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HomeMy WebLinkAboutSubcontractor Agreement - PLANNING &DEVELOPMENT;SERVICES:DEP.ARTMENT` BUILDING&CODE REGULATIONS DIVISION: • ' .- BUILDING PERMIT . . I SUB-CONTRACTOR AGREEMENT St.Lucie Coon. Contractor Ge hficahon Number-. State of Flouda Cditih&ahon,Ntimber,(IFapplicable) EC13004882 =. Lilley':A/G, Jaretl.KGlbson have agreed to,leatie ; e/Com( pany NamIndi du Snal Name) Electrical, sub-contractor-for Thomas G. Jerinings: (Type ofTrade) (PrimaryContractor) for the project,located at 776 , MdQ1iintdck 1Nay (Project Street Address.or Property It is unerstood that;'�f there is any change of statusiegardng'our-participation:with the above:mentioned )roiecti:I will inmediatel -advise the Building and Zo un De artznent'- . . i Y g p of St Lucie-county by personally filing""a Change of Contractor:notice: (Form..SLCObv No..004=00) BUSINESS QUALIFIER: (Name of the:Individual shown:on the'Coniractor's License). +[ 1tY Il4f: S G�J�`.€'URESAttKRE iITIR��I� NATURE PRINT NAIGIE DATE: tX BusinessName Lilley A/G Address:" 4141 Dranefield Road Crty/State/Z1p: Lakeland;:FL 3381:1 Phone; 863=644 049.,E wait: .l lleyae@aoi:coM OFFICE USE ONLY;:' - -PERMIT* ISSUE DATE RECEIV D MAR b'' 2017 PLANNING &DEVELOPMENT`SERVICES DEPARTMENT. kw _ BUILDING& CODE REGULATIONS DIVISION, BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St.Lucie County Contractor Certification Number: State of Florida Certification Number(If applicable): . I H 1025176 Jennings'.Mobile Home Setup/Thomas G. Jennings have agreed to be the, (Company Name/Individual Name) Plumbing sub-contractor for Thomas G. Jennings (Type of Trade) (Primary Contractor) for the project located at 7700 McClintock Way (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 SIGNATURES ARE REQUIRED Thomas G. Jennings 3/3/17 SIGNATURfV PRINT NAME DATE Busiriess:Name: Jennings"Mobile Home Setup, LLC ; Address: 1048 1/2 US Highway 92 W City/State/Zip: Auburndale, FL 33823 Phone: 863-965-0883 email: jenningsmhs@tampabay.rr.com, OFFICE USE ONLY: PERMIT# ISSUE DATE R E C E I V D MA° 2?, 2917 PLANNING&=DEVELOPMENI'-SERVICES DEPARTMENT BUILDING& CODE REGULATIONS:DIVISION MO BUILDING PERMIT —w 'SUB CONTRA;CTORAGREEMENT St...Lucie County Contractor GeitificationNumber: _• State of Flacida Certification.Number(Ifapplicable): Lllle'y A/E; Keith R. Lilley Have agreed to be the (Company Name/Individual`Name) Mechanical. sub-contractor for ThornasG.Jennings.. (Type ofTrade).: (Pn .ary Cont actor)' for the project located at.7.7U0 McClintock Way (Pioject Street Addressor Property.Tax ID#) ifis-undeirstood_that,if-there is any change of staius,regarding our participation with the above;mentioned ptoject,I:will,immediately adV16'' the Buildmg:'and Zonuig'Depattn ent 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`Contrador's License) gl7CQ� SIGNATURES ARL..I REQUIRE,D - '/%C Gt SIGNATURE PRINYNAME DATE. Business Name:. Lilley.A1C .Address: 4141 DranefiMd Road City/State Zip Lakeland,.FL-3381 I •Phone: 863.;644 U496 email: lilleyac@aolcom OFFICE USE ONLY: _ PERMIT# ISSUE DA.TE . RECEIVED MICR 2 2 201