HomeMy WebLinkAboutSubcontractor agreements PLANNING & DEVELOPMENT SERVICES
BUILDING&CODE COMPLIANCE DIVISION
BUILDING PERMIT
SUB-CONTRACTOR SUMMARY
will be using the following sub-contractors for the
(Company/Individual Name)
project located at I fl I
(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 j
-72-- 370- q S
Plumbing /6rn s Xk'-1, ua�;-I
�ho0-'�a_s co ruk_�
HVAC/ 1'
Mechanical
v � � v
Roofing
Gas
�j(1ic0�n�6 SKIPS Qv��i77 coNL,fE7E <cc: i 7y�2j
Cr o�v7��7D[
T 140M 41' uiv01 t
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
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PLANNING & DEVELOPMENT SERVICES
- `J.L:J.- Building & Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number:State of Florida Certification Number(if app►icable).0 4 I
DJO 'ok- M have agreed to be the
(Company Name/Individual Name)
WAa sub-contractor for
(Type of Trade) (Primary Contractor)
for the project located at 1 r �' & 1 es e)I U 4
P J
(Project Street Address or Property Tax ID 4)
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
r
PRINT N E Q ATE
Business Name:
Address: `i to �
City/State/Zip: — 3 4
Phone: (y 0 C�O C7 email: � Z�, 1
OFFICE USE ONLY:
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
r - Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number: </
State of Florida Certification Number(If applicable): 7 oa � l4.
T%-�5COCUYI� I o►�'l S a Wave agreed to be the
(Company Name/Individual Name)
tWnb1 n sub-contractor for
(Type of Trade) 1 (Primary Contractor)
for the project located at I l n+ges a UA
(Project Street Ad ess or Property Tax ID#)
L-1�2-v- 5D I - 035 -wo -S�
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)
BUSIN QUALIFIER (Name of the Individual shown on the Contractor's License)
ORI N GNA RFS ARE REQUIRED
SIGNATURE PRINT fE I DATE
Business Name: O� t S b K f t 42--
Address:
City/State/Zip: d
Phone: — q51 — Lq to email: �Y1sj 6
OFFICE USE ONLY:
PERMIT# ISSUE DATE
May.28.2014 01:41 PM *y Armstrong 86360#99 PAGE. 5
PERMIT# J��_ � ISSUE DATE
- 1yy v,Mkt, PLANNING & DEVELOPMENT SERVICES
Buildiug & Code Compliance Division
— ._1. BUILDING PERMIT
SUB-CO
NTR
AC
TOR.AGRFEM�E/NT
SL Lucie County Contractor Certification Number:
Sl ofFlorida_CccrtifiiccaatiionNmnber orapplieabte):
��f T l 5 A( '- -1 4 ' 1s have agreed to be the
omame/fndividual Name) �
' p�ny®N_ Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at 1 1 V Q,, 1 04 ^
(Project Streee 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 filing a
Change of Sub-contractor notice. (Form: SLCCDV(No.004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED;SIGNA.TU ES ARE REQUIRED
Business Namc: ► 1
Address:
City/State/Zip:
Phone: _MTemail:
SIGNATURE P NT ME DATE
STATE OF FLORIDA,COUNTY OF
THF.FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS ��DAY OF � 20 f�
BY �'1�V t '`�1 k 11 I,� WHO IS PERSONALLY KNOWN 'IZORHAS
RODUCED AS IDENTIFICATION.
(STAMP)
61 ATL tE F NOTARY PUBLIC PRINT N, .;i.., I1IP 10 20' k
�',°�„':' n Fig i1AP1ug1�
S[,CPDS: 12/16/2013 '•`') ,'o9)—) '
Em
IT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
- SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number: 7
State of Florida Certification Number(ifappimble): � `�571A7_
k*1 th L�_L have agreed to be the
(Company N S/Individual Name)
Sub-contractor for '� ,, U- -w4e.,
(Type of Trade) (Primary Contractor)
For the project located at
(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 filing a
Change of Sub-contractor notice. (Form: SLCCDV(No.004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE Rr QUiRI D
Business Name:
Address:
City/State/Zip:
Phone: email':
. \��,(� L U� -11U�\ l
SIGNATUR PRINT NAME/ DAT
STATE OF FLORIDA,COUNTY OF CAL Le- e-A&&Oz J
THETFREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS(I DAY ^�. ,2021 y t l L WHO IS PERSONAL KNOWN OR HAS
PRODUCED - �— AS IDENTIFICATION.
Arne- (STAMP)
SIGN TUR F NOTARY PUBLIC PRINT NAME OF NOTARY PUBL C
SLCPDS: 12/16/2013
_,
•V/ .Y.P4e�
on NANCY MIMS ARMSTRONG
MY COMMISSION#EE059652
EXPIRES January 30,2015
(407)39f�0153 FloridallotaryService.com