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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTL �I S4 G tt�iarntt� PLANNING & DEVELOPMENT SERVICES DEPARTMENT ' BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT • - SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): I n(0?5)a, have agreed to be the (Company Name/Individual Name) sub -contractor fo�yU �IU� (Type of Trade) (Primary Contractor) for the project located at �0©� " bJ 419 'O®© (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) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED 4Z SITURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: PERMIT # ISSUE DATE i PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): LJ Q 11 Q I J! T7— [T I Y I shave agreed to be the (Company Name/Individual Name) � t � T- lc sub -contractor for j: LJm= )cv n (Type of Trade) (Primary Contractor) for the project located at J!�_jqA - ' ��t� "� (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) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED ��l � Is � � ab 1(f- SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: �-r �1 & ME�'NNE T IS����1MS ��� Imill" PERMIT # ISSUE DATE PLANNING & DEVELOPMENT -SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): i2 3 U ! Li U G- lop t 4 w s i✓l P� �v� �� .����-� c [ �� c have agreed to be the (Company Name/Individual Name) of—� /-ec tv r U.1 t sub -contractor for �(r✓IlJ ��.. i� �'�, �, (Type of Trade) (Primary Contractor) � q for the project located at L ' S� �^ �� / '©0® S (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) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED `z `J�1l11IL LI*4., Sr -NATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: email: OFFICE USE ONLY: PLANNING & DEVELOPMENT SERVICES DIVISION ' - - BUILDING & CODE REGULATIONS DIVISION N 2300 Virginia Ave - - - Fort Pierce, FL 34982 BUILDING PERMIT o' , i'"jg SUB -CONTRACTOR SUMMARY �l/N ,/ 0` /� will be using -the following sub -contractors for the (Company/Individual Name) �(� " �)l.J 6 project located at G /�3 - - (Street address or 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 V, l LOI_CQE _ L Plumbing HVAC/Cl Mechanical Roofing LSCfG Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER:�� � 6G �YNED ' 11HAr"mint, PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification�Number: L _ JL `T State of Florida Certification Number (if applicable): 0 3 L 7 � d z— .. ,,a ?—,() , c have agreed to be the (Company Name/Individual e) 9-60 sub -contractor for J ( of , +n, -,_;k (Type of Trade (Primary Contractor) for the project located at (o''po2 — 50 f — 7 4 9 — D U D (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) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGPAL SIGNATURES V J 4SJAAi usiness Name: AM Address: 9 City/State/Zip: ?J Phone: 1_9 a OFFICE USE ONLY: ARE REQUIRED ;k,4* kz Z,� PRINT NAME r DATE email: PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY be using the following sub -contractors for the (Company/Individual Name) project located at �� �� (Street a dress 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 UP�u,_Ys� r- Plumbing eoquso HVAC/ (_ Mechanical cictg Roofing Gas nFFTrF.1J4RR '0NI,V! PERMIT ISSUE DATE: NUMBER: