HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
6L ANNED
BUILDING PERMIT BY
SUB -CONTRACTOR SUMMARY St. Lucie County
Aasfi� b �' C�
d e using the following sub -contractors for the
(Company/Id It h
projectlocated
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
Plumbing
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMrr ISSUE DATE:
NUMBER:
ce/-44�
Revised 07/29/2014
FPS
PLANNING& DEVELOPMENT SERVICES _
Building.& Code Compliance Division
.-SGHNNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie COU11tV
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (ifappeeabie): . EC13006418
Brad Conn - MasTec Network Solutions have agreed to be the
(Company Name/Individual Name) -
Electrical Sub -contractor for Stanley'Madin.- MasTec Network Solutions- GC '
(Type of Trade) - - (Primary Contractor) --
For the project located at ' ' 28000 Okeechobee. Road Ft. Pierce, FL 34945
. _ (Project:Street AddressorProperty 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: MasTecNetwork Solutions
'
Address: 6100 Broken Sound Parkway, Suite 6
City/State/Zip: Boca Raton; FL 33487
Phone: 561.962:9838 email: bocaratonpermitting@mastec.corri
.. Bradley. Conn
TUR9 PRINT NAME DATE
STATE OF FLORIDA, COUNTY OF -Pcd iM rae ll
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS''go DAY OF T('Ln
BY—�i% GII 8 ( �Jhr WHO IS PERSONALLY KNOWN OR HAS
— —PRODUCED C' ir& f-f- � 1 G2 ? AS IDENTEFICATION.
�1e.Je• IY/�'ilQ}IICUC �IF11!'.I �Jbl L_ (STAMP)
PRINT:N OF NOTARY PUBLIC
SIGN URE OF, NOTARY PUBLIC '
SLCPDS: 08/06/2014'. MONIQUE NICOLI NOBLE
- MY COMMISSION#FF080936
-.` d•i
:.u}..ai . .. ..
EXPIRES January 5, 2018 ."
. (407999-OI&7 . FingtlnNnlnryService.com