HomeMy WebLinkAboutSubcontractor SummaryPLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
a• LuG e au 1' )[y will be using the following sub -contractors for the
(Company/Individual Name)
project located at 241 U 0-440 • OCDQ• 8
(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.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
Ott nc r
/nl l l I d
N /A
23no virg'ina Net . 'i¢ru, 19.`Y4g62.
oed MavaW *o2-1432
Plumbing
HVAC/
Mechanical
Roofing
Gas
IIPERMIT ISSUE DATE:
NUMBER: I I 1
11
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: N�A
State of Florida Certification Number (If applicable):
ayor erl b"; I d', have agreed to be the
(Company Name/Individual Name)
(Type of Trade)
sub -contractor for' Lucas Count/
(Primary Contractor)
for the project located at 341 L.Q •5C4- O---40 • Oco• 8
(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
SIGNATURE PRINT NAME DATE
Business Name: CDunki - awrvar &LL*% wc.(-
Address: ID cayv y'b" lia_ & .
City/State/Zip: r1ey-CLI Vi. 3ACIS2
Phone: (13�:Z1*vZ • 1432 emailp rtn a@ Iyu e C.o •OrcJ
.ZrrcA E I Lunn , !'ro3C C - Ma r1ager
OFFICE USE ONLY:
PERMIT # ISSUE DATE