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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY - AGREEMENTSt. _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 (Company/Individual Name) project located.at'. .34 t 1-0.7. .0, .(Street address orPropertyTax-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. St, Lucie.County/ Trade Name of Company/Contractor ..-State o ' f Florida License Number Electrica- cc.() it,)Tj __60 -3r -72 tQ Plumbing C I1VAC/. - IS 6;6 1 Mechanical - C,6 Roofing. -As, 2 P. 1 (2) r. . . . .. . . c Gas )FFICEUSE ONLY - PERMIT ISSUE DATE: NUMIRER:.- j ST. LUCIE COUNTY PUBLIC WORKS �1 BUILDING & ZONING DEPARTMENT 4, BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 5C cool -307,9, State of Florida Certification Number (If applicable): MV �� C) /ZICR' j COIITjZACI_(I J6, AC have agreed to be the (Company Name/Individual Name) C1-6C7-P2 fCl% i sub -contractor for Walter Saitta (Owner) (Type of Trade) (Primary Contractor) for the project located at 3414-501-1107-050-0 (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) _512 3 05- DATE ^ / /� '% 1AP .Ifv 1. Address: City/State/Zip: Phone: OFFICE USE ONLY: PERMIT # ISSUE DATE �'--•, ST. LUCIE COUNTY PUBLIC W4jRKS BUILDING & ZONING DEPARTMENT ` BUILDING PERmrr 5i1B-+CO1V'r UCTOR AGREEMENT j St. Lucie County Contractor Certification Number: � � U 7 7 State of Florida Certification Number (if appiia ble).. ��' pa 555 3 I -J-n C have agreed to be the (Company Name/Individual Name. P ) r,-> b n sub -contractor for Walter Saitta (Owner) (Type of T. e) (Primary Contractor) for the project located at 3414-501-1107--050-0 (Project Street Address or Pin . perty Tax ID #) It is understood that, if there is any change of status regarding our participation urith the I � j above mentioned project, I will immediately advise the Building and Zoning Department of St. LuCie County by personally filing a Change of Contractor notice. (I:orm: S>rccnv j No. 004-00) BUSINESS QUALIFIER (Name of the .individual shawm an the Cotfactor's License) PRINT NA14ffi IAA Business Naxnc: �uG Ke e �I Jmb , 1 nC Address: 3 iv i��c. ne S YGZ u) City/State/Zip: Ll rr\ 2eoh F-L Phone: email: OFFICE USE ONT .V ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St Lucie County Contractor Certification Number:. t'o�Co__15 I.qq State of Florida Certification Number (if applimble): q k 01-5Al2 have agreed to be the (Company Name/Individual Name) 1Aq Pvc- sub -contractor for Walter Saitta (Owner) (Type of Trade) (Primary Contractor) for the project located at 3414-501-1107-050-0 (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) SIGNA PRINT NAME DATE Nam B esesr Name: (S-Ph k- Al (LCQ KJO I I 1 SN-3 NOLA Address: J)Za Ag_-�_ City/State/Zip: Phone: -L'8-3-00't04 email: OFFICE USE ONLY: ST. LUCIE COUNTY PUBLIC WORKS t BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): CCGA3-I51 :S, �•1 �w n�� �h c S.ys �: "have agreed to be the. (Company, N e/Individual Name) Lsub-contractor for Walter Saitta-(Owner) (Type o •ade) (Primary Contractor) for the project located at 3414-501=1107-050-0 (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) O GNATURES ARE REQUIRED - S ATURE T PRINT NAME DATE . Business Name: . Y`) )1A% r► . . iAddress: %N z 6 V% 1b. r.. . City/State/Zip: V-Cwr e Phone: 4 &(r401 email: � 1AT.G1�al��.i �1Gt:•Co►tn� OFFICE USE ONLY: PERMIT # ISSUE DATE I