HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENT7 — PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
_ Building and Code Regulations Division
�l,iilUlU�®
BUILDING PERMIT St BY
SUB -CONTRACTOR SUMMARY Lucie Count,
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
WNW
/z-
Plumbing
HVAC/
Mechanical
RECE,1
,.
Roofing
SEP 21
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/292014
PERMIT # 1 _ I\ ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
• SCANNED
BUILDING PERNIIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie Countv
St Lucie County Contractor Certification Number: 7 2 7,t2
State ofFloridaCertification Number (Irapptimble): EG d o 0 o no
have agreed to be the
_ 1 Sub-contractorlor rick Contracting Corp.
(Type of Trade) (Primary Contractor)
For the project located of 4233-111-0001-000/6
(Project Street Address crProperty, Tax ID
iris 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. (Foam: SLCCDV (No. 004-00)
BUSINESS QVAI,II•WR (Name ofihe individuai shown on the ContracmPs License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: UV et ZexL E1,6d"tu C
Address: aZ% / ,N W l 6 ` Sfn-ed
city/staterzip: FL 3366 0
Phone;. 9Sy'9y6-6s WQt.zP/Gzlt,t,�D�tf
J�omAs i' .i e
SIN PRINTNAME DATE
STATE OF FLORIDA, COUNTY OF QrW WAy-1)
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 11 DAY OF � � 20 t 6
By t 14140 .Ir aarXi WHOIS ERSONALL OWN ORHAS
PRODUCED -AS IDENTIFICATION. ,
,�,��, ,4�y p�.,, JANETBRUTTELL (STAMP)
/ ,//► ij//,V(.:°/,fy�a Notary Public -'State of Florida
___. _.__-. n�0 a:. ComMisalon#FF a41BS
SLCPDS:12/16=13 I Bonded WagbNationn Not a�.:•