HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT_ d
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
• 2300 Virginia Ave
min
Fort Pierce, FL 34982
BUILDING PERMIT SCANNED
SUB -CONTRACTOR SUMMARY BY
/ St. Lucie County
—D/,i!9 IS will be using the following sub -contractors for the
(Company/Individual Name`) ` //� _
project located at SS / �JD[/TI L��� .O // —
(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
Electrical
c /
CG/3oo /Z 7,5-
cI
Plumbing
40 6
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`�ACfGAl6
Iy�
OL7�J
HVAC/
Mechanical
Roofing
Gas
OFFI bkt,§E�ONLI'
PERMIT SUE DATE:
NUMBER:
05/2412018 08230M
e mr, eew ,—.
P
PeRMITi1
COUNTY
F it P. 1 u A
the
ISUM DATE
PLANNING & DEVELOPMENT SERVICES
Building 8c Code Compliance Division
BUELDI NG PERMIT
SU&CONTRACTOR AGREEMENT
P,4-lak zze e y-;e-/ L
For the project located at
Sub -contractor for
SCANNED
BY
Si. Lucia C01,10Y
have agreed to be
It is understood tbat, if there is Any cbaage of statue regarding cur participation with the above mantioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pumuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR OWNATURE(Qu■lmm)
P NAME
�9y�5
COUNTYCBIYrnl— CA'rIU1NKHEER
Steve orPlodd■. Connq ef_��? lLl/ �t
T.hre fe*tgdlu6ln.reum�eatw■■■tp�Betoremet116Z yd■yet
T-+�ZVL.Laer
Pdntri a limewrypublic
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Fe"OF PROF
STAMP
SHERRI FEHLMAN '
Commission # GG 187160
Expires March 14, 2022
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1'pY PU9�� SHERRI FEHLMAN
Commission#GG18i160
Expires Mardi 14, 2022
FOR F�OQ ', BWedTW&49df�"*'
the
PERMIT # ISSUE DATE
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie Count]
have agreed to be
Sub -contractor for L Q L/,nL
(Primary Contractor)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
z2aZ22 �,_z
/1
CON CTO SIG ATURE(Qualiae
Or
PRINT NAME
_ '9� 9.4155
COUNTY CERTIFICATION NUMBER
Stale of Florida, County of�
The foregoing instrument was sillpjed before me this ky'day of
zo nyKOGt'�— -A I'
STAMP
Print Name of Notary Public
01 PUB SHERRI FEHLMAN
Revised ll/16/2016.•"'�t4, Comm1ssion#GG187160
x Expires March 14, 2022
dRF�®PO auMedTvuBW9A�1'e
SUB -CONTRACTOR (Qualifier)
40 ,�'�r�. " i J
PRINT NAME
aZ 9�ss
COUNTY CERTIFICATION NUMBER
State of Florida, County o1 -4e__L
The foregoing instrument was signed before me thisy of 1
C'E 4 na,2019by �6rL� ,) �4�%U
who is personally known (_,do' has produced a
Print Name of Notary Public
=otits<;Poe�,� SHERRI FEHLMAN
* Gommisslon#GG187160
r c Expires March 14, 2022
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STAMP