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HomeMy WebLinkAbout1404-0377 SUB-CONTRACTOR AGREEMENTPLANNING & -DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION gMNED 2300 Virginia Ave �� Fort Pierce, FL 34982 Ne BUILDING PERMIT SUB -CONTRACTOR SUMMARY lyJ.11 V L.`t_V lQGIN`�I D� 1 will be using the following sub -contractors for the iny/Individual Name) located at421 - 0 -5 (Street address or Property Tax ID #) It i understood that if there is any change of status regarding the participation of any of the sub -contractors below, I will immediately advise the Building and Zoning Department of St. Lucie County. I, Trade Name of Company/Contractor St. Lucie County/ State of Florida. License Number Electrical 1 �� ��- � l 1 � Plumbing I T j( �tN�tj� � 1, I IIVAC/b�jt Mechanical �2 Roofing N c)ZI l u I Gas I I O ,FICE USE ONLY: P i RMIT ISSUE DATE: ,, ER: t 1. PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERNUT SUB -CONTRACTOR AGREE►IIENT St. Lucie County Contractor Certification Number: 2 s .Xp q State of Florida Certification Number (if applicable): r I 13011109,9 L A4 W S E l ec,4--- -,14-1 S evdo � e PHc,, have agreed to be the (Company Name/Individual Name) G-1 ec, �.sr-I sub -contractor for —S-w iU (Type of Trade) (Primary Contractor) for the project located at �1S02_--E Ul — I L42a — ` ,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 shop n on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED .& '/ 7 K_ L,+N SIGNS RE PRINT NAME DATE Business Name: LAWS ELECTRICAL SERVICE Address: �fi AIAI'r 1 ► ins FL 3490 c-=*ramy & City/State/Zip: Phone: 270 L/ J_r7 email: i )1,..1 L* -.- SI �ff <-- 4o 1'. cl OFFICE USE ONLY: PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Lucie County Contractor Certification Number: to of Florida Certification Number (Ifapplicabte): RE 1 1 D6 13 /Z Jffte fl &Aeb P I umb1M IY)Q, have agreed to be the (Company Name/Individual N e) Plambina sub -contractor for abl)N ���►�1 u[,U� Q i (Type of de) (Primary Contractor) for the project located (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 Business Name: Address: City/State/Zip: Phone: oul2�• - PRINTDATE -712-- 22�5-ffaDD email: i b01 umpmg9 bel150Uih • OFFICE USE ONLY: PERMIT # ISSUE DATE PLANNING_ & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Lucie County Contractor Certification Number: _ O 01, to of Florida Certification Number (tfapplieable): C 4Kf i Z have agreed to be the (Company �� � sub -contractor for (Type of Trade) (Primary Contractor) the project located at Q (�b2 1422a -- b�b (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) Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: VAMCA., IZI-CO2�3,C a PkINTNAME DATE email: PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: I �agy State of Florida Certification Number (Wapplicable): 0 64 7e N ea hli %R00 4�i q .LnC . have agreed to be the (Company Name/Individual Name) Too-tn sub -contractor for 7l —� Can _ Ts-_4_1 (Type ofWade) (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) ORIGIN r SI ATJ URES ARE REQUIRED _DRn-0- 8..Nea n SI ATURE r _ PRINT NAME DATE Business Name: K�afon RoofinA IT,, Address: h� D 130X 11 L W, City/State/Zip: Palm et , Ft- 3ggC11 Phone: ri q a.. aS ri - d 1 1lo email: I h -(; 0b fan hftfOn 1,0Anp- ed M OFFICE USE E_ ONLY: 'PERMIT # ISSUE DATE