HomeMy WebLinkAboutSUB CONTRACTORPERMIT # 2106-0511 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): E C 1 300751 0
Advanced Communications Technology - Pavel Redko
(Company Name/Individual Name)
Electrical
(Type of Trade)
have agreed to be the
Sub -contractor for Advanced Communications Technology
(Primary Contractor)
For the project located at 3100 North Al A, Fort Pierce 34949 (verizon Wireless Site# 280707)
(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 SIG NATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip
Phone:
15188 Park of Commerce Blvd., Suite 11 ° Q
Jupiter, FL 33478
(561) 771-6677
email: service@advancedcommtech.net
4�0v__ "W 4f 7, ZZ
SIGNAffTRE PRINT NAME DATE E
STATE OF FLORIDA, COUNTY OF _�)Cav1
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 2,0 DAY OF
BY �� � `� WHO IS PERSONALLY KNOWN OR HAS
PRODUCEDAS IDENTIFICATION.
��gm j (STAMP)
SKkIATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
SLCPDS: 08/06/2014 REK
state of Florida
on
n HH 059433
2024
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
Advanced Communications Technology
(Company/Individual Name)
will be using the following sub -contractors for the
project located at 3100 North Al A, Fort Pierce 34949 (Verizon Wireless Site# 280707)
(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
Advanced Communications Technology
EC13007510
Pavel Redko
Plumbing
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014