HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSST. Luou COUNTY PUBLIC WORKS
BUILDING & ZONING DEP.A.RI'TVHNT SCANNED
oa BY
fM1E_ St Lucie County
St. Lucie County Contractor Cet0cationNumber: .o�a� � mcxrmcnc�
State of Florida CertifieationNumber (Itappticable): * rT O
agreed to be the
eIeCtrIC. sub -contractor for CQy,
(Type of Trade) (Primary Contrac or) /�
for the project located at 9 4a1 I ,J(tnelfr i-N- l..-t re If.
(Project Street Address orPropertyTax 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)
SI AGN TURF
Business Naroe:
Address:
City/StatcrLip:
Phone:
(Name of the Individual shown on ilia Contractor's License)
DATE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
- — -St. Lucie County
St. Lucie County Contractor Certification Number: yl ,
State of Florida Certification Number (If applicable): G F G I G ) 1
have agreed to be the
i..l M b' n q sub -contractor for
(Type of Trade)' (Primary Contractor)
for the project located at
(Project Street Address or Property Tax ID R)
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
C � ry �z�l t7 1.yv
SIGNATURKPRINT NAME DATE
Business Name: ;�41��19vGf\� ��IIYY71�iY1
Address:
City/State/Zip:
Phone:
email:
witv
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING &ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County ContractorCerlificatiouNumber: /-1 fl� li� �j SCANNED
State of Florida Certification Number (If appfieabte): l A C O Z St. LUeBe OUlltj(
n
�(� fff j A' C t "r C V1 . , J (AC . have agreed to be the
(AACompany Name/Individual Name) I
n
_ai
sub-contractor for %i 1 IF j
(Type of Trade) J (Primary Contractor)
for the project located at 9,4 2- 1 W t nd.r A C I rel 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
NA RE
Business Name:
Address:
City/State/Zip:
Phone:
TNT NAME DA E
OFFICE USE ONLY:
PERMITIA ISSUE DATE
070 1 -D35C�
ozMCIJ t
cam
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: PS L 9103,
State of Florida Certification Number (If applicable): CCCO56359
WATERPROOFING SYSTEMS /BERNABEIPENA
(Company Name/Individual Name)
have agreed to be the
rocAn q sub -contractor for CQy%14r)",o
(Type o rade) (Primary C ntractor)
for the project located at 94-2-7 W I r% d it+ ` I Irc Q
(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)
A S A RES A E REQUIRED
�BERNABEIPENA
A SIG TURE PRINT NAME
Business Name:
Address:
WATERPROOFING SYSTEMS
8356 SW 8TH STREET
SCANNED
BY
St. Lucie County
//�/�
DATE
City/State/Zip: MIAMI, FLORIDA 33144
Phone: 786-388-0888 email: bpenajr@7863880888.com
OFFICE USE ONLY:
PERMIT # ISSUE DATE
F_
6�oI - 035 a