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HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARYC St. Lucie County Building & Zoning BUnMING_PERM17 SUB -CONTRACTOR SUMMARY �o kble 14- u,b&- 57'er-c3 will be using the following sub -contractors for the (Company/Individual Name) project located at address or Property Taz ID #) a 3 / - K4V.1 - c o c i - co - y 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 a "I- f e E C- ,�i�e (O Plumbing HVAC/ Mechanical GNiiC��f /5 ��� E 22 Fi> Ac 6N of AeCA --------------------- s 7 -7 03 2-3 Sa Roofing . � 0z C'cci3a�7ao Gas I V/ SCANNED BY St, Lucie County OFFICK USE tJM.V! T ISSUE DATE: NUMBER: ST.-LUCIE COUNTypUBLIC ]BUILDING • I DEPARTN[ENT BUILDINGPERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: / r b D ? State of Florida Certification Number (If applicable): e C 0 00 have agreed to be the 7amv NameRnrlrv:A..�l wr.._..� sub -contractor for�,.� (Type ofTrade) (Primary Contractor) for the project located at �P - 3 �9 s<f" cv , eliGr tPro)ect Street Address ofProopperty Tax ID 3 i O _ YV 3 _ Jo o / - 606 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 REOUIRED SIGNATURE PRINT NAME DATE Business Name: - K x(e-e57— C-Ze c> r144 c_ Address: 3 u s..r/2 s s p K w Y City/StatrMp: Phone: — ' 6 email: Ao. 4'cG_*�c cu /j d/ro•7'4-•.�. OFFICE USE ONLY: LPERMIT # ISSUE DATE BUILDING ; ZONINGDEPARTMENT BUILDING PERMIT SUB -CONTRACTOR St. Lucie County Contractor Certificad nNumber• 19150 State of Florida Certification Number (if applicable): CFC057672 have agreed to be the !) sub -contractor forC�o (Type of Trade) (Primary Contractor) for the project located at 8 0 r - - Street Address or .231/-Vv3- coot - aoocj 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) ORIGIi`iAL SIGNATURES ARE REOU11tED SIGMA r �""' �d CSf=�e.�- �{%• C.o.^� �ur' c�S �o 1_ PRINT NAME DATE ' Business Name: Address: City/State/Zip: Phone: I/ 1 V6 l—/ 76 7 email: ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: Id V State of Florida Certification Number (if applicable): C 11 C 6 3 oZ 3 Ea / J k//M sub -contractor for (Type of Trade) for the project located at $o I - have agreed to be the �oe.JaRz 14 sri-ter—s (Primary Contractor) Street Address or genes L 3VYV'J- #)a3//- YY3-000 / -Ocd-9 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) O 'AL S GNAT tES ARE RE U D � tS/ IG ATURE PRINT�ANJAME DATE Business Name: r%FG ,� > Ill [7�p,y yG /W F C (i Rst [ Cc,. V -TA Address: A6 V 3 s! aAA /.4.. City/State/Zip:JgZ� Phone:c OFFICE USE ONLY! An/fi 33yoq cman: AIA-x'Ne gE,o4Fcr4. eotit PERMIT A ISSUE DATE r)� ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: C?-0 / D Q State of Florida Certification Number (If applimbte): - e e 13 2- ,J74 , gg3ycNm have agreed c (Company Namc/Individual Name)-- j� !7O-� -4 sr / `o 017' & C, sub -contractor for �d7. (Type of Trade) (prima' for the project located at Sot - Address or It is understood that, if there is any change of status above mentioned project, I will immediately advise the of St. Lucie County by personally filing a Change No. 004-00) be the 42�> r-dg=± f , FG 3;09 v.i i) .23"- VV3-000/— 000-9 our participation with the and Zoning Department notice. (Form SLCCDV BUSINESS2 QUALIFIER (Name of the dividual shown on the Contractor's License) ORIGI/NA'L SI URES ARE RE UII D U �/tJ G° ����✓c ...,,..., v..c NAME DATE Business Name:*1UNT (� -� NG- Address: N / /Lr ✓eCity/State2ip:tc C; �L 3 K y ZPhone: % OFFICE URF, ONTY? PERMIT # ISSUE DATE