HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARY-St. ucie County
d
DIV Bui ding & Zoning
BUI DING PERMIT
SUB -CON RACTOR SUMMARY
(Company/Ifidividual Name)
project located at q2SO 1AJ,00S7_A1�
(Street
It is understood that if there is any change of
listed below, I will immediately advise the Bui
wiII be using the following sub -contractors for the
0510 — 0102
'Jr_0 6q2-8-7-021-1492-000 -
or Property Tax ID #)
i regarding the participation of.any of the sub -contractors
and Zoning Department of St. Lucie County.
Trade
NameofCo pany/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
�Zk LA <
C O'D 0 In I
Plumbing
�A 4.e V',s til W C_
C P - C Q -2,1 5_1 57
HVAC/
Mechanical
10 161
C a Li C% C,
Roofing
de -
�_CAA- � l /�' '�W
Gas
OFFICE USE ONLY:
PERMIT - ., - I
NUMBER:
ISSUE DATE:
ST. LUCIE C1
BUILDING &
I
B
St. Lucie County Contractor Certification N,
State of Florida Certification Number (if appi
(Company Name/Individual. Name,'
AI, - C rA sub -co
(Type of Trade)
for the project located at 3 2,5--D A
It is understood that, if there is any
above mentioned project, I will
PUBLIC WORKS
G DEPARTMENT
NG PERMIT
'TOR AGREEMENT
have agreed to be the
for. cleqr-17, hvc-,
(Primary Contractor)
33 y-7o2_14q2-
Street Address or Property Tax ID #)
of status regarding our participation with the
iately advise the Building and Zoning Department
of St. Lucie County by personally gling a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER
OPJGINAL SIGNATURES AR
ISIONATUR-1-3
Business Name: _k'kV;
Address: 3 u
City/State/Zip: �ou C.X(
Phone: C�A I- � 416 -
OFFTCF, TNE ONT,V!
of the Individual shown on the Contractor's License)
IiRINT NAME EiATE
e-
email:
i�- LK-
PERMIT # ISSUE DATffT
07/18/2006 10:53 FAX I A LqJ UU a
I
ST. LUCIE �OUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
C�IUIILDING PERMIT
SUB- NTRACTOR AGRE EMENT
St. Lucie County Contractor Cerfification umber: �_Ssz_ —
-COZ4535
State of Florida Certification Number i',If a plicablc): EF
Wf<s Plumbina IN I have agreed to be the
(Company Name/IndMdual Nar
PkMbi,nA sub-,
(Type of4rade)
for Ai�c-
(Primary Contractor)
for the proi ect lo cated at 3-2 5-e-) 1 1,ypiwl-Z, J.-+ L.. 33 �-1-4 (I V2Y- 702 - 14172, (906 V
(Proj ct 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
of St. Lucie County by personally
No. 004-00)
BUSINESS QUALIFIER
QR[GINAL SIGNATURES AR
A
Business Name:
Address:
City/State/Zip:
Phone:
.,�,�_Velllff_l _Tlrrllff� r1sx1ir *17
tely advise the Building and Zoning Department
filing a Change of Contractor notice. (Form: SLCCDV
of the Individual shown on the Contractor's License)
) U IRE D
Rff) a I .
PRINT NAME DATE
FL U9.60
email:
ILP JU A� JL %_ JUJ %_J
ALI
PERMIT #
ISSUE DATE
ST. LUCIIECOUN'TY
DEP OF COMMUNITY DEVELOPMENT
RUMDING PERMT
suiB-CONTRACTOR AGREEMENT
02) -�I)
St Lucie County Contractor Certification Number Lo -�60.::
State of Florida Cartlification Number (ffi applicable): QIA-co
�,� �,sAt Q P �
the
(type of constrUction t1a
1',
f6r the project located at
(street address or property tax Ib
'if there is any change of stal
proj . act, lewill immediately ad
Management Division) of St..L
Form (SLCCDV FORM NO. 004-OC
BUSINESS QUALIFIER
signat r I
busine'Vs name:
address: .
dty,state,zip:
phone:
ON -\-� Q� k,� i d'A has agreed to be
nyliridividual name)
Ll -7X 14 e
sub-contractorfor ly,%11A CAPA-
(name of the prime contractor)
L,7s-- 1) 0,2,- t Li CAL— a oa/q)
0 It is und6rstood that
3 regarding our participation with the above mentioned
se the Community Development Department (Growth
cle County by personally filing a Change of Contractor
signatures required):
uk () K � 0 1 �&j)46 -
print na'Me date
A AiK coi-4offl,ONING
SLCOOV FORM NO.: 002-00
PERMIT# ISSUE DATE