Loading...
HomeMy WebLinkAboutSub-Contractor Agreement,. - PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division a BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. e S(7T State of Florida Certification Number (Wapplicable): �g Ijt S6136q o? en 0_4tC �C _Cylt have agreed to be the (Company Name/Individual Name) E f. m4 t`Cc sub -contractor for J 1 m c m ,( (Type of Trade) (Primary Contractor) for the project located at ­�H a a • oa I I -0 0 10 . 000 - (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) ORIGIN IG ARE REQUIRED �y SIGNAT PRINT NAME DATE Business Name: u-�"��1 6-04flf c _!C-�7m ;To C- Address: City/State/Zip: Phone: OFFICE USE ONLY: A 1s-�7Tdd email: PERMIT# ISSUE DATE r PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT OCT St. Lucie County Contractor Certification Number: ©� 7`S_ b703 State of Florida CertificationNumber ((IIf applicable): ,&rrO03 ) 0 have agreed to be the (Company Na e/Individual Name /Cq Isdi-tf sub -contractor for ' I (�`(� (Type of Trade) (Primary Contractor) for the project located at 3L4 as • a �1 - 001 U - OOU - Lf (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 Name: Address: City/State/Zip: Phone: (Name of the Individual shown on the Contractor's License) 191)[411119101h N-A 0T) P� 7 --/- PRINT NAME DATE R 79 v�rb Di D /uaiS,�r Il C_ Cpla? OFFICE USE ONLY: PERMIT# ISSUE DATE