HomeMy WebLinkAbout0503-0349 SUB-CONTRACTOR AGREEMENTSCANNED
St ® R ST. LUCIE COUNTY PUBLIC WORKS
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BUILDING & ZONING DEPARTMENT
I
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: (In 1 g ^ 0000 np
State of Florida Certification Number (If applicable):
have agreed to be the
(Company Name/Individual Name
r
sub -contractor for
(Type of Trade) (Primary Contr tor)
for the nroiect located at fSOL11 M A1� �_ io r.o FL 39`ill°I T�a c.
(Project Street Address or Property Tdx 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 n DATE
Business Name: k- l)rnom q I mn I vl L
Address: 9�1a-D ?) !, 4-L C In%-) Y-� � . W .
City/State/Zip: �(p %co `c�Q W �A P1 3a9 o x
Phone: la- 9 - LIQ 4 email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE
Jan-31-2005 12:56pm From-McDONALD 7 osNIES +772 234 5662 _ , T-663 P-012/012 F-399
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
16UIIL1DING PERMIT
SUIT -CONTRACTOR AGR1ERMENT
� !/,/ c� p/
St. Lucie County Contractor Certification Number: Z 0v7 7 7 �d oZ ! SO
State of Florida Certification Number (if applicable);
�f/C-have agreed to be the
(Company Nameffndividual Name)
�4&S 4-d L AZ 4k sub -contractor for Tomac of Florida, Inc
(Type of Trade) (Primary Contractor)
for the project located at Atlantic View Beach Club 5047 N AlA Ft. pierce 3494%
(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 personalty filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALM'' IER (N;imc of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE RIEQUIItED
IGNATURE PRINT NAME DATE
Business Name: GUxw►S L / o
Address:
City/State/Gip: ul( P J
Phone: �(pJ =-�1f email: &0-//i/0 /7-1&t—ASS • CO/4
OFFICE USE ONLY: '
ST. LUCIE COUNTY PUBLIC WORKS
'~ BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
` I
St. Lucie County Contractor Certification Number:
I
State of Florida Certification Number (if applilcable):
THE ROOF AUTHORITY, INC.
(Company Name/Individual Name)
ROOFING
(Type of Trade)
CCC056933
have agreed to be the
sub -contractor for TOMAC OF FLORIDA, INC.
(Primary Contractor)
for the project located at 6 /l I ) &A
P J
(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)
I
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
I
CHRISTOPHER A. LONG 3.J O5
SIG I PRINT NAME DATE
Business Name: THE ROOF AUTHORITY, INC.
Address: 6771 N. OLD DDUE HIGHWAY
City/State/Zip:
Phone:
FT. PIERCE FL 34946
772-468-7870 email:
(11PRIP1 . TT.CTi. nlVF .V
PERMIT # ISSUE DATE