HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSOWNED
BY
PL 4)-ftELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUn-CONTRACTOR AGREEMENT
St Lucie County Contractor Certification Numbcr: 471,30 ""3
State of Florida Certification Number (wapptimbte): 6F e / 3 00 Z E U
���eGG�r1G� SEY✓IC2J�— have agreed to be the
(Company Name/Individual Name
E1.00&(1UC1WIJ _sub-contractorfor JMC C14-R11C'j"10Ct fff,
(Type of Thule) (Primary Contractor)
for the project located at 12�� J CW-r Loye 1 f �= .
(Project Street Address or Property Tax ID 4)
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)
BUSINESSQUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL
WZt bz`-y / T onderwao'A-
PRINT NAME DATE
Business Name:
Address:
City/StatelZip:
Phone:
OFFICE USE ONLY -
PERMIT Y ISSUE nATE
ZO/ZO 39Vd 9NI10C81N00 OWr L86068ZZLL ZZ:EZ CIOZ/90/EO
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
5UB:CONTRACTOR AGREEMENT
SL Lucie County Contractor Certification Number: 267
State of FloridaCer[ificmionNumber(Irappliceble): A4F) 5-1 (0 2_2
SS O C t J3lrFt(2 dG' �•.tQ�} Sl l JCt C . have agreed to be the
(CompanyNameQudividualName) 1e
/ T/0! h ub-contractor for d
(Type ofTrade) (Primary Contractor)
for the project located at I 449 �[�iC�hiC)O _e � .Y('r
(Projec_t``SStreet Address or Property Tax 1 #)
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 QUALOUR (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
sr✓ttc 1,t�4 A,- dC zk $
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
USE ONLY:
SCABN1NED
St. Lucie CoM
Uylt
Z0/Z0 39Cd 9NIi0VH1N00 CWr L8606OZZLL 91:EZ ESOZ/90/E0
SCANNED
�iING & DEVELOPMENT
Building & Code Compliance Division StlucieCountv
L�ri�4.A1 V 1,
S4 Lucie County Contractor Certification Number: to Li s cl
State of Florida Certification Number (Irappliaeble): CS(o 73 7 2
n !JE arl�rnkliru� �anKi� �� rut{Sitn have agreed to be the
(Company7Namellndivid �amc)
T� Ana sub -contractor for l;�1 141�Ti w G1
(Type of Tmde) (Primary Contcattor)
for the project located at I-W Al e w nJ�_oli eV-e-
RrcleetEtreet,4ddress ori+eeperty-Taa-I&Vt
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 bypersonaliy filing a Change of Contractor notice. (Form; SLCCDV
No. 004-00)
BUSYNESS QUALIFIER (Nama of the Individual Shown on the Contractor's License)
ORIGINAL SIGNATURES AIM REQUIRED
/ Ley) rl.l 4 n 3 -z 3
MGM= PRINTNAME DATE
BusineasName: Ae-"Sbn eJZp's. L 'ALLrnlot!2,
Address: 1 *,L0. tUf I
CitylStatelLip: .�erNsa.Y1 Qeo.2h t F1., 34ga
Phone: �''I'l2� 22$—(n(n0�gE; �(�jyr1 �IjyL, +��Sat.t.�{•i -N-
OMCE USE ONLY:
PERMITS ISSUE DATE
LSGa. --:Evd .9NS.=aLWM-CKC rSSOESbZLL fiS:a -Ej2Zj30./Ea
1�
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
` SCANNED
BUILDING PERMrf �Y
SUB-CONTRACTOn AGREEMENT St. Lucie Coullr
St. Lucia County Contractor Certification Number.
Side of Florida CertificationNumber (if applirau.): � C C — 0 �`fLi Y
ao,,A , x—. _ have agreed to be the
(Company Name/Individual e)
moo Fe V- sub -contractor for
(TYpc of'frade) (Primary Contractor)
for the project located at �M (/ deAra /t i2f.
(ProjecT street Address or Propeny Tax ID NID N
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, twill 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)
OiATURE
IN SIG TURFS ARE REQUIRED
�L, k', l•-f�R��� 3lil �l3
— PRINT NAhE DATE
Business Name:
Address:
Cityisrata2ip:
Phone: emat7:
OFFICE USE ONLY:
PERMITk ISSUE DATE
Z0/Z0 39vd 91,1I10MUNIM 0Wr
L860EBZZLL
tt:EZ EtOZ/90/E0
project located at
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE COMPLIANCE DIVISION
,SNFE)
BY
Q, �lj�� �'2Ji9va1 UILDING PERMIT
SUB-t &TRACTOR SUMMARY
will be using the following sub -contractors for the
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
Electrical
F�Z G T
Z310 3
-11
Er-13 oozaa)
Plumbing
sew 9J. /OW/fnIA16
z4 65-4
_�F 1100:7 7Z-
ITVAC/
Mechanical
_
7 Z2i
Roofing
�dol NG
c�-a2� it
Gas
OFFICE USE UNL
PEPUM
`z
IO��S
ISSUE DATE:
NUMBER:
1JCS�
0
PLANNING & DEVELOPMENT SERVICES
i Building & Code Compliance Division
� BUILDING PERMIT SCANNEDBY
SUB -CONTRACTOR AGREEMENT St. Lucie CUUf1Qy
St. Lucie. County Contractor Certification Number: 0 Q2 %S� C 0
State of Florida Certification Number (if applicablo):
%24e �eryl C2S I NC • have agreed to be the
(Company Name/Individual Name)
sub -contractor for t �Tl h
Crypt of (Primary Contractor)
for the project located at 18 $ I fit pVk }T-P Y me .
(Proje�n Street Address or Property Tax ID k) H�e
It is understood that, if there is ally change of status regarding our participation with the
above mentioned project Lwill 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`SYGNARE RI;QUII2ED
M1Clt-t�,�CEa�� �C-L��prJ 3 Y I'�
SIGNATURE u PRINT NAME DATE
Busincss Name:
Address;
City/State/Zip:
Phone:
OFFICE USE ONLY:
PERMIT# ISSUE DATE
I . C"
Z0/Z0 39vd 9NI10VN1NO0 OW L8606OZZLL OZ:EZ EIOZ/90/EO
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT
CHANGE OF SUB -CONTRACTOR AGREEMENT
I, 1 bg lL- )) hPC Y�m nod , am requesting a change of
Main QualMer Name //�
sub -contractor from d , .c J �,c I n 9on A, YLJz ,to the new contractor listed below.
Existing Sub -Contractor Ome
New Sub Contractor Information:
St. Lucie County Contractor Certification Number:
StateoofFlorida Certification Number (If applicable):
An1 klc . I , have agreed to be the
(Company Name/Individual Name)
f/I/A CZ� Sub-contractorfor
(Type of Trade) (Primary Contracto
SCANNt:U
BY
Sf. Lucie County
for the project located at / `tl b ( & - f) r. ,I-7 ( Q! . ti `. � /
(Project Street Address or Property Tax ID #)
P1>-Xm/- # /303— GlyJ—
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
CCfrJ