HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARYSt. Lucie County
Building & Zoning SCANNE . D
BUILDING PERMIT BY
SUB -CONTRACTOR SUMMARY St. Lucie County
/9 C_ L) R (_ 9�' 14 1, &X h will be using the following sub -contractors for the
(Company/Individual Name)
project located at
(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/
TState of Florida
License Number
Electrical
Plumbing
— A
0 -71 6y
HVAC/
Mechanical
An
U'q
C 4C, 03'� 795
Roofing
—04
& oc'44' AoojC5�wb
105-6,
C� C, 0 6-3 0 J_
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER: I I I
21
S-r. LUCEE COINTY PUBL1C WORKS
& MG DEPARTf*1[E-'�T
BUILDRiG , ZON-
SUM.Coh-MCTORAGREMM'T
St. III County contractor CarrinmItion NumbCr
cmt, of Florida Catification NurrI MV00"I"
for &e pwjea located
ILI
orpropem
+up
if1dwe is any c
it is mdmmoa *at. haar of mm r� 01jr pagucipation will' *e
onin-Dqmmew
BuRdinga and Z
,b,n mentioned Pliect. I win iw�Y a&isp- *e - (Fam= SLCCDV
Sr
M. a awr of Contract" notice
of St. Ludc Conaty by pasOnAY I z
No. 004-00)
BUS1144'ESS QUALIMR (Na= of ft individual sitown on the Contractor*$ UI
' TtTRES �A�'
OMG Is TURES A
DATE
Addrem
C"Issubmir- . . - 44
Phone: —Ll
-TY PUBLIC WORKS
ST. LUCIE COU'r' -T
BUILDRiG &- ZO'-%LNG DIEPARII�IE-N
BUnMV;G PEFLNU*r
SUB-Cori-rRACrOR AGRIEF-3031-M
St. Lucie County CowMctor Certification Number:
State of Florida CortificatiOn Number (if applicable):
have agreed to be the
(company - ---- , -$'- SV C�
sub-contraCtor for /(3 C 10 q(
(Primary Contractor)
for the project located at
it is understood that. if there is any change of status regarding our participation with the
above mentioned Project, I will irurnediat�ly ad. a Department
,se the ,ktildina and Zoning
of St Lucie County by personally filing a Change of Contractor notice. (Form: SLCC1)V
No. 004-00)
BUSINESS QUALIFXR (Name of the Individual shO'A'n on the contractor's License)
Busi=wName:
Cfty/S"MQ*-
Phone:
2.:Z�7 -7 �e '7
Z Y-O
03/01/2005 15:35
56248601,
RUSSELL CINCRETE
PAGE 01
ST.LUCMC0UNWPUMCW0FdW
BUnDMG & ZOMG DEPARTNOM
BUD-CONTRACTORAGREENZINT
St Lucia County Contractor Cardfication Number 1.174d —
Stift of Florida Centification Number nfepptk"� MC10112i
(Ijovaw pimp0q, [W/ have agreed to be the
(Comony NomrWM" NuwT-
anwtj auh-contraotor for I64�0, ftws Zrvc-
Cryp6pf T*de) (Prbmycmdmctur)
forthoprojectlocawat 1,10.1 jV0f(,=k!—V 13of (&/A.005-�- CV013
(Prqed Street Address or Propetty Tax ID 9)
It is understood that� if there is any change of status regarding our participation with the
above mentioned prujoct, I will Immediately advise Me RVilding and zoning Department
of St. Lucie County by personally filing a Change of Contmtor nodoe. (foran; SLCCDv
IZrV1111,F1'j)]
Karyn A Bologna
MYCOMMISSION# DD137356 WIRES
SePternber2Z 2006
BONDED TM 710Y FMN INSURANC& WC
BUSINESSIQUALMER (Namoof the ja&Wual shown on the Coatmctor'a License)
<A'4r
zg2:2 'C� 05'
4L
SIGNATUPXJ PRINT NAME
suoinep Nam;
phone:
OMCE USE ONLY:
4
ST. LUCIE COUNTY PUBLIC NVORKS
BUILDING & ZONING DEPARTNIENT
BUILDING PETWIT 'T
SUB-CON-rRACTOR AGREENMN
St. Lucie County Contractor Certification Number:
State of Florida Cerrifcation N=bcr (if applicable):
, - U- +'..
for the project located at 6-buol- I V ��- " #)
ess or Property Tax ID
. . ation with the
hang of status re-ardin=a our Part1clP
it is understood that, if there is any c Be
ediately advise the Building and Zoning Department
above mentioned project, I will imm
ling a Change of Contractor notice- (Form: SLCCDv
of St. Lucie County by personally fi �
No. OD4-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
1IRED
01UG '-%�A�,LSIGNA�TITRES'J�LREIXE �L
/� 6v 4P- At aX�
pRINT NAME
If T //�' %1 4
Z-6)-A�
TI—GNATURE
Business Name:
Address:
citylState/Zip:
Phone:
-:7
/ �63
cmail:
IF -13 -0y
DATE