HomeMy WebLinkAboutSUBCONTRACTOR SUMMARYSCANNE
BY
PLANNING AND DEVELOAM%� aVICES DEPARTMENT
Building and Code Regulations Division
Phoenix Realty Homes .
BUILDING PERMIT
.ONTRACTOR SUMMARY
will be using the following sub -contractors for the
(Company/Individual Name)
project located at 3915 Dunes ide Drive
(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
Carney Elel�rical
EC13012944
U20007
Plumbing
HVAC/
Mechanical
Roofing
Gas
iIFFICE,USE
PERMIT
NUMBER:
ISSUE DATE:
Revised 07/29/2014
the
PERMIT # ISSUE DATE
(Type of Trade)
PLANNING & DEVELOPMENT SERVICES
Building! & Code Compliance Division
Name)
For the project located at 1
(Project Street
BUILDING PERMIT
)NTRACTOR AGREEMENT
have agreed to be
Sub -contractor for 26dk Aqt'A�
(Primary Contractor)
Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation
filing of a Change of Sub -contractor notice.
SIGNATURE (Qualifier)
PRINT
(ram'. " /IJd-61111
COUNTY CERTIFICATION NUMBER
State of Florida, County ofA"�-
Th foregoing instrument was signed before me this �_ day
20 by
who is personally known _or has produced a
as identification.
Signature of Notary Public
Do WT-)q
Print Name of Notary Public
far P Notary Public State of Florida
r° 1, Frances Donza -
c My Commission GG 092440
% wok Expires 07/27/2021
Revis
of St. Lucie County will be advised pursuant to the
SUB -CONTRACTOR SI ATURE (Qua6fi r
77
COUNTY CERTIFICATION BER �j
State of Florida, County of�� �'/
T e foregoing instrument was signed before me this day of
,20/ ,by
who is personally known V or has produced a
as
1`111111
1111
EKED
tate of Floridaa GG 092440
021
STAMP