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HomeMy WebLinkAboutSub-Contractor AgreementS'T. LUCIE COUNTY PUBLIC WORKS -BUILIjING & ZONING AEPARTM NT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Ccrtificalion Number: 1 S� State of Plorida Certification Number (if applicable): Z t�olS�Pltj hi 6 r, h have agreed to be the (Company NameAn-aividual Name) Pwe0.61,4et sub -contractor for CA0OMRt.MA-rZ443'7". 6. (Type of Trade) (Primary Contractor) N Ir.t..Gfri-4�' /y►,Ch+�.. %ili'X-tea �PJ�w�"1"'1�'T for the project located at J 4O5 - 320 • oco-4.000.7 (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 QUA.LIFTER (Name or the Individual shown on the Contractor's Liccnsc) ORIGINA1, SIGNATURES •A RF, REQUIRED SIGNATUR r, PRINT NAME DATE 3t4c1ness Nsmc: Addraca: C. LINDSEY PLUMBING, INC. City/State/Zip' OU U'S• #1 300 e rt G/6 3 7 Phone: Stuart, Ft 34 74� _` �77 a87- OFFICE USE ONLY: MOIL-27-2006 10:02 AM P.01 Sr. LUCM COUNTY P[1BUC WORKS WELDING& ZONING AEP'ARTMENT NUILIDerc.N ww" 02tVr ACF01AQ1=a T Iwo: .3 / 6 :� Oflrl4rldsf+oRlAadbel�ttusb�r�gdfwblefi v Ch�� ) �1 r4t.e�A�r M+run'.. t.� C�rrrrrMiaY ibr d� pr4jeot loaeled at 1 • "MD • 000 4 • ow • i , - (vw,l.ae Sbv9 nda= or propmV, 1,010 r) It it =&meow t* ifdea is any dmv ofstow mprft ow p"diw"with the AboiAa men OdPPD*4 I will ing laxly advise ik Building and Zoning Oept Ww4 . Luote Caumty by pwmmlly fil[nqj it Change of Cmascamr na4iM. (form., BLCCDV Ha. a mw $ SIR �'WAA (Nrnc oftM Individud shown a NM '11 Limog) 1.11 AID 8101"Ttl W AM SEQUINED WMATmir of- PRINT NAME DAU Rulh�riime: Audi UNNEY PLVM01 -- f ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: ,aL-t16q State of Florida Certification Number (If applicable): CCG 132 !i Z SP7 have agreed to be the (Company Name/Individual Name) sub -contractor for C1I4C+hL—'ram- (Type of Trade) (Primary Contractor) for the project located at Go2(o- fJ. US FIwY t 14cs• 320 • o064• ooc • 7 . (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 % GLI�JGK '-fovrl C1 1 !� r10U �aD(i SIGNATURE PRINT NAME DATE Business Name: C4l0fXAt_ l'4A'Z G0n]5?, Go . Address: 1 % 1 S W . I_t 13F-IR?'`{ prVFi City/State/Zip: P11"r`+34JnryN PA' 15 ZZG Phone: -412 395 40115 email: �Yo��sq@h.A-r>•►�Ew5ltsrL. may+ OFFICE USE ONLY: