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rt r i St.Lucie County Building&Zoning BUILDING PERMIT <04�t�P SUB-CONTRACTOR SUMMARY 1 � ' -- Y2 Jwill be using the following sub-contractors for the (Companyflndividual Name) ` project located at !� h 2 flL-R)VCl Vk, , cch ''l 31-95--i (Street address or Property Tax ID S#} Ft is understood that if there is any change of status regarding the participation of any of the sub-contractors listed below,X will immediately advise the Building and Zoning Department of St.Lucie County. St. Lucie County/ i Trade Name of Cornpany/Contracto I'Y.t..` J. T -- '- r 7;.t. .Y�,.u"t, License Number Electrical 4 H 1� .u ua:l.Gl� .y 1 �J�✓=ITS" v'...'7 � L '.- ^� ���._ �$ J Mechanical I Roofing •I N ^"as u OFFICE USE ONLY: m.K_mff -- — - ISSUE DATE: NUMBER- PLANNING&DEVELOPMENT SERVICES DEPARTMENT ': '= BUILDING&CODE REGULATIONS DIVISION BUHJHM EERIVIM 11T • I D A - SUB-CONTRACI.OR AGREEM ENT St.Lucie County Conowtor Certification Number: ' State of Florida Certification Number gfgvhcamer C Q©V 3 07a have agreed to be the r (Company Name/Individual Name) EL-e;ap, I cA I M sub-contractor for I (CL P]�/ COIF STP U ofmV (Type of Trade) (Primary Contractor) for the project located at -? FI 3Ln54- (Project 9&eet 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) �R�i�tl� ,�nl GELr''1r�lUl�l SMRATLM PRINT NAME DATE Business Name c .ftT(- &-F-CTK(CAI G J�PA C7�1AJG /AJC Address: 7300 6 oTri PL City/Stateop: PofT- S't LycfE, FL, B q q,5a Phone: -?-7a- 2'7 g= (7 email: b COPWIC14 t /4 T AXT� OFFICE USE ONLY: PERMIT# ISSN DATE • • ST. LUCIE COUNTY PUBLIC WORKS �\ BUILDING & ZONING DEPARTMENT r BUILDING PERMIT SUB-CONTRACTOR AGREEMENT v St. Lucie County Contractor Certification Number: 2 State of Florida Certification Number If applicable): C POI C S ( 7 a � P.Q.wvt " have agreed to be the Company Name/Individual Name) r) J� sub-contractor for 1 ' -zk- Cx Y % cb C11'l� (Type of Trade) (Primary Contr t ) for the project located atcPz R1 O� &M R 80954 (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 SI NATURES ARE REQUIRED e r ��Ca 1 u M I AT PRINT NAME DATE Business Name: (a 0. Address: (p S S l�J )m o,c-a- do {1.\y cA City/State/Zip: -� -S �z Phone: �10� 34 �- L{33 email: bObl�r� Iu vti CdrrenS Ions poi OFFICE USE ONLY: PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES DEPARTMENT J� - BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: q State of Florida Certification Number(if applicable): .2_ l a77 -� C_k ave agreed to be the (Company Name/Individu Name) AV Villc sub-contractor forC� (Type of Trade) (Primary Contract(*) for the project located at � ��'hfi3LK_r (Project Street Ad-dress 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 IGNATURES ARE REQUIRFID v 1 1� Vic I A PRINT NAME ATE , ✓�C Business Name: � (jw Address: City/State/Zip: S .RT , i-- �An�t Phone: Z -��ZCj email: Cli (ICI C� I aC G:L C--U " • I OFFICE USE ONLY: PERMIT# ISSUE DATE PLANNING&DEVELOI'N1ENI'SERVICES DIEPARTMYNT •t. 4 BUILDING& coD,REGULATIONS DWISION BUILDING PERMIT SUB-CONTRACTO)R AGREEMENa' St Lucie County Cumractor Certification Number. 5�D State of Florida Certification Number(Ifopplimbk): 5 O rt have agreed to be the (Cainpany Nmneqndtvadual Nave) sub-contractor for /71 4-1-- gype of ) (Primary for the project located at , - ') 3oZ Tr*a Strcd Addrws or Property Tex ID#) It is undmtood 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.t104-W) BUSMSSQUA±MER na�e of the In"dW shaven on the Cuntractor's License) Old `AL ARE 1K:.EQL'IRED G1�TA PRINT NAME DATE Businon Name: nsiZOr2 a Address: ZVOI city/Stat TIP.- Phone: 'l7a o�^.>'—�S�S ennail l%l,Qaa y- OMCE USE ONLY: PER 133UF-DATE