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HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARY - AGREEMENTST. LUCIE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING PERMIT SUB -CONTRACTOR SUMMARY WI C kC4 CrI (companytindividual name) 4C vclnCfd IMGck, AddI+Fen will be using the following sub -contractors for the project located at 3WO -'�&e I Vi �" 0 (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 Community Development Department (Growth Management Division) of St. Lucie County. .................................................................................. Trade Name of Company/Contractor • St. Lucie County/ State of Florida License Number Plumbing ,.11II I ��'t°./�V I D I ui '� )lq C/O7 Electrical S ZF: I.Gci 04Z(o7 �2 0009/zz HVAC/Mechanical �eGc©a z A5 3, LG Go 16+4b Roofing R �fv.ls Gas `[ I k - --- - - - - - -- OFFICE USE ONLY: SLCCDV FORM NO.: 003-00 II PERMIT NUMBER: I I ISSUE DATE: I II ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. g0 70 State of Florida Certification Number (if applicable): �>`�G 043 ©2�o mpanylhas agreed to be idual name) r II'' the i sub-contractorforRtCna� 14�Uis 1� CcSlCo� type of construction tr de) (name of the prime contractor) for the project located at (street address or property 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 personally filing a Change of Contractor Form (SLCCDV FORM NO. 004-00). .............. BUSINESS QUALIFI (original signatures required): r si ature Print name Date - -----business name: address: eo city,state,zip: phone: ONLY: PERMrr 0 1 1 ISSUE DATE FORM NO.: 002-00 9T. LUCIE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: cc 12,',tf 4a&1 State of Florida Certification Number (If applicable): G i2 i-F OO D en 2 111111ffffllffNf1Nf111f11fH1f1fN11ff 1fH111f1ffflflfllffNf f NffNlfff 111fN+NH 1or_S Elsr-14-re- oz .SC. C �. c. _ has agreed to be (company/individual name) the FAEG f zor— *e sub -contractor for iz/-- hA v 1S (type of construction trade) (name of the prime contractor) for the project located at _ (street address or property tax ID #) If is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Community Development Department (Growth Management Division) of St. Lucie County by personally filing a Change of Contractor Form (SLCCDV FORM NO. 004-00). +N1111NwNNf1lff1flffffNfe+fNf++ff+fHlfHlNNfflaffHffl+H1H+1lNNfifN+f++ BUSINESS QUALIFIER (original signatures required): . �- c%sEr�Q%� /�/Z5 E.?rt/Wl�. signature print name business name: address: city,state,zip: phone: PERMIT # I I ISSUE DATE /Z • 1$- O� date SLCCDV FORM NO.: 002-00 ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. � 283 State of Florida Certification Number (If applicable): Gg C t &,2 44 (e, - Lorid f on i ng has agreed to be (company/individual name) the rr VA� sub -contractor for l�;-CkarU V bctyiS C-+sl ccrp (type of construction trade) (name of the prime contractor) for the project located at . It is understood that, (street address or property tax to #) 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 personally filing a Change of Contractor Form (SLCCDV FORM NO. 004-00). .............. SINESS QUALIFIER (original signatures required): SYirt V GAngel 12,115116( si ture Print name Date — = siness n e: V S�crCrc)as� l (iJ'ror'On f LG -- -- address: 7 6 city;state,zip: ftmPrP(YiP_9 F 3444 phone: S61 4(26 z4eo DFFICEUSE ONLY: SLccov FORM No.: oo: PERMIT # ISSUE DATE