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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTr . i , _ PLA' ING & DEVELOPMENT SER!'. _ DES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St Lucie County Contractor Certification Number: State of Florida Certification Nmnber (ifappitcabfe): t�_ (, 13 00 Rtctl1, �D SCANNED Jut 0110,5 BY St. Lucie Countv have agreed to be the li �u%l ric0i sub -contractor for Mco 4 Aj k r1ol A (Type of Trade) (Prhnary Contractor) for the project located at or Prope 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 filing a Change of Sub -contractor notice. (Foam: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name ofthe Individual shown on the Contractor's License) NOTARIZED SIGNATURES //ARE REQUIRED Business Name: J z. Uf kt P_I Q/TV //�� -C ali l �vf111 � (. Tn t, Address: City/State/Zip: email: ;tkP2G , CoM *fqNATURlr f PRINTNAME I DATE &eoATE O LQ 1 a COUNTY OF ICDC Lf� 4al L e THE F\\OREGOIN/G INSTRUMENT WAS SIG `NE� RR,0RE ME THI� DAY OF c1 Cl kl�pp AA 20J� BY CIQIWIPS l5 �Q )A WHO�IiS�{tiQVOWN_ORHASPRODUCED (7Ti © L W mo s Ni Qom, cousl" 11111111t1 OFFICE USE ONLY: OF (STAMP) PERMR � ISSUE DATE � 50'�-0555 If ,�)GHNNED BUILDING PERMIT BY (�SUB-CONTRACTOR SUMMARY �1I LideCounty MfOZA4. Uu11I'10&f\ will be using the following sub -contractors for the (Company Individual Name) project located at O W S 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 I - lS l RCQI pp ll130035ZD Plumbing l7 HVAC/ Mechanical Roofing { N Gas t SL,c �5oq- 0,S5s PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Il Building and Code Regulations Division FC Fib ✓6 01Zof Revised 0702014