Fillable Form must be submitted and signed by the (Pinellas County Government)

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Form must be submitted and signed by the (Pinellas County Government)

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The Form must be submitted and signed by the (Pinellas County Government) form is 1 page long and contains:

  • 1 signature
  • 29 check-boxes
  • 72 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Pinellas County Government

BROWSE PINELLAS COUNTY GOVERNMENT (FL) FORMS

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Subcontractor List
Form must be submitted and signed by the Primary Contractor (permit holder) or an authorized agent (must have notarized authorization letter on file). For additional sub-contractors in a
trade use additional form. Form must be submitted prior to being able to scheduling any sub-contractor inspections. For information or questions call (727) 464-3888.
Permit Number Date
Construction
(Job) Address
Primary
Contractor License Number
Company Name Telephone Number
Sub-Contractor Information
Building
Contractor Name
License #
Company Name
Contact #
Roofing
Contractor Name
License #
Company Name
Contact #
Solar Panel R & R Yes No Quantity Roof A/C Unit R & R Yes No Quantity
Electrical Building
Alarm
Low Voltage
Cont
ractor Name
License #
Company Name
Contact #
Plumbing Building
Irrigat
ion
Site Utilities
Cont
ractor Name
License #
Company Name
Contact #
Fuel Gas
Interior Exterior/UG
Cont
ractor Name
License #
Company Name
Contact #
Fuel Gas
Information
List Appliances
List Appliances
Piping Venting Both LPG Natural
Gas Supplier
Tank AG
UG
Mechanical
Contractor Name
License #
Equipment Company Name
Contact #
A/C Refrigeration
MFG AHU # Cond #
A/C Refrigeration
MFG AHU # Cond #
A/C Refrigeration
MFG AHU # Cond #
Hood
Contractor
Name
License #
Company
Name Contact #
Chemical
Contractor
Name
License #
Company
Name Contact #
Fire Sprinkler
Interior Exterior/UG
Contractor
Name License #
Company
Name
Contact #
Solar Systems
Contractor
Name
License #
Trades
Company
Name
Contact #
B P E M
Pool Heater Yes No Domestic HW Yes No Space Htg Yes No Photo Voltaic Yes No
Signature Note: Electronic Signatures Acceptable
Print Name
Contractor Authorized Agent
e-mail to: building@pinellascounty.org - Fax to: (727) 464-5021 - Mail to: 440 Court Street Clearwater, FL 33756
Rev
ised 5-26-2015
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Completed 15 February 2021

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