HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTSt. Lucie County Building & Zoning
2300 Virginia Ave
<p Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY.
SCANNED
BY
St. Lucie Countv
MQd�� (art t?kAi K , l IVY 6-e pUU will be using the following sub -contractors for'the
(Company/Individual Name)
project located at
,w da cl TerY
address or Property 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
Cook
C:Qvaa ca5
Plumbing
HVAC/
Mechanical
Roofing
Gas
II PERMIT
10� 1) - 0 a ) � I ISSUE DATE:
ST. LUCIE CO , CY
DEPARTMENT OF COMMUN rY DEVELOPMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
N...f..1.ff1.. N.NN1f1N...1....
(companyfindividual name)
•fir_
has agreed to be
the F ke0A(' iCaX sub -contractor for MEDALtST 134DG. CRDu?
(type of construction trade)` (name of the prime contractor)
for the project located at w'31`l Nc� ��NaFt.m��Piz It is understood that,
(street address or property tax ID #) ,I .f1„L C c , FL . 249 90
if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Community Development Department (Growth
Management Division) of St. Lucie County by personally filing a Change of Contractor
Form (SLCCDV FORM NO. 004-00).
BUSINESS UAL R (original signatures required):
n re print name dab
business name:
address:
city,state,zip:
phone:
SLCCDV FORM No.: 002-00
PERMIT 11 I 0
7 l I_ V L I I ISSUE DATE