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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division BUILDING PERMIT SGAI NED SUB -CONTRACTOR SUMMARY St Lu BY cie countll Carrick Contracting Corp will be using the following sub -contractors for the (Company/Individual Name) project located at 14191 Rangeline Road (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 Weezer Electric EC0001360 � . 22Z ►Z Plumbing HVAC/ Mechanical RECEive Roofing SEP 2 i 2016 Gas Revised 07/2912014 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES SCANNED • Building & Code Compliance Division BY BUH.DINGPERMTT St. Lucie Countv SMCONTRAn&OR`nAGREEMENT St Lucie County Contractor Certification Number. 1L _ 6 V SteteofFloriciaCerifiadonNumber (teepplirable): EGOoo 136o have agreed to be the C crick Contracting Corp. E�� C� a /G4 L Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at 4233-111-0001-000/6 (Project Street Address or Property Tax ID 10 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-oo) BUSMSS QUALIFIER (Name ofthe individual shown on the cbrametoes License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: W'e'z_z-eyG E1'&C''buCLINL_ Address: �o / JV w / 6 city/statewirp: m p pA10 ,e F4 3306 0 1 Phone:. 9S(%' t;-6S email: Wetaf4_zApdR+c /N77.M4 l� Drnas n 3 e !ts 9la1// 6 sl&wrupPRINTNAME DATE STATE OF FLORIDA, COUNTY OF W O WA,4VL THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS _L DAY OF _ � J 20 6 BY t 14 ^ IP TZ T LIB i WHO is EjOONALL OWN OR HAS PRODUCED SLCPDS:12/1fd2013 AS IDENTIFICATION.. Notary Public PNOFMI commissic Bonded Through State or Florida Noun (STAMP)