HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY AND AGREEMENTSSt. Lucie County
Building & Zoning
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
QC-4 �Aj '
L C�0/1 C V C L C, VW_/ will be using the following sub -contractors for the
(Co i pany/Individu 1 Name)
project located at
(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.
i
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical�(,�
Plumbing
I
'
HVAC/
Mechanical
�
a )V "4 1 64441 � i bh i
Roofing
(� h 6� L
I
Gas
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i
)FFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
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Energized Electric
1562 Village Green Dr, Suite I
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
�ORIn BUILDING PERMIT
SUE -CONTRACTOR AGREEMENT�������
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable): 0q-1
iZe� G cc*"" r Ca Zmcs, have agreed to be the
(Comp ny Name/Individual Name)
—A P.CA)6 C, sub -contractor for C,L t_. C ns-�Y kcdi Ulm
(Type of Trade) (Primary Contractor)
for the project located at 31co`
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
i
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
�CT�1 ► q1
SfGNATLAE
PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
i
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
ORI�P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: �U�� a2z ��
State of Florida Certification Number If applicable): %� E 11667163
��®�
( PPhcable): /C.,/—
oik1 r on 7Rtan htL-n have agreed to be the
(Company Name/Individual Nam )
PUM bLhq sub -contractor for �� �� bns f wafC l on
(Type of de) (Primary Contractor)
for the project located at 3W ST, Lice e. 2 (o�
i
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
I
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 SIGN
SIGNATURE
Business Name:
Address:
City/State/Zip:
Phone:
PRINT NAME IYATE
St-.
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= 77o?- 4 & -377d_ email:
OFFTCF, TTCF. ONT.V-
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
�OR1�P'
BUILDING PERivIIT
SUB -CONTRACTOR AGREEMENT
q
St. Lucie County Contractor Certification Number:
i State of Florida Certification Number (I£ applicable): L-k &0 5 (o 8 9 (o
Vq (_,'to� j �} 2cL% ,1-ftc have agreed to be the
(Company Name/Individual Name)
tA 1A L sub -contractor for Ci_< C_01\S\ CtiC�ar_,
(Type of Trade) (Primary Contractor)
for the project located at 3 \0 0 S� . �. C'x-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)
I
ORIGINAL SIGNATURES ARE PEQUIRED
W. 9,A
i SIGNATURE
JAJk (,t Wl
PRINT NAME DATE
Business Name: Ae_)-�ovx
j Address: Ala K 5 C 111116.ae Crrzc&--l" dC
City/State/Zip: hE At f cf P_ p_
Phone: '�, - 33-2- (d2LJa email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE
` ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
�OR10P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
�Z_1c 4�, f'c,C�i 01,7
(Company Name/Individual Name)
®��
have agreed to be the
/ � 1
f -0 V {-� sub -contractor for Gr'C_ lL , 0 ��C6, 6 ) V_
(Type of Trade) (Primary Contractor)
for the project located at a z- I/ < < T 6 (
(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 REOUIRED
I /
SIGJ$AT / PRINT NAME DAT
Business Name:
Address:
City/State/Zip: S Z
Phone: ���� ` �R o � email:
0FF1(-F TTCF. nNT.V-