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HomeMy WebLinkAbout0502-1081-SUB-CONTRACTOR AGREEMENTii;:.!k�I�bal t;l.; lL1 Fro 124689505 Page: 2/2 Date: 9/8/2005 31- _ PM 5614, 13 PAGL 02/62 S`4. i.ucle State of l ���lP'n ST- LUCIE COUNTY PUBLIC WORMS BUILDING & ZONING DEPARTMEY C f BUOLDING PERK OT !I - SUB -CONTRACTOR .A�GRELMENx 'SCANNED St BY . a Ude noun 1 � r7 � t V Contractor Certification Number. _ Certificafar+ Number M eppllCabla); C C c 05b� SFt�L c s-r E',a�s,M,s`l has agreed to be (aompenyAndividual norms) the- ca 4$-''- & sub -contractor for .ffa-Mk 4M" (tYP�I of Construction traded (name of the prinke connclar; for the fare} ct Docated at 006 It is understood that, (009 Oddmaa or prony tex 10 if there Is l ny change of status regarding our participation with the above mentioned I Froject, I wi I imlriediateiy advise the Building and Zoning Department of St. Lu+,ie County personally fining a Change of Contractor J FORM NO. 00"0). 3 UJ'%UrI1--K (oriprnai alp atw" requjmd), Print name ©ate - nam4i R40Tl"-fi'. SPK'--k-A,c.cS'r& , g G(TY S .19 !.. Cy 40. >_b 1 ,zip: L4, CAR9 C- SLCCDV FOR A NO.: 002-00 POWTO 1 o60D - l os l - 4 I MUE DATE i This fax was received by GFI FAXmaker fax server. For more information, visit: http:/twww.gfi.com l j J �E G h +® St. Lucie County Building S Zoning � ORI i ��' BUILDING PERMIT SUB -CONTRACTOR SUMDIARY (Co ,G �`4l� s will be using the following sub -contractors for the pany/Individ'ual Name proj ct located at \ (Street address or P operty, Tax ID #) It is nderstood that if there is any change of status regarding the participation of any of the sub -contractors liste 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 un bing 2.11.11 bl- VAC/ Mechanical klS.l 1a3�3 ° Ong cam. b�45 S� i Gas I it OFFI I I "E USE ONLY: PE IT ISSUE DATE: NUM ER: _7 ST. LUCIE COUNTY DEP"TmcNT OF communry DEVELOPMENT . BUUMING PERb= SUB.COMRAC'TTOR ALGREEWMT St. Lucie Con=mr Cenifuaion Number: O z i Stme of Certification Number ro opmebw): i �1►LW `C�.GTRtCArL Ce��TRT 11�1G has agreed to be for the nmw) CtR1CAL subcontractor for KO49mrs Oy" of OWMM"M ft") loam. of Us. prim. oormaCM4 9V I located at7 d It is understood that, a amwn► mr If there is any change of status regarding our participation with the above mentioned project. 1 I immediately advise the Community Development Department (Growth Managemr'ntDivision) of St. Lucie County by personally filing a Change of Contractor Form (BLOOM FORM NO. OM OM. QUALIFIER torgsrrai dp WUM r.grri 8* �f AV--MV;t o146L.MA 4 prim name PWW6 1 1• M DME dZe ---�T. LUCIE 'COUNTY PURL, WORKS BUILDING & ZONING DEPARTMENT �P BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): _CF C (Company Name) have agreed to be the sub -contractor for \W 9mmc_ DYp (Type of T` de) _ (Primary Contractor) for the project located at (Project Street Tax ID n) 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 REOL'IRED SIGNATU? Business Name: Address: PRINT NAME DATE City/State/Zip: \I�11��Cn )pan-\ 4 �L l sI 2D Phone: J�p� - `�j'L ?� j 10 email: _Y c\m l 4\LPmh\f M OFFICE USE ONLY: PERMIT # - ISSUE DATE 01/04/ 005 19:52 772-4G(----'-J05 KOLTER HOMES ....r •�..r��..�wi ice. ur J0141GC O PAGE 02 ST, LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMYT StM-CONTRACTOR AGREEMENT Lucie County Contractor GertificaGon Number ofFicnide Certification Number (aappowbie); FR k-�tk'se;- (Comimnyrindividual Rams) 10-66S CACo 4IIq�j has agreed to be e N 0 01 C sub -contractor for 6fAW.s MIM of oonswetion mode) (name at the prime eontrautor) r the project located at . It is understood that, (Qlreet address or propirty W 10 9) there. its any change of status regarding our participation with the above mentioned I will immediately advise the Building and Zoning Department of St. Lucia County perso sally filing a Change of Contractor Orn1 (3L6",'CDV FORM NO.004.00). I NE•5S ALIFIER (original oignaturso required): aj t re Print name pete N ISAIR AIR GVNumoNING ress: ,statfa.zlp: one: FF10E:'i1SWONLY: �'t:llMrr n SLCCDV -0d A-26- II000 8: 18AM P_ 1 I PUBLIC P�BUILDING & Z N NG D A IVC-NIE WORKS BUILDING PERMIT C SUB -CONTRACTOR AGREEMEW t_ Lucie County Contractor Certficatlon�Number. tate at ":)naa Certification Number (itappiLt2hia): CCCO29554 .r. it +hMw+wwwwwwwsw a�rwh+wwwr.ar.��.ar�M++.wr+i�...»�►�n..rwr+.www• I agreed to be (co"mnylndividual name) sub -contractor for K6LTv-1R . �( tjy!,5 (P me of gonstruction trade)` (ndtrm it thG•prIme cmrftrnoQrj i fc r the project located at ( _ It is undersiood that, (street addte= or pmpehy tax. ID � if there i any change of status regarding our participation, with the above nef ioned Pi ect, I will immediately advise the Building ands Zoning Department of St. Lucie I `ounty b)! personally filing a Change of Contractor I , F rM (SU:.CDv 1-ORM NO. 004-00)_ �»rw�wrww«wrwrµ�yrr r►w���+wwa�w...��..�.w - . RI IS11NEUS QUALIFIER (oriyin,u sign ures rewired): I � Arthur Frank Print r►arm 'Date bu iness name, Re Iut e I c add5: 1832 Wabasso D S ' city state,zi a: W_gst_Pa7m B a h. Gh e: - T �I 4tfi ICE tJi;E ONLY: PERMR! ISSUE GATE SLCCDV i tIRM N<. Od2 J0