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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING & DEVELOPMENTS RVICES BUILDING & CODE COMPLIANCE DIVISION SCANNEV BUILDING PERMIT BY ��. Lucie CDUn� SUB -CONTRACTOR SUMMARY CoYl�vni+�a(til �VI IY (l 11� �VI will be using the following sub -contractors for the (Company/Individual Name) project located at l S.01 �. 0 cea'o 1 ✓f ate w bea U'I , F, 3'7 15 / (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 osS� EI 2 &Y- I L cc i 3 00 IS -% 0 Plumbing a51er&trA1qin Inc. oF14ovh'h�u CFCM2657 HVAC/ Ctil l Y l ov�d 0vy f ��Pc�v� Cif C O S�O6 (a 7 Mechanical nn M Roofing WlWV Gl �k at T nq ay. Vlc . Gas CIFFIC:F USF. CINT,Ve PERMIT ISSUE DATE: NUMBER: OI ©)\L(5 01/26/2016 3:30 PM FAX 7723372699 %©) - 013� ),11y- M RENTJ3LOSSER ft PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT• SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Numher: Start; of Florida Cenific;uitm Numbcr (it appi.esihtet have agreed to be the (Compaev Namc'Individwtl Namc) C[v1 sub -contractor I'm S. Jt7� (Tvpc oCfrtdcl (Primary Contractor) t tier the project located at Street Address or Property •fax I n ) It is understood that. if there is any change of titatus regarding our participation with the above mentioned project. I will immediately advise the Building and Zoning ]kpartment of St. Lucie County by personally f ilinF: a Change of Contractor notice. (Form: SLCCDV No. (1 4-00) BUSINESSQUA_jAfIER (Name of the individual shown on the Contractor's License) Q0001/0001 ORl<71\AI. ' :NAT ' 1•.S:1R 'IRIiD SIGNATURE PR1N y)mkeT F ectriC j11C. D�TF: 1 _-- ._ R . 3ox.7305 I3u5;n��.. Name: .. ..._ .. _... Address, - . -... Fort St. Lucie,_F'L.34985__ ... c•itvlscuc:'/sip: , Phone: L7a=��J�- email: . oJ� .COP OFFICE USE ONLY: PERMIT • ISSUE DATE JAN 2 6 2016 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: _—?� State of Florida Certification Number 0(applicable): C FL 1 Z 7 _ have agreed to be the stib contractor foro (Type o Trade) (Primary Contracor for the project located at (Iov) ( FB/n /l//1. 1�PU (PGI (3�a R (Project Street Address or Property Tax ID H) It is understood that, if there is any change of status regarding our participation with the above mentioned project, l 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) BUSINESSQUALIFIER (Name of the Individual shown on the Contractor's License) ;AT WRO NATURES ARE REQUIRED _ ArUNTaNA, 9E Business Name: Address: ( ,LOCI __tcl— S �• /-- City/State/Zip: Phone: ZZTi- -7sj email: _Q QY1t.t� IGILf'/ ¢lkY1�XdIK /hG, b 7� 4 -® PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division • t BUILDING PERMIT SUB=CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If umberpf appticubla): CAC OS%(cw-] have agreed to be the (Company Nametinddividual Name) �1 W(�I/ C'L I C(d sub -contractor for W (vy ep—r6 CI� (Type of Trade) II ` �1 (Primary Contractor) ���� for the project located at bb 1 ) (,/� mn Di( rfl p �l 1 I 1 J J! 1I � I • 1 (Project StreetAddress or Property Tax ID #) i 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 an the Contractor's License) ARE REQUIRED a/ C��v PRINT NAME DAT poiiii-ess Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): K 2(0 CC1C 1511)515 have agreed to be the T Mpi vie sub -contractor for LOyy mt dat lA,4I-44iylI (DiNASj 001 t L C • (Type Trade) (Primary Contractor) I r-� for the project located at 650 OCear\ Dv:wC. Teosw '�Cuck, 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 U A ilui'bltul J�ai�-Isot1 2 � I � SIGI) ATURE P-4 RINTN�AMLE_ DATE Business Name: Co�1 meV U VCDAOIC, i vtg �1\/i5i 0VI I I VLC. Address: `10 9 SE SH^ Shred- City/State/Zip: GI.Y� 5L 349 9+ Phone: -772-7-ZO-34$a email: mmaQ Hsovt6)CGdo $1uav OFFICE USE ONLY: