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HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division S CANNED BY BUILDING PERMIT St. Lucie Countv SUB -CONTRACTOR SUMMARY 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 Plumbing FIVAC/ Mechanical SEP 21 1016 Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07129n014 r PERMIT # o (l - I\ � � ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division SCANNED BY BUIIAINGPERNIIT St. Lucie Countv SUBCONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: tM L State ofPlor;aa cerctfiearrenNnmber(IfWl cabte): EG OO © / U 0 L 1, /:Z n am, c i � P_r(4n S have agreed to be the (Company Name/ImdividualName) I C rick Contracting Corp. EICc:ftc ioa L Sub contractort (Type of Trade) (Primary Contractor) For the project located at 4233-111-0001-000/6 (Project Street Address or Property Tax ID tS 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 QUATA IER (Name ofthe lndividuatsbown on the contractoes ucense) NOTARIZED SIGNATURES ARE REQUIRED Business Name: W e t z. etz Elie c b I C tj e Address: P�7 / Jvw 16 4 Sf L-e f CitylStawMip: m prJ© ae FL 3306 0 Phone: 5I/' 6-65 email: w,",?,f4_zl diLtGo%NTl.1J4 / nomAS r L & 5.. 9la1// 6 SIdNATVE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF W O WAIZ10 THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THiS-_ DAY OF �� Ze- — 'b BY ! 14 & IP lrr akK i WHO Is ERSONALL OWN OR HAS PRODUCED -AS IDENTIFICATION.. RUTTELL t (STAMP) State of Florida SLCPDSt12/16/2013 1 °j" mom` Bonded TtmgtiNational Nora,.