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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division SCANNED BUILDING PERMIT BY SUB -CONTRACTOR SUMMARY St. Lucie Countv A1_ 7 /�le//! s will be using the following sub -contractors for the (Company/Individual project located u:S-Sol •06lo!�-000-4 (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 Plumbing �oo r ©!l eye 9 9 g-7s'f HVAC/ 40UIC"s tr eon ;ortin C'hL(M 73%1 Mechanical Roofing Gas PERMIT ISSUE DATE: NUMBER: Revised 07292014 SCANNED BY St, Lucie County PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): l d 37/ agreed to be the Air &'4Ti 0 n t (1 sub -contractor for R ad (% 1 J,'. (1 I a mb (Type of Trade) (Primaryontractor) for the project located at , 3 q 1 4,�; K ()1 — 6�(0 �- 00a — if (Project Street Address or Property 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 personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED e��IGNATURE PRINT NAME , Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: PERMIT # ISSUE DATE 7[36-rs DATE 1e u0.010M SCANNED BY St. Lucie Countv PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (Ifapptimble): Cr 1^ 14'L 9i75ti 1 LDfd-6,4i 3F1 JLP--, �`2 Yf— Q^-«have agreed to be the (Company Name/Individual Name) ` LLsenL.r.,(s sub -contractor for MnrkY LALLl.rm..nts (Type of Trade) (Primary Contractor) for the project located at 3y 15-30l — OO(oS _ non,Y (Project Street Address or Property 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 personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED rr � VQvytl��.k—fanC�3C� S ATURE PRINT NAME Business Name: Address: 07. 3,n /f DATE City/State/Zip: 2 q c1g,L Phone: '712—n-9-P1t10 email: B.z1J.fDd-1A.A-1F7L OFFICE USE ONLY: PERMIT # ISSUE DATE