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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTt I 6 RECEIVED MAY 2 7.2014 PLANNING DEVELOPMENT SERVICES DEPITMM" BUILD�G & CODE REGULATIONS IA16190unty, BUILDING PERMIT 5UB-CONTRACTOR AGREEMENT � I St. Lucie County Contractor Certification N ber: State of Florida Certification Number 15COoo � 7 a (If applicable): CC11 P1A_TE. E16CT CA1 (C� RA- T1aC , /rJC have agreed to be the (Company Name/Individual Name) E Lc_cr r lck l sub -cot (Type of Trade) for the project located at —76 (Project; It is understood that, if there is any above mentioned project, I will fir of St. Lucie County by personally No. 004-00) for 7?+0-,T-g-Lim A. v. * m.N FYori-,rz wG (Primary Contractor) 3 iv C-7-r-r_CC-5 f3 try I-L-w sq,-,, 3 V '? 5 7 et Address or Property Tax ID #) ge of status regarding our participation with the tely advise the Building and Zoning Department a Change of Contractor notice. (Form: SLCCDV BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ASIG TURFS ARE REQUIRED I 6L�'ra�N PRINT NAME /1 DATE Business Name: cmc q%F_ I j--e-rpie&l Go ik "C Tivt /mac Address: /3�O Q ( ) U 0%f PL City/State/Zip: - pag:7r _, 7r, �_()C/6 4 FL_.11 ��lSc2 Phone: Z7d--g7C("c'1'Y1 email. DCVk --AJCA6 A 7%,,llf61' OFFICE USE ONLY: i 11 PERMIT # I I I ISSUE DATE PERMIT # I ISSUE DATE PLANNING &I DEVELOPMENT SERVICES Building & Code Compliance Division St. Lucie County Contractor Certification Number: State of Florida (If applicable): BUILDING PERMIT I -CONTRACTOR AGREEMENT L5-38� g o S h ivi 16�r�V�-1 L L• Q krn ie co have agreed to be the (C any ame/Indi '�ti Name) ub,-contractor for 5 l �-t; i / N f 12.l0 • d+� • l� �� t'`TR T +2 i (T e of Trade) (Primary Contractor) p I � For the project located at C) _,2 0 @ i ( l•C j'�Iel."701 (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 filing a Change of Sub -contractor notice. (Form: BUSINESS QUALIFIER (Name of the NOTARIZED SIGNATURES ARE REQ Business Name: _ �C� `"15 h I ✓I Address: City/State/Zip: �. 004-00) i1 shown on the Contractor's License) � I- to email: f ' co U 2� SIGNJIURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF hy-1 0 O THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 20L4— BY \Yid _ l /tc���l WHO IS PERSONALLY KNO I/OR HAS PRODUCED AS IDENTIFICATION. A &W JQ h n f'�r s`s' (STA,In We of Florida NA O AR UBLIC P AME OF N O_TA1& PUBLIC My Commission # EE 961, SLCPDS: 12/16/2013 Eipim duly 10, 2014' PERMIT # I I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building 4 Code Compliance Division PERMIT R AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): C r C I g Z S S-1`i N IA 5 T-en- p r✓ ,ka VK rb I ,v Lr have agreed to be the (Company Name/Individual Name) P1. u I over— Sub -contractor for 5 }+a 9 e t n, u, a m ,•t,r , ,�-„c (Type of Trade) (Primary Contractor) For the project located at L c;' -1 3' /v--5 r3 L v t, (Project Street It is understood that, if there is any change of or Property Tax ID #) 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 BUSINESS QUALIFIER (Name of the NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: City/State/Zip: 004-00) shown on the Contractor's License) Phone: t _ -� I email:C�P SIGN NT NAME DATE STATE OF FLORIDA, COUNTY OF i C THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THI� DAY OF , 20j�y BY 4�C�,� 111 �il�� WHO IS PERSONALLY KNOWN OR HAS PRODUCED/ AS IDENTIFICATION. /-/(STAMP) 7 SIGNXTURE OF N70APUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 12/16/20 JOtiPRv F(,8�,,,, LESLIE C. JOHNSON Notary Public - State of Florida °' • �? My Comm,. Expires Aug 10, 2014 Commission # EE 16203 i PERMIT# ISSUE DATE PLANNING &'II DEVELOPMENT SERVICES Building & Code Compliance Division PERMIT R AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): e4C © S 8 1 S �--) M ► r U oN ek : +1'0N i /J GA have agreed to be the (Company Name/Individual Name) iy4e, Sub -contractor for S 14txC—e Azz- X V 'T Imo• *4 1z ae A-i xr, (Type of Trade) I (Primary Contractor) For the project located at U T 7 R 3, Ne-v'7 --5 q �y,p (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 i i project, I will immediately advise the Building Change of Sub -contractor notice. (Form: BUSINESS QUALIFIER (Name of the NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: VI Zoning Department of St. Lucie County by filing a (No. 004-00) shown on the Contractor's License) e_L• 0- City/State/Zip: 3& ,&A L° H F4, 3 4 a S 8 o • 33S- S 3l email:.=rj FOgp I)SA ir- l'dI,►r , )1e1irvc.. Ce�M - SIGNATU PRINT NAME DATE / STATE OF FLORIDA, COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS OfDAY OF 20 BY �1 (,� �� [� /L WHO IS PERSONALLY KNOWN OR HAS MARINE" WER * MY COMMISSION # FF 006761 rwp►RFs: Mav 2.2017 (STAMP) J It azzt� l i e Flu. v (Company/Individual Name) project located at r-- > ie WELOPMENT SERVICES DIVISION & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 PERMIT v . IORSUMMARY \ will be using the following sub -contractors for the address or Property Tax ID #) C. 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 eGU;2,i r-E & C.e-c.T coty r� J, 1 G 2 Plumbing /� n-S � PL v r►i 3 /1'—ir CF•C 1 4Z$S79 HVAC/ Mechanical S' A[ CA-C6S,FTiS Roofing Z $' 87 ccc t3 Z�-7-7C6 Gas l I