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SO~IERO
Construction and Remodelin~. Inc.
Remodeling, Roofing, Additions
:)age # _ of _____ pages
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RO}T Somero
602 Archer
Port St. Lucie, FL 34983
I <:'A (.,.'" Off: 772-871-6896
/., CRC 055384 71J- 3 ..,,}., ,,&,q;.. Fax: 772-871-2717
! CCC 056668 Beep: 772-412-7147
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ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ¿¿.3/ 7 (.?
State of Florida Certification Number (If applicable): ¿,C ('3 () ø ~u71A
CÈ2
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(Company Name/Individual Name
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have agreed to be the
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, ~ (¡t!..~ l.,
(Type of Trade)
(
sub-contractor for S CJ/'t,f,i I) é ð.v..,Æì 0 c...10(/ d- f)¡¡;¡')J ð,~L' ¿ ¡p'-<--
(Primary Contractor)
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for the proj ect located at '~¿) ð ~ tV!) (¿~ f\ ~ /Þ- ~ '(, fr, P I ¡V2 01. r-?"
(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 Bl}ilding 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 SIGNATlJRES ¿~IŒ lŒQUI'RED
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SIGNATURE PRINT NAME DATE
Business Name: (y~ -'S· Ct e e-fr-ë,ì c:.-- ~'C.
Address: 1JZ- ~'0 I!J-vcêiA ~ Sy-",
City/State/Zip: f:ól/5t"' (Jf r LCt~ cZ I/~ d4:-'.3 (-! , ('¿J>y
Phone: ) <] t2 -. '- cJ 9 0 email: ~ð([¡f 6( rl f/ei/50lAnt t ;V ~
OFFICE USE ONLY:
II PERMIT # I
ISSUE DATE