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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT( 3G6- z„ SCANNED 13-Y St'Luds coonv PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number afappTicabte): 13 *wS F-i ec.,(,a,,7 ( S -e✓c, r C c rH ` have agreed to be the (Company Name/Individual Name) rc -F,, — sub -contractor for 11 1 s Gv l (Type of Trade) (Primary Contractor) for the project located at 21 ) 2 ( Ale f-_%sf W 1, (Project Street Address or -Property Tax ID #) It is understood that, ifthere 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 �__ aA,, M Z * C, 6 SIG TURF PRINT NAME DATE Business Name:�.r. Address: City/State/Zip: 1° s L e, e a- Phone: -7 ?:L T 7 U Li T S% email: I a 1101 _/ 'g, c— S t Sd'cr_ 14C41 C4 C : L OFFICE USE ONLY: srAm I BY PL W-6,57 E�' ELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT p ((�� SUB -CONTRACTOR SUMMARY 0&taS �rlLk ka— 0-4q"M ff will be using the following sub -contractors for the (Company/Individual Name) "� project located at D 13 (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 Lew a-2 O 'F 8 Plumbing S r("Ioo�l `� a (Dn) HVAC/ Mechanical & 1 ' f . S C, 0,! �Y Roofing Gas II PERMIT ISSUE DATE: NUMBER: I I 1 11 _13 MANNEWSM PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION k BUILDING PERMIT o SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (Ifapplicable): I q8 7 4O 0'La-S Ga.,&_Q have agreed to be the (Company Name/Individual Name) _ sub -contractor for ©MCA.S anA_A (Type of Trade} (Primary Contractor) for the project located at (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) SIGNATURES ARE REQUIRED SIGNATURE Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: NAME DA to-3 PLANNING & DEVELOPMENT SERVICES DEPARTMENT - _ BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT F - SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: � State of Florida Certification Number ([rawicable): Coco S-- ` i' 91_ (Company N Name) O)P_6kn (ca I sub -contractor fo (Type of Trade) have agreed to be the r `Yip t M (Primary Contractor) for the project located at `� 6y (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 SIGNATURE PRINT NA ME DATE Business Name: Address: (0,3 cw City/State/Zip: 7W" / G Phone: �cy 1 ()3—['q0 q email: OFFICE ITSF, ONLY: PERMIT # ISSUE DATE