HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
NOBuilding and Code Regulations Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR SUMMARY BY
St. Lucie County
l� will be using the following sub- ontr ctors for the
(Company/IndividualName)-7V1c?__.—60D7_ Uaacf
project located at 77i `V f S 1.1 S/ wV ",—r/kr ji i
(Street ad ressor Property Tax
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 SL Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
Qf
Plumbing
HVAC/(
Mechanical
MAI 312016
Roofing
PER'.vii i
St. Lucie Ceuniy, FL
Gas
PERMIT
Revised 07/29/2014
PLANNING & DEVELOPMENT SERVICES
" c Building & Code Compliance Division
• U S , HUH I
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie County Contractor Certification Number: oC. l0 1 y y St. Lue e GeLinty
State cAlorida Certification Number (If applicable): E O / 3 6 O S T S 9
of Trade)
For the project located at
tX-01 . have agreed to be the
Name)
Sub -contractor for R- /n�lOn'a0.S l�n_q-f . nc,
(Primary Contractor)
'7 2 (o ( S . U , 5, qvi
Street Address or
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
Business Name:
Address:
City/State/Zip:
Phone: &- _ �%
STATE OF FLORIDA, COUNTY OF t L"-g•E
"AAY 3 1 LU10
PEF6,5i: 7 iiUG
Lucie County, FL
email: M i jta &p i aG - 2,QA a -04 i sa.L , C o `
THE FOREGOING' Q INSTRUMENT WAS SIGNED BEFORE ME THIS 21 DAY OF � � —20�
BY �kl_u ' ` PV4R� WHO IS PERSONALLY KNOWN OR HAS
PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY PU LIB C PRINT NAME OF NOTARY -PUBLIC FPy�S-Fv ruy0`
tP s• �
SLCPDS:08/06/2014 �+�'°'.;�
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