HomeMy WebLinkAbout1308-0399- SUB-CONTRACTOR AGREEMENTPERMIT # ISSUED ATE
— — PLANNING & DEVELOPMENT SERVICES SCANNED
Building & Code Compliance Division BY
at. Lucie maw
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Luc a County Contractor Certification Number:
State o Florida Certification Number (If applicable): C� C Q �� c �.
have agreed to be the
(Company Name/Individual Name)
✓ Sub -contractor for e llc (' �(� r r js.� C
( ype of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID #)
It is u derstood that, if there is any change of status regarding our participation with the above mentioned
projec , I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
NOT
Phone:
SI NA'
STATE
THE F(
BY
of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
QUALIFIER (Name of the Individual shown on the Contractor's License)
SIGNATURES ARE REQUIRED
Name:
711 Z®1631 -1(o4z 0 email: Q`taU4444c l C-l aC kcp. COrA
:E PRINT NAME DATE
FLORIDA, COUNTY OF VII
GOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF Not*,( 241
UJa(q WHO IS PERSONALLY KNOWN b OR HAS
AS IDENTIFICATION.
rlfa (STAMP)
OF NOTARY PUBLIC. PRINT NAME DF NOTARY
I: 12/16/2013
>a` M
MINA L. HORVAT
Notary Public -State of Florida
My Comm. Expires Aug 13, 2016
a�� Commission 0 FF 106372
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT' SCANNED
SUB -CONTRACTOR SUNS% ARY BY
St. Lucie couniy
f _-71V C. will be using the following sub -contractors for the
(Company/Individual Name)
project located at
(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.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
aed�-, G
Bo " S-
Plumbing
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT
NUMBER:
ISSUE DATE:
jgpywre
COUNTY �
F L O R I D A
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE COMPLIANCE DIVISION
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
� c % Iffs INC C will be using the following sub -contractors for the
(Company)Individual Name) ,
project located at� 7 �/ • �%7�'�
(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.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
bw
, j
L 4
Plumbing
HVAC/
Mechanical
%
3
Roofing
Gas
OFFICKUSE ONLY:;
PERMIT ISSUE DATE:
NUMBER: