HomeMy WebLinkAboutSub-Contractor AgreementG ST. LUCIE COUNTY PUBLIC WORKS
y BUILDING & ZONING DEPARTMENT
-
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
C-, oC_L- -EL-£0 n t no. have agreed to be the
(Company Name/Individual Name)
sub -contractor for C�.�ST Cr•"1�L�+rE�
(Type of Trade) (Primary Contractor)
for the project located ate,R�-
(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:
Address: Quo ex 1 nr _
City/State/Zip: \ �L l ST uVKC e E L
.Phone: �—f 2email:
OFFICE USE ONLY:
ISSUE DATE
t c SX'. LUCIE COUNTY PUBLIC WORI<S
i . BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 13 Cn<-=-:7-1251
State of Florida Certification Number (Tapplicable); GFC. �� a
.`1 t have agreed to be the
ompa y Name/Individual Name)
I vvq sub -contractor for ,
(Type of T de) (Primary ontractor)
for the project located at
(Project Street Address or Property Taff 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)
ORIGR AL GNATURES ARE ICE UrREL
ha I
1 T R1N7NAiviP DA F
Business Name_
Address:
City/S to to/Zip:
Phone:
OFFICE USE ONLY:
t 3 3—
�J Gy ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ' 9.'65
State of Florida Certification Number (If applicable): CA C Gag3 7 2
COMF-04 co,irQa L oic SAC, 1 �1c, have agreed to be the
(Company Name/Individual Name)
�a CcN7Ir1o#V 1 N sub -contractor for WC C�cTo► r� f � tlnnlsS
. (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 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 SIGNATtiRES ARE REQUIRED
A
6 any Z
M.M �Rti� R' 106
PRINT NAME
DATE
Business ame:
C01MrP0,Q eor ,& OL v.- 91-Cl In)c
Address:
)50/ Sw Qi_TMo+Qir'
S7'
City/State/Zip:
PoP-7- SR-rN'r %oc,,g, F_
31/ 9d-3
Phone:
77;-7,?5^-�O10
email: CCSI.e 0 A'1eLAq//1, A)4-7—
OFFICE USE ONLY:
PERMIT # ISSUE DATE
email:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: t 4 C7J
State of Florida Certification Number (If applicable):
l (?_Eegu Rg have agreed to be the
(Company Name/Individual Name) C-
of � sub -contractor for 1/U �• (fA)r� IVL
(Type of Trade) (Primary Contractor)
for the project located at ,�10 � 3 r cool
(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)
ORIGINMa SIGNATURES ARE REQUIRED
SIGNA PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
.Phone:
CE USE ONLY:
�y ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if appiicabie): �7
have agreed to be the
(Company Name/IndivAal Name)
sub -contractor for S
(Type of Trade) (Primary C tractor)
for the project located at .�5—�-' ��3 " c� c6 l 0DC)z_3
(Project Street Address or Property Tax D #)
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)
ORIGIIAL SIGNATURES ARE REQUIRED
SI NA PRH4T NAME DA E
Business Name:
Address:
City/State/Zip:
.Phone:
OFFICE USE ONLY:
email:
DATE
Fes.•-1F 07 02:01p William .1 772-221-0544
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 20618
State of Florida Certification Number (If applicable): EC 13001570
Blosser Electric, Inc. have agreed to be the
(Company Name/Individual Name)
Electrical sub -contractor for WC Custom Homes
(Type of Trade)
(Primary Contractor)
for the project located at 7907 S. Indian River Dr., Ft. Pierce
(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
ORIC Sl
SIGNATURE
Business Name:
Address:
City/State/Zip:
Phone:
(Name of the Individual shown on the Contractor's License)
RED
rL& a AC��( -)� �7
PRINT NAME DAtE
Blosser Electric, Inc.
PO Box 7305
Port St. Lucie, Fl 34985
772-337-0055 email:
r.�,Vrg--v YTew nrnr .v-
v PERMIT # ISSUE DATE
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