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HomeMy WebLinkAboutSub-Contractor Agreement0707- V/ 0 ST. LUCIE COUNTY PUBLIC 'WORKS BUILDING & ZONING DEPARTMENT �OR10 BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): to sub -contractor for for the project located at r � (Project have agreed to be the. (Primary Contractor) 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 SIGN" ` r-LRIN�T d AME LDATE Business Name: r-o (/ / d?Scr Address: City/State/Zip: �� Z'i�% O 3 �� -7 .Phone: 7 % .2- 3 32 email: OFFICE USE ONLY: PERMIT # ISSUE DATE 57'y ST. LUCIE C0TRqY PUBLIC WORKS -BUILDING & ZONM BUHI)HqG PERDW SUB -CONTRACTOR AGREENU94T St Lucie County Contractor Cmdfication Number 7 -7 State of Florida Certification .Number (if ;,pplimblry. U / _3 A(()AYv\ C� Ae"-tJ have agreed!t,6 be the (Company Nanie,%divzduaJName) sub -contractor for trw ofMade} (FY1132W Contractor) for the project located at 1()76( S-, 6CA5/" 1091(Ut (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 BVilding and Z"g Department of St. Lucie County by personally filing a Change of Contractor.uotice. (#*iur SLCCDV a No. 004-00) a BUSINESS QUALMER (Nam of the Individual shown on the contractoet uccuse) ORIONAL SIQNATURES A_gE gEouggD A 5ATR Business Nww: Address: city/statdzip: Phone: w-'re'A'J 5001oy A-014-m ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT p p BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): have agreed to be the (Company Name/Individual Name) PLcie„Q/� sub -contractor for (Type of Trade) (Primary Contractor) for the project located at (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 RZOUIRED ' SIGNATURE Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: T NAME dTE 7_74, email: PERMIT # ISSUE DATE ST. LUCIE COUNTY PUBLIC WORKS ~~K BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): +I •7°Z�• " have agreed to be the (Company Name/individual Name) U� otc6wicac sub -contractor for .gip 6 �ls2i� Co tiI.f57Z�✓C77i�' ®�,fiGnl (Type of Trade) (Primary Contractor) 01_� for the project located at LD 70/ S . ` 0 4�tv.1';: %.yM dmr (Protect 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 SIGNATURE PRINT NAME DATE Business Name: /'b 1f% _ G.a� r✓� w`� 9 ;f1T �rG' J �s�a Address: City/State/Zip: v V � 11`�!1i� .-�• `%' ��� Phone: 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:,:3:, V State of Florida Certification Number (If applicable): C C G 5 4A- - Cc 3S " c,7a:J have agreed to be the (Company Name/Individual Name) r ' sub -contractor foO✓ �-, i 61) (Type of Trade) (Primary Contractor) for the project located at LO 2d/. S• Iz (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 SI ATURE PRINT NAME A Business Name: Address: City/State/Zip: Phone: ,��i✓�t!!k4/1.1L. 'CCS!�!S'ryLUGj7.o,.�,'S�' a .�d'l6 • ''S�, L GGI� AL OFFICE USE ONLY: email: PERMIT # ISSUE DATE