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HomeMy WebLinkAboutSubcontractor Agreement ElectricalPLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): _ G ,!� d m / 3,vL1� �Y%21G CbN� E C�77Or,/ have agreed to be the (Company Name/Individual Name) � LG� sub -contractor for &r -- l.5 UJCOL (Type of Trade) (Primary Contractor) for the project located at 7 1 oy U)A4zL-c AG cmw hf/eliC- Ic-L (Project Street Address or Property Tax ID ) 39'7c/Fj 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 A REQUIRED tea) 'SJ AA20e/)17aL SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: P_7Lri��-nZl r. c6oMEr_M 0&t -j�3Z- -7(-93b1- email: ISO 6, 49tZ MEtO(, e e Entp-GCO�l�I�IOIV !J �F OFFICE USE ONLY: PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: � 1+654 Q State of Florida Certification Number (If applicable): f l P I I Oro TP, nm bcach ?lI, mb1 no I M . have agreed to be the (Company Name/Individual NameY'- P � ll Mb� sub -contractor for mmtw ect- rua M�S (Type of e) (Primary Contractor) for the project located at 4g00 Water =Q Waq Oft ?Ib­Ce, (Project Street Address er.Proper ax 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: R 1Ql ()9 Address: QUO ���Ll $ Cl� ��y� City/State/Zip: TentEn F L Phone: p�ayj-(p(p00 email: i b�lumb1naC� bel �n1j1�1. �� "W- I("'F. ITCF. nNI ,V PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: "Z r 00 g State of Florida Certification Number (if applicable): /00/ 6Uf% -,!r -3 S12��r y �/F� -z have agreed to be the (Company Name/Individual Name) sub -contractor for (Type Of Trade) (Primary Contractor) for the project located at % XDH_1LQiA (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) ORIGINA SIGNATUR AR , REQUIRED SIGNATURE NT NAME DATE Business Name: Address: City/State/Zip: Phone: 5hn J 4-(z-T- , PL 3 L&5? -7 ?7--!), — 2 Z o- Z YS 7 email: OFFICE USE ONLY: PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): PC., ©Q �Z o 13 "V4 S Ad S have agreed to be the (Company Name/Individual ame) rU 9 AA/sub-contractor for�SI�Cc= kJ egg (Type (Type of Trad (Primary Contractor) for the project located at 7 lob 44afa yln 0-Kid PC - (Project Street Address or P operty TaJ 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) OR NAL SIGNATURES ARE REQUIRED �V11 I fnji irnI SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: email: OFFICE USE ONLY: PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES BUILDING & CODE COMPLIANCE DIVISION 309- a2_(v BUILDING PERMIT SUB -CONTRACTOR SUMMARY i Q ' ��(�CG fiCJ%Ces�� will be using the following sub -contractors for the �(Company/Individual Name) / p projectlocatedat ��Oa (Street address of 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 C CMG V1 tl -0_�/ o✓� _(-� 000 Z / 3, Plumbing � x'vt� � e 4uq Ou-i^(Olo S� vi' )eiC -73 7 HVAC/ Al ,Z- G&C- '� ,�,7 o o Mechanical Roofing ] FE N LF-0o K.11U E- 71(/ 6 0 P*%o .Sr vrwio P-G 46 -5-Z0 13 Gas S(LiAv\CP.i --o t4 Z(o -7 DFFICE USE ONLY: PERMITF 6C8 C)2 ,,—] TE ISSUE DA: NUMBER: RECEIVED OCT 042M ST. LUCIE COUNTY PUBLIC WORKS — . BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: C� I D 5 State of Florida Certification Number (Vapplicable): E'C+y-t G C o ri Y1P C"1-1 C7 have agreed to be the (Company Name/Individual Name) sub -contractor for (Type of Trade) (Primary Contra tor) for the project located at qC1 00 Wa • rGt� 3'�q (Project Street Address or PropciVXax ID #) 63. 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 SIGN URES ARE REQUIRED SIGN PRINT NAME U DAT Business Name: Address: t I U U L--O-(- TleTrUf City/State/Zip: Lae V V a r+h I 171 Phone: ul' 5?)(0-1 g 49 cl email: OFFICE USE ONLY: PERMIT # ISSUE DATE �3o�•oa�p - necks L-,n . mt- ' �• die .. WATER COMM _ SEWER RES METER SZ. M/F IRR $ -- o o SECURITY DEP SERYICE FEE SAMEDAY FEE OVERTIME FEE } METER INSTAL] CFC/WATER FPUA CFC CFC/SEWER GUAR. REV. LATERAL, TOTAL NAME OF SPOUSE DATE ST. LUCIE COUNTY UTILITIES - P.O. BOX,, NAME Y�Ioi-) ol D re ACCT. # 1:39�, V - SERVICEADDRESS -_ I ©v (l) 01 PEIOZ�Ff . - U%Js:�(C��y - MOVE IN/CLOSING DATE This application hereby request and authorizes the Utility to render water and/or sewage disposal services to the premises described above in accordance with the Utilities present or future rates, rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay the Utility promptly for such services in accordance with the established rules and regulations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE 4g6 ysiEc -; Ack_45 to Y FED ID SPOUSE SOCIAL SEC. OFFICE USE ONLY CASH RECEIVED