HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENT813700 AT&T Saq Turf
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR SUMMARY St. Lucie Countv
Mastec Network Solutions
will be using the following sub -contractors for the
(Company/Individual Name)
project located at 2651Minute Maid Rd 1231-111-0003-000-5
(Street address or Property Tax ID i)
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
Mastec Network Solutions
l;C 13oa6K q-
Plumbing
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY.:
PERMIT f I ISSUE DATE:
NUMBER: 11 ����
Revised 07/292014
812
700 AT&T Saq Turf
EMIT # 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):
Mastec Network Solutions
(Company Name/Individual Name)
ELECTRICAL
(Type of Trade)
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SCANNED
BY
St. Lucie Countv
have agreed to be the
Sub -contractor for Mastec Network Solutions
(Primary Contractor)
For the project located at 2651 Minute Maid Rd 1231-111-0003-000-5
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)
QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
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Business Name: M0.5`i%f- o `�- 50 l �/ i-10 /I -
Address: -JIB iA(l= Fore 5+- 0
City/State/Zip: C6ey A 1JC 2752-7
Phone: email:
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SIGNATURE
STATE OF FLORIDA, COUNTY OF
PRINT NAME
�lid�b
DATE
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 13 DAY OF (,A a�L 1 , 20-1(p—
&Itl
OR HAS
BY/2YGtC%Cet
WHO IS PERSONALLY
KNOWN
PRODUCED ( (Ntc6cea 'e.
—AS IDENTIFICATION.
pI�DEN luTIFt�
�/U(ni2 tL l� 6/ bPU_�
(STAMP)
SIG ATURE OF NOTARY PUBLIC
PRINT NAME OF NOTARY PUBLIC
SLCPDS: 08/06/2014
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A.
MONIQUE NICOLI NOBLE
AoMY
COMMISSION #FF080936
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EXPIRES January 5. 2018
(407) 39"150
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