HomeMy WebLinkAboutSUBCONBTRACTOR AGREEMENTS` ST. LUCIE COUNTY PUBLIC WORKS
s� BUILDING & ZONING DEPARTMENT
�OR10P
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
%t udeCotinty
St. Lucie County Contractor Certification Number: 10269
State of Florida Certification Number (if applicable): EC 0001346
Haldane Electric, Inc. have agreed to be the
(Company Name/Individual Name)
Electrical sub -contractor for LOVDCA_ �oo1aCD �opLS tale_
(Type of Trade) (Primary Contractor)
for the project located at a. —mg /l a 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)
GIVAL SIGNATUR ARE ItE UIRED
Thomas W. Haldane � y S GNAo6
TURE PRINT NAME DATE
Business Name: Haldane Electric, Inc
Address: 2130 S.W. Hayworth Ave.
City/State/Zip: Port St Lucie, FL 34953
Phone: 772-336-2233 email:
OFFICE USE ONLY:
ST. LUCIE COUNTY PU .. "C WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (if applicable):
�e-o i-f-19R
(company/individual name)
SCANNED
s I LucieCountv
I-' DD l�[v7`lD
.«.»«.«
has agreed to be
the Pi-0 I"1?o t > L. sub -contractor for /oy 7BvL .-.
(type of construction trade) ���� (name of the prime contractor)
for the project located at I Znt u 12i0�2 ��i1Zj f p It-D. It is understood that,
(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. Lucie County
by personally filing a Change of Contractor
Form (SLCCDV FORM NO.004-00).
BUSINESS A FIER(originalsignaturesrequired):
AZT V9014,)
signature Print name Date
business name: P&rr i "u c:�
address: tcA* V.4 * /
city,state,zip: Fp ar-Yf 1904E r� 3 4 SO 2—
phone: y) 2- y I- r Z7 9 J
OFFICE'USE'ONLY: SLCCDV FORM NO.: 002
PERMIT # ISSUE DATE
oa