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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT SCANNED Building and Code Regtda6aas Division BY St. Lucie County BUR DING PEMUrr SOB -CONTRACTOR SUMMARY Mid -State Industrial wipbewingftfoflowingsubconhactonfor the (Compasy/ladlvidoal Name) project beated at 5720 Environment Dr. Fort Pierce, FL. 34982 (Sheet address orProperly T=M 1t) It is understood that tf there Is any age of state+ regarding the partfelpa*n of any of die sabarontraeton Oiled below, Iwm Immediately advise am Bundtsg and Toning Depan+oent of SL Lvde County. Trade Name of Company/Conttutor St. Lade Cotmtyl State of Florida License Number Electrical t%Uh e Eas+Coasf /-Le EC1306"3Q Plumbing HVAG Mechanical Roofing Gas OFFICE USE ONLY: PERMIT NUMBER: /�y ©3^ OIZ5- ISSUE DATE: Rc,6,de7A W14 £i£'d BLST29t?2LLT:01 £0TTL99£98 3NIHJHW 31U1S0IW:WML1 deb:2T 9T02-0T-Auw PERMIT 16 d 3 - O /Rs- ISSUE DATE PLANNING & DEVELOPMENT SERVICES S = Blrilding & Code Compliance Division SCANNED BUILDINGPERMIT BY SUB -CONTRACTOR AG REE MENT St. Lucie County St. Lucie County Contractor CettificatienNumbw. State of Florida CaMentionNumber (>P.ppuo ekk have agreed to be the (Company tvamemrmvtaummaxne) Mid -State Industrial Becaiml Sub -contractor for (Type of Trade) (Primnry Contraetor) For the project located at 5720 Environment Dr. Fort Pierce, FL. 34982 (Project Street Address or Property Tex ID 11) 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 Sling a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Indivmual nbov a on the contmau 's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: City/Stetrmp: %LOCCOCL rr• �d�ryv Phone: l-fio3b-alas mail: dohnbQ&ittenAmlriC r%r,+ Schr. l;0wCAeit 5 jai!/o. ATURE PRINT NAME DATE-- STATE OF FLORIDA, COUNTY OF &Pwwd t`d TM FOREGOING INSTRUMENT WAS SIGNED BEFORE ME TMS a�• DAY OF a -ty ']-p6, epWA42^ WHO IS PERSONALLYBNOWN 1,/ ORHAS PRODUCED AS IDENTIFICATION. SLCPDS. Jss�' (STAMP) - J4. 04a Jo/Lnse.e PUBLIC PRINT NAME OF NOTARY PUBLIC UWE Jsemcua "Wly PaSk • Stab of F(wIW CcmmIlLto 0"94MO My Corm. Uplm Apr 17, M1 •,.',� 9moranvouamtwlmwl:tlnrAa� £/2'd BLST29b2LLT 01 £0TTL99299 3NIHOHW 31H1SOIW:WMU dBV:2T 9T02-0T-),UW