HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENT-SUMMARY-- - PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
• Building and Code Regulations Division
6CANNE®
By
BUILDING PERMIT i' ovie COlInty
l SUB -CONTRACTOR SUMMARY
G 1 � will be using the following sub -contractors for the
(Company/Individual Name)
project located at
S
(Street address or Pioperty Tax ID #0
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
aN�r�
J S
Plumbing
oh7`
HVAC/
Mechanical
Roofing
Gas
PERMIT
ISSUE DATE:
NUMBER:
Revised 07/29/2014
PER
MIT#
COUNTY
r L O R I D A
St Lucie County Contractor Certification
State of Florida Certification Number
(Type of Trade)
For the project located at IT
It is understood that, if there is any change
project, I will immediately advise the Built
Change of Sub -contractor notice. (Form: st
�v7vg%�ai�a�i fir;.;tiifl��C..��'' (NenlE Ot tl
NOTARIZED SIGNATURES ARE REQUI
Business Name:
—[
Address:
City/Statelzip:
�
Phone:
�r%2
SIGNATURE
STATE OF FLORIDA, COUNTY OF
TM FOREGOING INSTRUMENT WAS
BY W 1
PRODUCED
/ l I ISSUE DATE
& DEVELOPMENT SERVICES 'Pee,
g & Code Compliance Division SCH ell.
BY C s
CONTRACTORAGREEMENT St. Lucie Countv � ?pis
t l l t tCh Y►1 aA ;j s have agreed to be the
Sub -contractor for�,�L� �pt}rtt�9
(Primary Contractor)
or Property
f status regarding our participation with the above mentioned
is and Zoning Department of St_ Lucie County by Cling a
'.ZDV (No. 004-oo)
Individual shown on the Contractor's License)
C __/_det C_
vJS
9
email: G`f'ICO� �I S7 /fie%
7/a4 /!s-
DATE
BEFORE ME TFISDAY OF M LY .20155.
WHO IS PERSONALLY KNOWN OR HAS
IDENTIFICATION.
SIGNATURE OF NOTARY FUfIJJC PRINT NAME OF
SLCPDS: 08/06=14
----------------------
GALL KAVANAGH
MY COWASSIGN 8 FF080796
D�IRFS: F�6nwy28, 2018
PERMITrF �/*,a •� q / ISSUE PATE
S .. �. -' PLANNINI g Code Cmp1 a e DivisionSERVICSt.Luce o �nr
. c"IN
BUILDING PERMIT C�
SU CONTRACTOR AGREEMENT qGC o
St Lucie Couuty Contractor Certification Number.. s?0,
State of Florida Certification Number (xfappumbte):.
' ""' 'L."'-"`-"have agreed to be the
(Company am Andividual Name)
t ( M Sub -contractor for ! CO L t
(Type of Trade) " (Primary Contractor)
For the project located at
It Is understood that, if there is any
project, I will immediately advise the
Change of Sub -contractor notice. (Form:
QUALIFIER (Name
NOTARIZED SIGNA
Business Name -
Address: . / i Z
2701
or rropeny rax W o)
status regarding our participation with the above mentioned
and Zoning Department of St. Lucie County by filing a
:CDV (No. 004-00)
t Individual shown on the Contractor's License)
ED
hn7,Ilk /l C
t / L.4�_
Z V 5 rs-
COUNTY OF - `✓T I L.
THE FOREGOING INSTRUMENT WAS
BY
PRODUCED
SIGNATURE OF NOTARY Punmue
SLCPDS: 08106f2014
1
email: / 46 V,00)wlt9Y-oz
v,4 �4 tie D5?�E "6. ,3
dE BATE
BEFORE ME TRIS S DAY OF RU G u Z T— _, 20 / S
WHO IS PERSONALLY KNOWN _ORHAS
AS IDENTIFICATION.
' P'} ! L A V AL� Rrl-j+ (STAMP)
NAME OF NOTARY PUBLIC
a:;rv:
: Fchnury