HomeMy WebLinkAboutSUB-CONTRACTOR SUMMARYSt. Lucie County Building & Zoning
2300 Virginia Ave SAC.
Fort Pierce, FL 34982
BUILDING PERMIT
r SUB -CONTRACTOR SUMMARY �Uryfy
will be using the following sub -contractors for -the
(Company/Individual Name) ��` —I
project located at �, ��� /. �__S..-
(Street addre or Property Tax ID 9)
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.
St. Lucie County/
Trade Name of Company/Contractor State of Florida
License Number
Electrical
®®1®M
Plumbing I ,-rj
C
Will
1/17
Mechanical 7.
Roofing
Gas
i
PERMIT ISSUE DATE:
NUMBER:
r.
ST. LUCIE COUNTY PUBLIC WORKS
a BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number t-O
State of Florida Certification Number (if applicable): � (ice • �O� fZ�p '
C► 1� I I���1�-'- �( [� ° :' • . • - . '- -.,;have agreed to be the
(Company me/Individual Name) sub -contractor for HDO U_!�,ALMKI
(Type of Trade) (Primary Contractor)
for the project located at pU'45 US . a. ; .
(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)
OFFICE USE ONLY:
PERMIT # ISSUE DATE
4��I�Pc�nw S(q iUa rns
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
C n
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: • ' �r��-f .
State ofFloridaCertification Number (If applicable):;,
�.--.1��.•-.'�bYlf�l.1A,()�Y -- -" have agreed to be the
(Company Name/Individual Name) J
iti� l Paeck YX(A l_- .
sub -contractor for Qj�� .i/i7Y1� C41GY1
(Type of Trade) (Primary Contractor)
s:(sQ� C
for the project located at I 1
(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)
ARE REQUIRED
l(�.. Nis. T 09
PRINTINANIE T DATE
City/State/Zip:
Phone:
OFFICE USE ONLY:
I
y ST. LUCIE COUNTY PUBLIC WORKS
e, BUILDING & ZONING DEPARTMENT
P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 'S D
State of Florida Certification Number (if applicable).
ffQsf . vl�z ,. lccrvt-�i �.. _
/c, �'---- have g a reed to be the
(Company Name/Individual N e)
j1>44/a (. !� - . - .. -sub-contractor for 6 t . , ..C,
(Type of T e) (Primary Contractor)
for the project located at
(Project Street Address or P'ropefty 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)
QUALIFIER (Name of the Individual shown on the Contractor's License)
Name:
City/State/Zip:
Phone:
OFFICE USE ONLY:
REQUIRED
PRINT NAME DATE
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