HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTI
DEPARTM
St. Lucie County Co6tiractor Certification Nu
State of Florida Certification Number (u appiic
ST. LUCI
OF COMMUNITY DEVELOPMENT
BUILDING PERMIT
)NTRACTOR AGREEMENT
IOE3�q
C- '�� 0 0 0
Richmond Electric
.. 772-461-1951
3086 Enterprise Road
Fort Pierce, Florida 34987, has agreed to be
(company/indM& al name)
the 'sub -contractor for Luc-', e-
NF- of cortsbudlon trade) (name of the pdtm ooftectod
for the project located at Lf 30 - 13 I-Doo It Is understood that,
(Weat add(o r of Property W ID
If there Is any change of status regarding our participation with the above mentioned
project, I will immediately advise the �Communfty Development Department (Growth
Management Divis ion) of St. Lucie Coy ty by personally fil,ing a Change of Contractor
Form (SLCCDV FORM NO. 004-00).
BUSINESS QUAILIFIER (origined signaturee re
business name:
address: 96
city'state'Zip: -r—t - letz ru-
phone: -7-rs LI I,- -_ t'
I; �ff - - 0-7
, g I C (0*y,,"V / 7,
print name date
t.-
C, %A_� ILI- Y_
12? IL
PERM # I I I ISSUE DATE
SWCOV FORM NO.: 002-00
ST. LUCIE C1
BUILDING &
St. Lucie County Contractor Certification Number',
State of Florida Certification Number ffapplicable):
Lindquist Plumbing & Supply Cc.
(Company Name/Individual Name) I
Plumbing
(Type of Trade)
PUBLIC WORKS
G DEPARTMENT
PERMIT
RAGREEMENT
19150
CFC057672
have agreed to be the
for St. Lucie Structures
(Primary Contractor)
for the project located at I L13L-> (31 -0001- Q10Z (Hanger. WWI)
(Project Streel 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 hange of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of I the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
R bert A. Case 1-3-07
!�104ATURE Lindqui PTT NAME DATE
Business Name: st Pl bing & Supply Co.
I
Address: 3231 Oleander Ave.
City/State/Zip: Fort Pierce, Fi. 34982
Phone: (772)461-1969 1 — Fax: (772)461mI999
OFFICE USE ONLY:
L I ISSUE DATE I
. SUR.
St. Lucia county Contractor CertWication Number
State ot'Flodda Certdication Number (if #ppftable):
AJCT9"__"CCI
COMMUNITY'DEVELOPMENT
1DING PERMff
-RACrORAGREEMIENT
r"k-
has agreed to be
I
(company/Indlyloued ci %i
the Ph -t sub -contractor for L +t' V
(type of comtruadon trade) (name of the prime contradgtor)
for the project located at LI'3 o 0 OiD I — tt is understood that,
(weet address o property W 10 #)
if there is any change of status regara ing our participation with the above rnen�oned
project, I will -immediately advise the C mmunity Development Department (Growth
Management Division) of St. LU010 Coun by personally filing a Change of Coritractor
Form($LQQDV.FORM NO. 004-00).
NESS QUALIFIER
businew name.,
address:
q'itymate'ZIP:
phone:
13
vignadurt6 roquire<Q:
T11%, . V, & f6
bfint name I date
MOVE DAT9 I
81_000V FORM N040W-W