HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
CEII."7D SEP 2 72917 SCANNED
BUILDING PERMIT BY
�A (��_ `' SUB -CONTRACTOR SUMMARY St. Lucie County
f " V `peon PO ,5 s will be using the following sub -contractors for the
(Company/Individual Name)
project located at 1a-132, Q.l � (Zd ( L1k 4a.a. • � • CD iq . WO.6
(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
�1 1- ^
` J CS ek c,
� �
(03o La(C-C, 6-*(Lin aLv&ci6wil
Plumbing
r 7
RVAC/
Mechanical
Roofing
Gas
PERMIT
DATE:
Revised 07292014
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
- BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
RECEI`: D SEP 2 72917
2 - have agreed to be
(Company Name/Individual Name) nn � /��
the C l_pl (� Sub -contractor for�-1miCA/l IS S
(Type of Trade) (Primary Contractor)
For the project located at 1 0L i 3a
t e00A * _* LuC(,C- I PA. 3 y 01$q
or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
�'t ( Imo_
PRINT NAME
29 8,34
COUNTY CERTIFICATIONNUMBERn �,o
State of Florida, County of U�n wN
The foregoing instrument was signedbeforeme this day
of
a � .zo 7by VVtf\1 j+4, J?Ir,,
<
who Is personally known or has produced a
STAMP
Ct69 Maccoy
�� BUPU C
STATE OF FLOR►DA
Revis 6 ZQ
Qa�
SUB�CONTTRRACTOR SIGNATURE (Qualifier) I{
'WY%n 1J 1 1 V�
PRINT NAME
s��
COUNTY CERTIFICATION NUMBER
O�- -'
State of Florida, County ofl d{(&
The foregoing instrument was signed before me this day of
2011 by
who is personally known 4orhas produced a
Craig Emmet(e MecCoy
NOTARY PUSUC
STATE OF FLORIDA
CommM FF99MI
STAMP