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HomeMy WebLinkAboutSub-Contractor Agreement` ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT F�ORIOp' BUILDING PERMIT SUB -CONTRACTOR AGREEMENT pEEMENT St. Lucie County Contractor Certification Number: / 0 6 0 State of Florida Certification Number (If applicable): tri C 0 0 /4119-1(/Z / e LS 67C C 7_t?!G �C - have agreed to be the (Company Name/Individual Name) 6F -CC 1-44C * L- sub -contractor for (Type of Trade) (Primary Contractor) for the project located at XC/ -973 du kA 91,3 97 Kf (Project Street AddressofPr perty Tax lD #) 3 i/ - ySe3 -coo o / - d as — 1 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 REQUIRED "SIGNATURE PRINT NAME DATE �A Business Name: �L Q �C l (ee �= �%/L / LZ .�Je Address: 3 % fi o !J//ct S/N$. 2-e%e-�y City/State/Zip: 6 i/- f}-r— P,1, _vat Phone: /%`TO—a63�L email: ire�uRacGja.c a�/So�i.. �e OFFICE USE ONLY: ` ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT •FO. BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 19150 State of Florida Certification Number (if applicable): L//VA(Ju l c r CFC057672 have agreed to be the (Company Name/Individual Name) n A. 6— sub -contractor for o C20 /k. f ` h , J (Type of Trade) (Primary Contractor) for the project located at '8 0 / ^ 8 i 3,1_: A,N6S wsy 6- d'—'L 3.wKr (Project Street Address or Property Tax ID #) ,2 31 / _ Vv 3 _ pop r _ p oo Q/ 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 REQUIRED SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: 77 -L y'6 /—/ %62 email: OFFICE USE ONLY: ` ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT F�ORIOP BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: / Of 1 p 10 State of Florida Certification Number (If applicable): CAC 6 3 J- 3 Fa _zue - Name) /T Lm_�_ sub -contractor for (Type of Trade) for the project located at 90 (- P9 3 have agreed to be the p A pQ /9 r�STi4r S (Primary Contractor) (Project Street Address or Property Tax 3'fYS�i #)93//-YY3—0001-600-9 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) ORIGINAL SIGNATURES ARE REQUIRED GNATURE PRINT NAME DATE Business Name: Address: 16 V 3 V omy., City/State/Zip: "��j �M Phone: -a/ — 0- 0-/p Y 3 Anbc k& 3 3 Yo y email: G/Ayi✓e 00ita ,gQetitQc t1. Cotil OFFICE USE ONLY: PERMIT # ISSUE DATE ` ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT . F ORIOp'. BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: / • l State of Florida Certification Number (If applicable): Cc / J 2- r% )--a JA- TAY6D _ have agreed to be the (Company Name/Individual ame) 90 o 005�1,u Pr sub -contractor for (Type of Trade) (Primary Contractor) for the project located at-ifol-913 �o�ry(lurr5 (�tsrk•,Fy,%p�iue .fL 3g4�FS (Project Street Address or Property Tax ID #) 13 i/ - r/v3 - of O /- 000 - 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) ORIGINAL SIGNATURES iATURES ARE REQUIRED ..7 t� SIGNA PRINT NAME DA E Business Name: Z LDS 6c6-�yG Address: 3 aoL Ma -I N OIL, ✓e City/State/Zip: /-'I- A e/Lc Cr/ J�C 3 SF 98 2- Phone: %7 2 - t(6 6 - Vo Scoemail: --rµ 7-Ro oFC9f1�.Olsa a