HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSCANNED
St.t BY . COUTAY
ude
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
.; BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of F ida Certification Number (if applicable);
have agreed to be the
(Company Name/Individual Name)
R14 W if? sub -contractor for
(Type o rade)
(Primary Contractor)
for the project located at 107o -r 570C &taJ �)E• T&—Iq it% &W, 3YPJ7
(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 Pr4W1-5_Pw,,e6oV
J�eP .3
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
email:
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State lorida Certifica ' Number (If applicable):
15 M. L/ have agreed to be the
(Company Name/Individual Name)
I% A L ' sub -contractor for
e 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)
ORIGINAL SIGNATURES AREREQUIRED
SIGNATURE PRINT NAN E DATE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
email:
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
BUR DING & CODE COMPLIANCE DIVISION
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
f '&I will be using the following sub -contractors for the
(Company4ndividual Name)
project located at
S. occAf-A✓
(Street address or Property Tax ID #)
9W-
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
Electrical4
Qu1um
Plumbing
A
57,
HVAC/
Mechanical
/
��L(JNa'✓� � GL �' o[ irt�
Roofing
•� . ( ,
Gas
IIPERMIT I I ISSUE DATE:
NUMBER: I II
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
f { BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
*. , SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If appiicabie):
P_4AkiI /_51 NJ have agreed to be the
(Company Name/Individual Name)
sub -contractor for d"JuPp— '04 r�it�it
(Typeilf Trade) (Primary Contractor)
for the project located at ' ,/0799 _ 5. &4;' 1 � . TRIXV 9 3gfs-7
(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)
0RI.G NAL SIGNATURES r .R ..REQUIRED
SIGNATURE PRINT NAME
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
email:
PERMIT# ISSUE DATE
DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Flo 'da Certification Number (If applicable):
�/( Y r have agreed to be the
(Company Name/Individual Name)
FILWCIevifC sub -contractor for
(Type of Trade)
(Primary Contractor)
for the project located at ��7iw S- �C 6r'ht-1 �jC . �F+lllSi✓ 1>lvl �y'
(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 SIGNA,rURES ARE REQUIRED
f�i4� s'• �.c2.D il� AW/3
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone: email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE