HomeMy WebLinkAboutSUB CONTRACTOR SUMMARY-AGREEMENT-wy PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
SUHWNEb
BUILDING PERMIT ey
SUB -CONTRACTOR SUMMARY St. Lucie CpuRfv
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
Thom A Q �C FF�YS
ZZZIZ
Plumbing
HVAC/
Mechanical
Roofing
SEP 2:2 'Lb.:
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07292014
PERMIT# I\ Q �\ I ISSUE DATE
PLANMNG & DEVELOPMENT SERVICES
- sign Building & Code Compliance, Division
BUII.DIING PERMIT
SUS CONTRACTOR AGREEMENT St. Lucie
121 _ q Countt
St Lucie County CoatraetarCcrtificetionNumber: StetaofF/loridaCert35catlonNummber(Ifwlicable): ECi 000 �U 0
Vy-eZZ-e� L /-e-a is L L ��i z Hap.,. c l' S. have agreed to be the
(Company Name/Individual Name)
C rrick Contracting Corp.
El e,c�n /-0io C Sub -contractor or
(Type of Trade) (Primary Contractor)
For the project located at 4233-111-0001-000/6
(Project Street Address orProperiy Tax ID #)
Itis 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
ChangeofSub-contractor notice. (Form: SLCCDV (No. 004-00)
BUSIMSS QUALI ILi'R (Nam ofthe Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
W ex-Z, e x- Ete c, l'IU
C I 1J C_ _
Address:
ate% 1 iv w /"VA 5'{T/
-e 4f
City/state/zip:
Pn m p>vo /,
FL 33060
y,
Phone:
%9-9V6-65entail: wPG��2Piler ir�ct/NTI,NET
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PRINT NAME
DATE
STATE OF FLORIDA, COUNTT OF
THE FOREGOING ENSTRUMENT
20 1'6
BY f IiDWmAj, 11'. TtakKS WHO IS�BRSONALL*NOWN OR HAS
PRODUCED
B-BUTTELL t (STAMP).
- State of Florida
SLCPDS:12l16&023 1 %Y i N" Bonded Through Naga" Nazi, --