —e r {,t--r 4`f,t�,�i tit .zo(��~�C;
who Is perionalh•known aC�or has produted a who is Persauatty know or has produced a
as idtotir"tion. as idt9 ineation, ?�
SLaa1P ��uthl
' /t�,l�ltl��jV✓i( I��f F
f t . l� sT��tP
S MAW f No. Public, nature-of tiotary Pablie i 'U
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HmNlme,pr"Nolzovubfir Commitai0nFF9Ef61T nt,\ameofNotaryPobiic
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PERMIT# I
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SUE DATE ]
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_ PLANNING & DEVELOPMENT SERVICES
-I d i I I - Building&Code Compliance Division
- BUILDING PERMIT i
SUB-CONTRACTOR AGREEMENT 1
4
1/ _ I
t have agreed to be
((6111pany NamelblJividual Name) )j
the ,` ,I, Sub-contractor fora u) �6 w Q
�. r
ITypc of Trndc j (Primary Contractor)
For the project located-at V��a-I 1 �t sit S lit ei �%✓ r
(Project Street Address or Property Tar 1D r)
It is understood that, if there is any change of status regarding our participation with the above mentioned
4
project.the B 'ding and Code Regulation Division of St.Lucie Co.unt�'will b`e advised pursuant to the
filing,ofa 'hang of ub-" ontractornotice.
1
CONTRA R SIGNATURE(ouati r) Z\ -rOR 4 ATItRF. uAllfier}
1'RI\I': ►� PRINT NANIE
C. • C Sugq l 7 ,
COUNT' F.RTIF C\'rIO\\l!\IBFR t:ot:�Il t FK"nFIC,1Tt(1Y ti112ai ft
state of morida.C'ounty of GC State of florid:,county of J
The fa/rrCning strun+ent was signrtl before mr this day ur The foregoing instrument was signed be�f�'or�+e mr thin�s �-day of
lJ'�.za�bi•
who Is personally know":1�o'rThis pr�oduceddn who is personally known l`or has produced a -
i
as identification. ntifieation, i
f
S7•t�1P S 1'AS1I'
S natu f Na Public nature of Notary Pumt;
Cn'4� iVot➢ryPubbeStafetNFtaida �' #i `
11' Kart M Rlccaboni art 1 c `Jl� r`4
I rim\amr oC\nutr)'Pub tr t7otlftnbi+ioaFF9818�7 'n[�amr of Notary i uh`ic
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RENEE E EISWERTH
1tcr,scc}1ltlt_ttlb MY COMMISSION#GG016744
'r+o; EXPIRES July 31,2020
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