HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
•'c�OR1�P-.
BUILDING PERMIT
SUBCONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if appiicabie):
(Company Name/Individual Name)
�M; C'' t L . sub -contractor for
(Type of Trade)
have agreed to be the
(Primary Contractor)
for the project located at
(Project Street Address or Property Tax ID
:rem
It is understood that, if there is -any change of status regarding our participation Nvith 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)
ORIGIMAL SIGi\►ATURES ARE RE UIRED
V
SIGNATURE PRINT NAME DATE
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Address: i�� C
City/State/Zip:
Phone: email:j�J.��a a
OFFICE USE ONLY:
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ST. LUCIE COUNTY.PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
. F�ORiOp'.
BUILDING PERMIT
SUB=CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
(Company Name/Indivi al Name)
sub -contractor for
(Type of TradeV
have agreed to be the
(Primary Contractor)
for the project located at A W () I 6-LAID615 I &
(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)
:GN&ATURE
RIL SIG�►ATURES ARE 11E UIRED
PRINT NAME DATE
Business Name:
Address: Q
City/State/Zip: Q f " e--) (3 ffqq.. '�! ,)c, 1 rr
Phone: Q �� email:f 1.Lcla g Q ` C
OFFICE USE ONLY:
PERMIT # ISSUE' DATE
G ST. LUCIE COUNTY PUBLIC WORKS
o F�OR10P'.
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
(Company Name/Indiyidual Name)-,
-.-1—
' V C • sub -contractor for
(Type of Trade)
have agreed to be the
(Primary Contractor)
for the project located at C,
(Project Street Addressor 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)
IL
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
�I-ORIGINAL- SIGNATURES ARE REQUIRED
Aa� &A)2M &Xhl)
SIGNATURE PEINT NAME DATE
Business Name:
Address: Q
City/State/Zip: LLJoi e-i
Phone: �� %� 9 email:
OFFICE USE ONLY:
PERMIT # ISSUE' DATE
,. ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
J_
(Company Name/Individual Name)
6 sub -contractor for
(Type o Trad
have agreed to be the
(Primary Contractor)
for the project located at A L2,10 CLI D6S C �
(Project Street Address or Property Tax
:�erce3 �987
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: ) 40 Q
City/State/Zip: Q ( '� ;J q_ ,a � l j
Phone: Q ���, _ email: L{b�� Ne i'Llya C Q �
OFFICE USE ONLY:
PERMIT # ISSUE'DATE