Loading...
HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSCANNED ST. LUCIE COUNT��iPUBLIC WORKS BUILDING &16"WII APARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 25345 State of Florida Certification Number (If applicable): CAC1815564 Senica Air Conditioning, Inc. / Mark Nelson (Company Name/Individual Name) HVAC/Mechanical (Type of Trade) have agreed to be the sub -contractor for Of�,J �_` Primary Contractor) for the project located at Ll 3 6 1 = S %(')e)� (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 7414/4 - Mark Nelson PRINT NAME SIGNATURE r Business Name: Address: City/State/Zip: Phone: Senica Air Conditioning, Inc. 6911 NW LTC Parkway Port --St: LucieJL 34986 772-337-6242 email: nFFIrF II4F ONLY: DATE ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT . BUILDING PERMIT SUB -CONTRACTOR AGREEMENT n ( J St. i' eie County Contractor Certification Number: .�1 � S Sta l of Florida Certification Number (If applicable): '50� Fle, 'f r 2 have agreed to be the (Company Name/Individual Name) e.a r It Cr w sub -contractor for �(J,GcJ I o„r,,a( Co ii- c —, n� (Type of Trad) (Primary Contractor) the project located at fo LJ (Project Street Address or Property Tax ID #) ItJ#s understood that, if there is any change of status regarding our participation with the mentioned project, I will immediately advise the Building and Zoning Department St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV 004-00) PUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) SIGNA' 4IONATULMRE PRINT NAME DATE Name: ��6 YAP y�G email: Jiff OFFICE USE ONLY: 911 PERMIT # ISSUE DATE k►wk ",Ong .I.4v — 00 Gti ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT . BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Lucie County Contractor Certification Number: to of Florida Certification Number (If applicable): iL�- \07"5- L_- (Company (Type of Trade) have agreed to be the sub -contractor for 0&J\0,,,.J Go nF,c, cptc T 2 C. (Primary Contractor) the project located at 1-0 � _5 Nk_ ar,V-P, (Project Street Address or Property Tax ID #) is understood that, if there is any change of status regarding our participation with the mentioned project, I will immediately advise the Building and Zoning Department St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV o. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) �� U TUBE PRINT NAME DATE Business Name: `, �& nC Address: City/State/Zip: ; t nt� 3 Phone: email: CE USE ONLY: St. Lucie County Building -& Zoning 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY. will be using the following sub -contractors for the npany/Individual Name) " ect located at Loi (Street address or Property Tax ID #) It "s understood that if there is any change of status regarding the participation of any of the sub -contractors lisped 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 . o . � G I-( G 1 C A C_ iJ Plumbing l (l iN� VJl ► (U ��. v ✓ �/ HVAC/ C���A Mechanical Roofing / V Gas IIPNERMIT UMBER: I I ISSUE DATE: I II ;K.r. Gy ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT . BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Lucie County Contractor Certification Number: to of Florida Certification Number (if applicable): CCL U Q 'L I c4.-W Cd✓t�la ��� �s1� have agreed to be the (Company Name/Individual Name) sub -contractor for hal Ck ("k (Type of Tr de) (Primary Con ctor) the project located at I'a 4, � U ( o ®5g O do d (Project Street Address or Property Tax ID #) is understood that, if there is any change of status regarding our participation with the mentioned project, I will immediatelyadvise the Building and Zoning Department f St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV o. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) OWGINAL SIGNATURES ARE REQUIRED Py .TURE PR&T NAME DATE Business Name: Address: City/State/Zip: .Phone: email: OFFICE USE ONLY: PERMIT # ISSUE DATE