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HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARYS M J 6 J PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION • 2300 Virginia Ave Fort Pierce, FL 34982 SCANNF_0 BUILDING PERMIT BY SUB -CONTRACTOR SUMMARY fit. Lucie County will be using the following sub -contractors for the (Company/Individual Name) project located at S %D L �j� /�� e4 L � �/ T (Str et 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 S —f (� F /L�/uG D 5� L� o0 0� yid Plumbing HVAC/ Mechanical Di/A!1/aic/ /2lL LGL /li GI �` L87 Roofing as FelL +'Ld Gas CC S Z OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: 9623z7 ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUMDLYG PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Ccrtitieaion Number. C. b 715-3 State of Florida Certification Number (if appikabte) have agreed to be (Company Natneftdividual Native) �Pc sub -contractor for Z)eA (Type of Trade) dmery Contractor) for the project located at 12,t (Project Street A ess or Property Tzc ID #) i! It is understood that, if there is any change of status regarding our participation %4th the above mentioned project, I will immediately advise the Building and Zoning Depirtment of St_ Lucie County by personally filing a Change of Contractor notice. (Form: SLGCDV i No. 004-00) F BUSINESS QUALI)FIIER (Name of the Individual shown on the Contractors Licc4e) L S CtiATURES ARE RLOUIR & y SIGNATURE cs /✓ P r n e e 1� 5 b�S —2U �o L ( PRINT NAME _ DATE4 Bminess Name; Address: City/State/Zip: Phone: 7 10/9-OAOa-0i w PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT • SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: a4(o54 State of Florida Certification Number (Ifapplicablc): ` IF 1 106-7 37a _a0:5cn P lumh y-yi y�G have agreed to be the (Company Name/Individual Name) Rumbinn sub -contractor for _ C A).T. 6W,0,� 6,50 (Type of Tra e) (Primary Contractor) for the project located at ,S%b Z /, ,(F F)•, (Project Street Address or Property 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 notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED _Umple- CA1 l bf tax- IGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: PERMIT # ISSUE DATE D40 nefi PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: /,6 State of Florida Certification Number (If applicable): In have agreed to be the (Company Name/Individual Name) �j✓z-onC/1/,oni sub-contractorfor (Type of Trade) T— (Primary Contractor) e2, z% Wo461111l11sll for the project located at S%D Z. ��dGGF /1tiG (Project 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 notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED SIGNATURE' PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: email: _/J7o�nfain-Qirep7kf�, he¢ USE ONLY: lala 009- d3 PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: Z-d 5 o h State of Florida Certification Number (if applicable): CC- C)�5(J Z have agreed to be the �(Company Name(Individual Name) Gfj�—i 1 API sub -contractor for 6111 cf ds4. (Type of e) (Primary Contractor) for the project located at S7d Z 64j-k Dle /?, (Project Street Address or Properly 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 notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED z/ SIGNATURE ]tINTNAME DATE Business Name: Address: City/StatetZip: Phone: 77 7- C! 7 3 ol,� / y 7 email: OFFICE USE ONLY: PERMIT # ISSUE DATE 1o�a - oaa�-off