HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
�V * BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:869 . [�
State of Florida Certification Number (If applicable): Ti_ - 13Co ( la
-,J ,0mmGqAyiLc ��nc- have agreed to be the
(Company Name/Individual Name)
F71Pc+, r31 sub -contractor for "lC KC[d PplCi- r
(Type of Trade) (Primary Contractor)
for the project located at,1,901 JRWcr
i loe.
(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)
ORIGINAL SIGNATURES ARE REQUIRED
SIG URE T-P-RIN,`T-NAME ��L DATE
B siness Name: C(Ut TWII7Yl ECC�YI c (Y—
Address: 1_"i 1 ,.. imhP hi
City/State/Zip: Lak-Q!_�cLADn-e -( � 33L4b 1
01 Phone: 5- �J�v -( email: r -Core--,
OFFICE USE ONLY: