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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT5�'�►iudv� } ST. LUCIE�, COUNTY PUBLIC WORKS BUILDING& ZONING DEPARTMENT (BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification NI umber: / �V I State of Florida Certification Number (If applicable): r6r,61 O T ltiA"s, b I /J ( I (Company Name/Individual N / 1 ) uY4 b rr! 4 sul (Type of Trade) . RF.ao 4C9y3 have agreed to be the for �u riyc, CauAr" W Ca, .Inc. (Primary Contractor) for the project located at 2433 -131- 001- 6o o 6 (Project Street Address or Property Tax ID #) It is understood that, if there is any above mentioned project, I will immediate I of St. Lucie County by personally filing a No. 004-00) of status regarding our participation withthe ly advise the Building and Zoning Department BUSINESS QUALIFIER (Name of t` ORIGINAL SIGNATURES ARE REQVIRE'� ), f IGNATURE PRINT T of Contractor notice. (Form: SLCCDV Individual shown on the Contractor's License) Business Name: 149.710 p y / 1140%' b ih c( Address: 6Yex� e City/State/Zip: 1• S• L i i. 3 94!�'°­ Phone: 33f' -3 6 9S— email: OFFICE USE ONLY: PERMIT # ISSUE DATE S V �. ti;r. St. Lucie County Building & Zoning 2300 Virginia Ave ' Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY �� ��� Lw�1�' `�'rlti'h y� •- will be using the following sub -contractors for the (Compady/Individual Name) project located at -2.w33 - % s k ' CIS b 6 (Street address or Propef ty 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 S�J G c r rA — �_ 0 6 �d Plumbing Gv3g95 HVAC/ Mechanical I.CIY f':SL, FL �y9F3 Roofing 1jJ l l IF Gas Or OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: `, Gy ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT Fl . OR10 '� BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): � C d o© 2-q 6 a have agreed to be the (Company Name/Individual Name) n n sub -contractor for (Type of Trade) for the project located at 0J_"q"6, (Project Street Contractor) �9- /) 43 3 - /3 1 - 040/- &fW 6 or Pro erty 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 i 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 277 LL, 71 tz S, - t2�z� Gs SIGNATURE Business Name: Address: City/State/Zip: Phone: fro PRINT NAME DATE 1 rrWS "'! E" C L.L-C 37B `691 email: OFFICE USE ONLY: i ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT (BUILDING PERMIT SUB -CONTRACTOR AGREEMENT I �) St. Lucie County Contractor Certification Number: U �/ State of Florida Certifcat0vJ� pl aS ll�l"/�` W, have agreed to be the . (Company Name/Individual Name) tO �i sub -contractor for rBuha* conAru dh m Co ., xne. (Type of Trade) i (Primary Contractor) for the project located at �Zy33 4 131- 061-000/b (Projeci 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) BUSINESS QUALIFIER (Nagle of the Individual shown on the Contractor's License) 0111 W3N,4ef URES ARE REQUIRED NATUR f— PRINT :NAME � Business Name/ ul� 7's�i Address: lid City/State/Zip: f 41e Phone: 77a - A - �Gd a OFFICE USE ONLY: 6 /J— �/G email: PERMIT # ISSUE DATE DNfE