HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR SUMMARY BY
�/� Si. Lucie Counts
a4 roYl !3i �ti 1T a— will be using the following sub -contractors for the
(Company/Individua ame)
project located at /IfrPFJ, ova a ,SoZ. 061?4.-0/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
2a ro /1 5
Plumbing
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT��-,, n� ISSUE DATE:
NUMBER: I LOI J O l ulN
Revised 07/292014
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCHNNEV
BY
BUILDING PERMIT St. Luce Countl-
SUB-CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If appGcabte):
Baron Sign Manufacturing
(Company Name/Individual Name)
Electrical
(Type of Trade)
ET0000178
have agreed to be the
Sub -contractor for Baron Sign Manufacturing
(Primary Contractor)
For the project located at 3403 502 0096 010 9
(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 filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address Baron Sign Manufacturing, Gerald Foland
Citv/Sta l0_im 900 13 Street W Riviera Beach FL
591 721 0658 email:
W� erald Folanc
Pt4Y 4_W
permdept@baronsign.com
20 2016
DATE
STATE OF FLORIDA, COUNTY OF St Lucie CO.
TBE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 20 DAY OF January 2016
BY Gerald Foland
PRODUCED
WHO IS PERSONALLY KNOWN X OR HAS
IDENTIFICATION.
Judith A. Rudy
OF Q.• - PRINT NAME OF NOTARY PUBLIC
SL 5: 08/06/2 F4( MY COMMISSION #FFiS5555
�'�•.'��o�no' EXPIRES December 28, 2018
(atlrl aas-0rs3 Fbritlallota Se R' rvlce.cem
(STAMP)