HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARY-AGREEMENTSt. Lucie County
B
CANN ' undnng 8z Zoning
BUILDING PERMIT
� ',r,.G 00SUB-CONTRACTOR SUMMARY
et, (Company/ iidividual Name) wilfl be using the following sub -contractors for the
project located
(Street address 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.
St. Lucie County/
Trade Name of Company/contractor State of Florida
1 License Number
I
Electrical CC 0/26
I
I
Plumbing
i
HVAC/
Mechanical �0q 2:)-5- cr-
Roofing ���' CCC�
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER: ,LiCb` 0 �f5cS I
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUMDING & CODE REGULATIONS DIVISION
SUB-CONMC rOR ACRVEMENr
St. Lucie County Contractor Certification Number: ( fa q
EC000
stave of Florida cems�an Nuaoiber N'�n>aio+bte): 7,2
/'i CCU P.RTE F tga.vrl CoarmC f/Ma, 1I1 C___ bave agreed to be the
(ComrW Naaaelbadiv &W Name)
Z2 *r-)CCA sub -contractor for Mel —RV j-
MW of Trade) - (Pci iffy fn ) :7t' f ��.�' J'
for the project located at yW Z - 501- Q 2Sq - Goo - 5
(Ptoject Street Address or Property Tax ID #)
It is understood that, if tberc is any cbauge of status tegardi ng our par&lpatlon w1 fil the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally nmg a Change of Cofactor notke. (Fm= %=.Uv
No. 004-"
BUSINESS QUALIFIER (Name of Cite hufividuai shown olnthe Caa4raotor's Liowse)
ARE REQUIRED
/ krtlur z
PRPTr NAME r
OFFICE USE ONLY:
P IAIT 01 ISSUE DATE
DATE
6J 1 N C
7l; NE7"
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: I 5? (o �,� 2
State of Florida Certification Number (If applicable): C f 01 Q��
�1`M.Q1YlA�lt511 d ��,Wor� �j have agreed to be the
Company Name/Individual Name)
1 1U1y 1A)UY\, sub -contractor for - S
(Type of Trade) i (Primary Contr t )
for the project located at 4502- 5o % Q-, $y - 000 - 5
(Project Street Address or Property Tax ID #)
I
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
olosv,
S AT PRINT i NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
M1� _ 34g- - S211 email: bOu�1t� IUyV1 C�i Ca �Ucld\ l'11�hS loY1S. Gof
i
OFFICE USE ONLY:
PERMIT # ISSUE DATE
ST.*LUCEE COUNTY PUB11JC WORKS
BUIOLDINGP*MT
SUB-CONTRACTORAGRKOMT
SL Lucic County Contractor Certification Number- 3 `�
State of Florida Certification Number of.appumtie): ; G i re' O S & 3
(ConViw NanacJin"dual Name)
agreed to be the
of sub -contractor jfor �� I — (�� C Mzl (L([ rtl�
(Type1 (J'x mary Cotmac:tor)
for the project located at 44562 - 501- ' h 2 $H ' - O GO —
(Project Street Address or PmpeM Tax ID ft)
It is understood that, if there is any change of status regarding our participation with the
i
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 st.CcDv
No_ 004-00)
B TSINES, QU.4LIMR (Name of the Zndividw] shown on the Contractor's License)
ll
GU AL SIGN TU R OTRED
A PFJNT NAME ]DATE
$easiness Name:
C 5`�Ct I E-ltCt-fz r �- � � ('rrr,�� �'�-"' � rrO
Address: c,r- CAS Of-
City/State2ip: u l''r, 'r.- - 3 Linn/---
D'htone: _ Z --"02Pi i emafi: CCM-i :t 10_00OZ4 • 60M
OFFICE USE ONLY:
�. M t COUN14Y PUBLIC ` f '
ItM"T ]RUJOLDIM3 & ZONINGIDEPARTMNr
r r ERr
St- Lncie County ContracUw C rtMeadon N=ker- -
I
State oiF1*dda CertWMtkMNr:mi►erUfVp*,b1e1: CCC .
(66 Y Na Wb4ividual Name
have agreed to be the
�'�-, � sub-cantract�.�for %���- C�yvS.i Y�i,�'�� m•�
crypt UTU&) (Primary oo"mr) - -
for the project located at 02 - 561•- (32%L4- dao -
(Pxaject Street Address or Property Tax DD
It is understood that, if there is any cbmgv of status regarding our participation with the
above mentioned project, I will z =ediateiy, advise the Building and Zoning Department
of St_ Lucie. Conn b ersonall �
�Y Y p Y filing tr Change of Coptxactor notice. (dorm: SwC,Uv
i
No_ 044.00) .
BUSINESS Name of the Individual shovm on. the C:antractoes Liecuse)
ORMIGHNAL Si RE u D
r�r NAB "A;!!Z—'
—69
Address:
City/sU te0p:
AMC.