HomeMy WebLinkAbout1605-0174 SUB-CONTRACTOR AGREEMENT1.0
PERMIT # 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):
01 zc_hef !Yk �� 11G
Company Nam h iv7 a1 n_1 '
J-F&K-1 I (�l Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at O O Bl Ud w S
(Project S�xeetrAddressor PropeTax ID #)
have agreed to be the
FL -349Sr
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 SIGNATURES ARE REQUIRED
SLCPDS: 08/06/2014
AUDREYB. HUMPHREY
MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
Bonded Thru NotaryPublic Underwriters
a
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
GG BBUILDING PERMIT
3� LUC1e, �a 6fl SJJB-CONTRACTOR SUMMARY
will be using the following sub -contractors for the
(Company/I ividiva/ a e) ,/� ( ( ,, Q (� ! /
project located at 4060 6 VE�i/ J l 5 �y69 �LQ'dn , FL -3TgS"7
(• treetMdress 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
I�Ic�1 iU
Plumbing
HVAC/
Mechanical
Roofing
Gas
,OFFICE jUSEONLY
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014