HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSST. LUCIt CQU,TY' PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUrLDING PERMIT
SUB -CONTRACTOR AGREEMENT
i St. Lucie County Contractor Certification Number.
State of Florida Certification Number (Inapplicable):
(company/individual
eC
has agreed to be
the Ehemr l r r� sub -contractor for Noc, e4-�US',
(type of construction trade) (name of the prime contraclor)
for the project located at t 4 F—Tk,lt is understood that,
(street ad ress or property tax ID)
i if there is any change of status regarding our participation with the abov.: , mentioned
project, I will immediately advise the Building and Zoning Department of St. L.ucie County
by personally filing a Change of Contractor
Form (SLCCDV FORM NO.004-00).
i
BUSINESS QUALIFIER (original signatures required):
Z.-A q-. JL' � //t=iy/4 . 7 y a
signature Print name Date
business name:
1 address: S Z( N \'Y Ea per.'SIC
city,state,zip: w '� f:F— `?`49X
phone:z�
SLCCDV FORM NO.: 002-00
PFRIVIrr # I i ISSUE DATE
a' ,' �
ST. LUgIE.,COuNw
DEPARTMENT OF CONUAUNM DEVELOPMENT
„W-p.! „ice
•�~ IPERMIT
,vita SUB-CONTRACrOR. EEE
1
St. Lucie Co q urity Contractor Certification Number: ���3 /
State of Florida Cetification Number (K apphoab •): O a, :z 0 `7
the IL.
(COmP&rwfmdMduat n.m.)
(trPa or oorlal nfion ttada)
for the project located at
has agreed to be
sub -contractor for AoZToRZ Cot4Sr
(nun» or the prima oowwtor)
( or . tt is understood that,
Property tans to f)
if there is any change of status regarding our participation with the above mentioned
Project, I will immediately advise the Community Development Department (Growth
Management Division) of St. Lucie County by personally filing a Change of Contractor
Form (SLCCDV FORM NO. W4-00).
BUSIN
i J�pRY PVB David F. Latif
Notary public, State of Florida
QUALIFIER (original alonahraa >, o Commission No. CC 67I295
� � ,!> 9�OF FLOQ� My Cbmlhissiolr )?xp. 09/03/2001
/fd � 1=860�Ii1dY'A#l;. t'ri�34fsraaraa�deos=a, .. _
signature
kepimem cow
prirttt name
=SUE,xTE
- 3-0/
date
.... .. ......
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
t
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Lucie County Contractor Certification Number.
of Florida Certification Number (if applicable): CCC056933
Authoritv. Inc.
(company/individual name)
has agreed to be
roofing sub -contractor for Proctor Construction, Inc.
(type of construction trade) (name of the prime contractor)
the project located at 4330 North AlA„ . It is understood that,
(street address or property tax ID #)
i
if there is any change of status regarding our participation with the above mentioned
I
project, I will immediately advise the Building and Zoning Department of St. Lucie County
by personally filing a Change of Contractor
Form (SLCCDV FORM NO. 004-00).
MNM�M�MM
BUSINESS QUALIFIER (original signatures required):
Chr'stonher A -..-:Lon
4sit , re Print name Date
business name: The Roof Authority, Inc.
address: 6771 N. Old Dixie Highway
city,state,zip: Fort Pierce, Florida 34946
phone: (561) 468-7870
0F,
PERMIT # I I ISSUE DATE
SLCCDV FORM NO.: 002-00
0706/01 10:18 FAX 561 234 8188 Q001
ST. LUCrE COUNTY PUBLIC WORKS
0.
BUILDING & Z NING DEPARTME�rT
-
BUILDING PEPJVUT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contnactor Certification Number
State of Florida Certification Number (if applicable):
the
has agreed to be
I I �. I—
sub -contractor for
(type of conatruction trade) Vctvo_et 1W 14a3 - 1XD -0005' (name of the prime contract, of)
for the project located at JaLb�inv)n T,51and.. It is understood that,
(street address or property tax ID 0)
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
Form (SL'CCDV.,FOR.M NO. 004-00).
BUSI!NMQUALIFI . ER (criainai signatures required):
eiVnature Print name Date
busIness name:. Gr Iyy) PC, r. gni'j ng- %L - A I r 00 V)J ;+1'0f) I Y)
addr�pis, -4 k
c1ty'statewip:
phone:
FFICE-FUSEIGNEY., SLCCOV FORM NO.: Of
PERMIT # ISSUE DATE
a
in
1.1:27 FAX 561 234 8188
10002
07/0i3/01
I
ST. L,UCIE CO UN TY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number. 1�„a 3 3 -_ - -®-
State of Florida Certification Number (if applicable): CF C0 5 7 8 9 3
y.,Frsaer,�naaaaars'a
dr$Prd6601MACM"MBMif�Ri1M'd' W t#aa�Ml�ttrd'RiN1t�a
has agreed to be
(company/individual name)
PLUMBING sub -contractor for PROCTOR CON,, STRUCTION
(type of construction trade) (name of the prime contradlor)
the project located at Al A N Hutchinson Island. It is understood (:hat,
(street address or property tax ID #)
if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. l..ucie County
by personally filing a Change of Contractor
Form (SLCCDV FORM NO.004-00).
htvyearoaoawtaaaataro►ewawpa*+i'+$iaa+++arteetrrrm+r* aarrw►naer.esa«rr
signatures required):
�. l� Carlton C.Blair S ' P 01..�
Print name pate
(business name: FLO-RITE, INC.
address: 3615 FISCAL CQ�TRT
city,state,zip: RIVIERA BEACH,-04 w
phone:
SLCCDV FORM NO.: 002-00
JUL. 20.2001
PROCTOR CONSTRUCTION
z
l
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEM ENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
,..................................t...........e.......
...................................................
%rj. as agreed o be th ,i��, sub -contractor for
Proctor Construction Co.
4
for the project located at4A38&orth A1AT Ft, Piers FL 34949. It is understood that, if there is any
(street addross or property tags ID #)
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 filirg a Changes of
I
Contractor
I
I
Form (SLCCDV FORM NO.004-00).
I BUSINESS QUALIFIER (original signature required):
Signature Print name Date
Business name:
Address:_
City, State, Zip: /-21J?)en
Phone: .% 3.3E :�tG ?
OFFICE USE ONLY:
SLCCDV FORM NO.: 00;-00
e
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
A)p ri0,-
i� M 'S
' W A t' BUILDING PERMIT
: i't $. ' SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
II State of Florida Certification Number (if applicable): r ^ U . S 9'A 2
........as agreed to be the � ..... J..........................................
sub -contractor for
i J
I
1Proctor Construction Co.
for the project located at 43&& North A1A: Ft. Pierce, FL 34949. It is understood that, if there is any
(street address or property Ux ID #)
change of status regarding our participation with the above -mentioned project; I will immediately
I
I
advise the Building and Zoning Department of St. Lucie County by personally filing a Change of
I
Contractor
I
I
Form (SLCCDV FORM NO. 004-00).
.........................................
I
I
BUSINESS QUALIFIER (original signature required):
i
j Signature Print name Date
Business name: c '�GzL• c�c%: :��1C`s-�=
Address:
City, State, Zip: FT, 0—L&I vcic°; /�3 e,199;4P,
Phone:
I
I
OIFFICE USE ONLY: SLCCDV FORM NO.: 002-00
IT
II Q t j# I �OZ03 6� ISSUE DATE
otg, r ',Odr)3oa. $�
ST. LUCIE COUNTY SUB -CONTRACTOR AGREEMENT
EXHIBIT F
ST. LUCIE( COUNTY PUBLIC WORKS
1�
BUILDING & ZONING DEPARTMENT.
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 1c 7(/L5`
if applicable): �C pp 6DD l7 0
State of Florida Certification Number (
.................................................................................................................
Walton Electric has agreed to be the Electric sub- ontractor for Proctor Construction Co.
(company/individual name) (type of �diisi n trade
for the project located at 4330 North A1A. It is understood that, if there is any change of status
(street address or property tax ID #)
regarding our participation with the above -mentioned project; I will immediately advise the Building
I "
and Zoning Department of St. Lucie County by personally filing a Change of Contractor.
Form (SLCCDV FORM NO. 004-00).
ESS QUALIFIER (original signature required):
Alan Walton
�� D d
Print name
Da e
isiness name: Walton Electric
idress: 1135 17th Street
ty, State, Zip: Vero Beach, FL 32960
lone: 561.569.1547
FFICE USE ONLY: SLCCDV FORM NO.: 002-00
+�PfRMIT # ISSUE DATE
' 'Q I an 0
of l D'70
�1070 3��
ST. LUCIE COUNTY SUB -CONTRACTOR AGREEMENT
EXHIBIT F
14
ST. LUCIE( COUNTY PUBLIC WORKS q
BUILDING & ZONING DEPARTMENT.
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
I
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
7.1.* L 5 --
Walton Electric has agreed to bteypther Electri n ubde�ontractor for Proctor Construction Co.
(company/individual name)
for the project located at 4330 North A1A. It is understood that, if there is any change of status
(street address or property tax ID #)
egarding 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.
Form (SLCCDV FORM NO.004-00).
.....................................................................................................................
BUSINESS QUALIFIER (original signature required):
G'V Alan Walton �� �r a
Signature Print name Da e
iness name: Walton Electric
ress: 1135 17th Street
, State, Zip: Vero Beach, FL 32960
ne: 561.569.1547
'ICE USE ONLY: SLCCDV FORM NO.: 002-00
1pP ,RMIT # ISSUE DATE
:�lo7o3g5
ST. LUCIE COUNTY SUB -CONTRACTOR AGREEMENT
EXHIBIT F
ST. LUCIE( COUNTY PUBLIC WORKS q
BUILDING & ZONING DEPARTMENT
I
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Jf"74 tJ`
.....................................................................................................................
Walton Electric has agreed to be the ElectnCC sub-3ontractor for Proctor Construction Co.
(company/individual name) (type of L3rTibn trade
fr the project located at 4330 North A1A. It is understood that, if there is any change of status
(street address or property tax ID #)
rI garding 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.
I
I
Form (SLCCDV FORM NO.004-00).
I
BUSINESS QUALIFIER (original signature required):
I
Alan Walton
Signature Print name Da e
BIusiness name: Walton Electric
Address: 1135 17th Street
City, State, Zip: Vero Beach, FL 32960
Phone: 561.569.1547
0FICE USE ONLY: SLCCDV FORM NO.: 002-00
V'/O"Pl
RMIT # ISSUE DATE
:o91D?o3g5
a 1670 3qq
ST LUCIE COUNTY SUB -CONTRACTOR AGREEMENT
EXHIBIT F
ST. LUCIE(,,COUNTY PUBLIC WORKS 4q'd
BUILDING & ZONING DEPARTMENT.
BUILDING PERMIT
SUB -CONTRACTOR ' AGREEMENT
ISt. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable): _C lleO 1�7el
I
I
.....................................................................................................................
Walton Electric has agreed to beypte of Electri stub rde�ontractor for Proctor Construction Co.
(company/individual name)
I
I
flor the project located at 4330 North A1A. It is understood that, if there is any change of status
I (street address or property tax ID #)
regarding our participation with the above -mentioned project; I will immediately advise the Building
I `
and Zoning Department of St. Lucie County by personally filing a Change of Contractor.
I
I
Form (SLCCDV FORM NO.004-00).
I
.......................................................
i
BUSINESS QUALIFIER (original signature required):
I
Alan Walton �� �4 a
Signature Print name Da e
Business name: Walton Electric
Address: 1135 17th Street
City, State, Zip: Vero Beach, FL 32960
Phone: 561.569.1547
iFFICE USE ONLY:
PRMIT # ISSUE DATE
SLCCDV FORM NO.: 002-00
aio7o 3qq
A-V.
P
ST. LUCIE COUNTY SUB -CONTRACTOR AGREEMENT
EXHIBIT F
q 1
ST. LUCI&COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
I '
lt. Lucie County Contractor Certification Number: 6f." 74-1- t5'
State of Florida Certification Number (if applicable): C �0) 126
6
I
.....................................................................................................................
Walton Electric has agreed to be the Electri sub-Qontractor for Proctor Construction Co.
(company/individual name) (type of n trade
for the project located at 4330 North Al A. It is understood that, if there is any change of status
(street address or property tax ID #)
regarding our participation with the above -mentioned project; I will immediately advise the Building
I
and Zoning Department of St. Lucie County by personally filing a Change of Contractor.
I
Form (SLCCDV FORM NO.004-00).
1
.....................................................................................................................
I
BUSINESS QUALIFIER (original signature required):
I
flxAlan Walton /// a
Signature Print name Da e
i
Business name: Walton Electric
Address: 1135 17th Street
Oity, State, Zip: Vero Beach, FL 32960
Phone: 561.569.1547
i
iFFICE USE ONLY: SLCCDV FORM NO.: 002-00
�ID7o3g5
ISSUE DATE
ST._ LUCIE COUNTY SUB -CONTRACTOR AGREEMENT
EXHIBIT F (�
., I
ST. LUCIE( COUNTY PUBLIC WORKS V
BUILDING & ZONING DEPARTMENT.
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
I
St. Lucie County Contractor Certification Number:
�
State of Florida Certification Number (if applicable): �C v/DD 126
I
..................................................................................................................
Walton Electric has agreed to be the ElectnC sub- ontractor for Proctor Construction Co.
(company/individual name) (type of �n trade -�ii� i�7P[Lbi�d�ibir
for the project located at 4330 North A1A. It is understood that, if there is any change of status
(street address or property tax ID #)
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.
I
I
I
Form (SLCCDV FORM NO. 004-00).
I
i
I
I
9USINESS QUALIFIER (original signature required):
I
Alan Walton
Sig —nature Print name Da e
Business name: Walton Electric
Address: 1135 17th Street
City, State, Zip: Vero Beach, FL 32960
Pone: 561.569.1547
i
USE ONLY:
FRMIT #
0Io7o30(
DA
SLCCDV FORM NO.: 002-00
ST. LUCIIr COUNTY SUB -CONTRACTOR AGREEMENT
EXHIBIT F
ST. LUCIE =COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
o
I
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
/�7,�tS''
rC 64D 0 D y
.....................................................................................................................
Walton Electric has agreed to be the Electric sub -contractor for Proctor Construction Co.
(company/individual name) (type of con ruc n trade a UL LIM prime con r o
for the project located at 4330 North A1A. It is understood that, if there is any change of status
(street address or property tax ID #)
I regarding our participation with the above -mentioned project; I will immediately advise the Building
and Zoning Department of St. Lucie Count b personally filing a Change of Contractor.
I 9 P Y YP Y 9 9
I
I
�Form (SLCCDV FORM NO. 004-00).
.....................................................................................................................
I
BUSINESS QUALIFIER (original signature required):
I
Alan Walton r a
Signature Print name Da e
Business name: Walton Electric
Address: 1135 17th Street
City, State, Zip: Vero Beach, FL 32960
Phone: 561.569.1547
I
OFFICE USE ONLY: SLCCDV FORM NO.: 002-00
PYRMIT# ISSUE DATE
jVl'
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUO-CONTRACTOR AGREEMENT
St, Lucie County Contractor Certiftstign Number;
7 L
State of Florida Certification Number (if applIcabie): 2—
. ��6e 60-1 kd01-_1Aff71 11V�
....................................... I.
.. ..i ............................ ......
has agreed to be the sub -contractor for
I. "It. 711ERM., rM727M.
for the project located at 433O North Al A$ Ft, PlerL.4, FL 34948. It is understood that, if there Is any
(street address (w pror4rty tax ID N)
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
F(Wm (SLCCDV FORM NO. 00.4-00).
!�5
.............................................
auss$ QUALIFIER (aftinall vlormwm requkadll'
Signature
Print name
Date
E �
1,L1 6'7
Business name.
Address;
re
'�55
......
7
City, State, Zip:
J=
Phone:
ST. LUCIE COUNTY PUBLIC 'WURKq
BUILDING & ZONING DEPARTIVI ENT
BtJILD NO PERMIT
SW: -CONTRACTOR AGREEMENT
St, Lucie County Contractor Certification Number; a
Strata of Florida Certification Number (Ir enpkobis):........................... ...... .... ...
h" $Qreed 10 be ttw _ �. r, c% �� eub�contractor rix
for the project located at 4330 NOR► Al A: Ft. Plante. FL 3484A, It is understood that, if there is any
(>il!'oct 8li M3 Or PrOpffly te.c Ip #)
change of status regarding our participation with the above-mentload project; I will immediate{ r
I
advise the Suildir)g and Zoning Department of St Lude County by personally filinj a Change ref
I
Contractor
I Form (SLCCDV FORM NO, 004-00).
................... ................................. ........................ ...........................
.....♦.,.......
I
Bus)!SS QUALAFIER (Or Wna swrtrtum "Irsd):
Spnature `' Print name pate
Businesserne: try �' L. A/ G/.rl C Ale -
Addmss: ��, Z.m G.f�
coy, state, Zip; r' c'
Phone:
OFFICL' USE ONLY: SLCCDV FORM NO.: 002-00
*1;VE CATS&
ST. LUCIE• COUNTY PUBLIC WORDS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SW -CONTRACTOR AGREEMENT
St. Lucie County Contractor Cerl fica' ion Number:
State of Florida Certification Number (N &Mllcabie):
�f c ;/ 2>y��v .....%�/C ....................
.. .... . has agreed to -be �ttme %„�'<'�sub-contracror for
for the project located at 4330 North A1A: Ft. Plea,*. FL 3494t?. It is understood that, if there is any
(Wort address or property tax ID #)
change of status regarding our participation with the above -mentioned project; I will immediately
advise the Building and Zoning Department of St Lucie County by personally filing a Change of
Contractor
Form (SLCCDV FORM NO.004-00),
BUSIN SS QUALIFIER (original signature required):
Signature Print name Date
Business name: C�G2 L .ram
Address.
City, State, Zip: V G
Phone: 77 — ` J 1? -;2
)FFICE USE ONLY. SLCCOV FORM NO.: 002-01
P RNT # I ISSUE DATE
00 — 1 &LOLOza'K L_
.• t
W
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
St. Lucie County Contractor Certification Number:
BUILDING PERMIT
SW -CONTRACTOR AGREEMENT
/ f _?')_�
State of Florida Certification Number (ifsppllcabie): ;'fi%r� _ _
u
. ... .. ha$ agreed to be the _ t %<. 1^ %_r sub -contractor 1br
Proctor Constructbn C9.
I
! for the project located at 4330 North Al A: Ft. PierL.:e. FL 34949, It is understood that, if there is arty
(stroet address or propeny tax ID M)
change of status regarding our participation with the above -mentioned project; I will immediately
I
advise the Building and Zoning Deportment of St Lucie County by personally filing a Change of
Contractor
I
I
Form (SLCCDV FORM NO.004-00).
I
........ ........... . ...........................................................................................
BUSIN SS QUALIFIER lariginst signature required):
Signature Print name Date
Business name:
Address:
City, State, Zip:
Phone:
IFFICE USE ONLY: SLCCDV FORM NO.: 002-(
P RWT M *SUE GATE
o0 r 1 &10-72aaW
i
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SW -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certificaition Number
State of Florida Certification Number (If applkable): _ — 42 e 6_/ %_ I f l r`"
�IZFIZ-e &11 2�)o�i�t/�.....I'16= ....................
.........................ha$ agreed to be the _ %rr'<."�f—/ter/_l subcontractor for
for the project located at 4330 North Al A' Ft. Pbr�& FL 34949. It is understood that, if there is any
(siroet address or property tax ID #)
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
Form (SLCCDV FORM NO.004-00).
Bus"Ss QUALIFIER (orfpinal vionaturo mquirad):
Signature / Print name Date
Business name: / CfG�'i2'L' � /� 1Ze' e" �1�
Address: ��
itlTc
City, State, Zip:
Phone:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SW -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certificaition Number
State of Florida Certification Number (If applkable): _ — 42 e 6_/ %_ I f l r`"
�IZFIZ-e &11 2�)o�i�t/�.....I'16= ....................
.........................ha$ agreed to be the _ %rr'<."�f—/ter/_l subcontractor for
for the project located at 4330 North Al A' Ft. Pbr�& FL 34949. It is understood that, if there is any
(siroet address or property tax ID #)
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
Form (SLCCDV FORM NO.004-00).
Bus"Ss QUALIFIER (orfpinal vionaturo mquirad):
Signature / Print name Date
Business name: / CfG�'i2'L' � /� 1Ze' e" �1�
Address: ��
itlTc
City, State, Zip:
Phone:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SW -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 1/ I �7'
State of Florida Certification Number (N applicabie): e
. .. ..has agreed to be me ... l„1?<� ( sub -contractor for
for the project located at 4330 Nth Al A: Ft. Pierce. FL 34949. It is understood that, If there is any
(awn eddms or pmr M tax Ira N)
change of status regarding our participation with the above -mentioned project; I will immediately
advise the Building and Zoning Deportment of St Lucie County by personally filing a Change of
I
Contractor
Form (SLCCDV FORM NO.004-00).
Bu31N SS Ct1ALIFIER (original signature required):
Signature Print name Date
eusinesa name: �G 2 Z �� /-/
Address: 7777D itl TC
CRY, state, zip: � ��-
z t 6 c
Phone: 6,4-;;� "
`ST. LUCIE Cowry PUALIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
«�-+H will be usin�1 the
(companylndividual name)
following sub -contractors for the project located at -� 0. W A\ A R
(street address of property tax lb 0)
I 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 anc Zoning
Department of St. Lucie County.
Trade
Name of Company/Contractor
it. Lucie Courityl
Stat! of Florida License
Number
R F - oy 56 ZS
EletlriCfl
,L ,w aLTo, ti :�t�r_- G-r V_;C_ , IVi C.
�_...
HVAC 4echanical
�cr��Mi�� "�i;L�T►Nt 11r ^rQ �.:�tJboirolv�nlC^
Rooruyt�4c�i~►NC���....-
.... ..........
8�
Gas
COV RORM NO.:0034?0
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
f'p�o�►o� CoNS►r��c ��� ���Afv �• will be using the
(companylndividual name)
(lowing sub -contractors for the project located at �310 W A,\ A hT �.Rcz: 1 3yG yc
(street address or property tax ID #)
is understood that if there is any change of status regarding the participation of any of
e sub -contractors listed below, I will immediately advise the Building and Zoning
apartment of St. Lucie County.
Trade
Plumbing
Roofing
Name of Company/Contractor
'&A,J.f t'\� Gti Atv �G4L i JWC
' iLVZO 3Y_AcvA R00V%VJ0
Nitta
�9,q4
St. Lucie County/
State of Florida License
Number
(i0c,Z
P,F- oo�Hz►
18 _76S
C - 0o0 130H
y26
Raoo I so-7I
1832�1
GG L 13ri 86
OFFICE USE ONLY: SLCCDV FORM NO,: 003-W
PERMIT NUMBER; ISSUE DATE:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
will be using the
(companylndividual name)
��7o3Q`i
following sub -contractors for the project located at �i 3 N Q11� rTQCE t? 3 yG,,
(street address or property tax ID �)
ItII is understood that if there is any change of status regarding the participation of any of
t A e 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 Ucerm
Number
f9
N,W
3�p��� iAF_GH AtV 1G4L J_WC
v I Oci Z
RF- oo3�z�I
�
*
]EC-- 000 I�
i
_,
4Li26
I`A001$0:11
i
RoofuV
\if_\'z0 31AC,%A 9'00V%P0
C-c- C Sri F6 .
f
( 89 -6ci
02�CU�
OFFICE USE ONLY: SLCCOV FORM NO.: 003-00
L;i4 ai
'p-
?UBLIC WORKS
3 DEPARTMENT
ERMIT
2 SUMMARY
0�7o3R`i
f"(>�UG iof� LOti`�►�2�C=t tG ti �JMPA hJ Y will be using the
(companylndividual name)
I'
following sub -contractors for the project located at 11b 10 W a1 A I-T % Yacz 101 3-4G i, g
(street address or property tax ID tt)
Itl is understood that if there is any change of status regarding the participation of any of
I -
ttie sub -contractors listed below, I will immediately advise the Building and Zoning
Department of 'St. Lucie County.
I
I
I
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida Uceme
Number
Piumbft
NtW
3i ��AT-CH At-J%C 4L i Jt-JC
R F - 00 5,3
i
I
C, - 000 1-7UH
I
yy26
70
Ra00 ► 8O-71
i
Rooft
\JE-%Q0
Gcc- wlg(o
i
f
U2�U�
I
OFFICE USE ONLY: SLCCOV FORM NO.: 003-00
PERMIT NUMBER:. ISSUE DATE:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
W�
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
a
�p�o�io�-oN5ir2� i ta►,; �c,t-��AN will be using the
(companylndividual name)
following sub -contractors for the project located at 310 ICJ Q\A IT RY-PCE
i (street address or property tax ID 0)
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
I
Pia�A2�
i�\s CttAt�1G4L �t.tG
�C- Opp I�
26
Raoo 180-7I
Rooms
VE\,Zo 'JTcAGH Rzoov-\NCB
"9\ av9
CC C r z3f1S'G
Nc
ts�3�
v2�U�
OFFICE USE ONLY: SLCCDV FORM NO.: 003-00
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
W`
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY �o7O3
a
I�P�vc--►off C0N5 ti 12%)i to r.; (_Q"'PA hJ Y will be using the
(companyfindividual name)
following sub -contractors for the project located at 'i 310 W Q\ A %r R ga.cE
(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.
Trade
Name of company/contractor
St. Lucie County/
State of Florida License
Number
J Pkmtft
j
3i. A.71F iiF_Gti At-J \GAL r IwC-
i 015t Z
000 I�U�
4.
4y26
1`A00 180:11
Roofing
",JE,QO ' IAGH R001r\NCQ)
A0 9
GGG UVIRG
GAS; Nc
1$93G
02707
i
,