HomeMy WebLinkAboutSubcontractor Agreement RECEI "ED FEB 13 2017
PLANNING& DEVELOPMENT SERVICES DEPARTMENT
BUILDING& CODE REGULATIONS DIVISION
BUILDING PERMIT
7 SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number:
State of Florida Certification Number(if applicable):
R4 qy V_ a3 �1 C� have agreed to be the
(Company Name/Individual Name) PA
t 0, sub-contractor for r O0 C—� T 5
(Type of Trade) (Primary Contractor)
for the project located at o l t 0 elm Dzt-P�fj jc
(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)
ORR:9'..1"E,•. .J B.l.".':.' � &IRES i'9.RE.i REQ[FIRED
l
P,>P,&jR-,r T L) 7-
SI I ` ,IPRINTT NAME DATE
Business Name: ID M ,�! V P, (�L(�aT P(_ C_
Address: sn ( C.'A LI -r
Pt)P-Y w
15
City/State/Zip: t c( e �L
Phone: ;,�j�j�-� i l -7 email:
OFFICE USE ONLY:
PERMIT# ISSUE DATE