HomeMy WebLinkAboutSub-Contractor Agreement04/14/2008 08:19
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SUB-CONTRACTORAGUEMNT
St- LVCiC CblMty COWMCtOr Certification Number -�11
State of Florida Cer4dca6en Mini= (Ifawlicabl,);
U—C, have agreed to be the,
_Z419mY Narne/(ndividual Name)
sub -contractor fofz1:_
(Type of Trade) - I I (Primary.
for the prof cct located at LAt,3
LJ - F -, - +),
(Project Street Address br Property Twl 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 c ._,e of Contractor notice. (Form. SLCCDV
No. 004-00)
BUSINESS QUALMER (Name of the Individual shown on the Contractor's License)
-OFJGhNAL S1Giv RES ARE
UIRED
OL
FRJNTNAME DATE
Business Name: F
Address: n n 0 te
in U
city/statOzip: Zxhn.
.Phone:
OFFICE USE ONLY:
•
C�
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMF
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number..
State of Florida Certification Number (ifapplicable):
tvt clga pn,,� 'I t4Q,1 C �e C c S have agreed to be the
(Company Nkme/I/Inndividual Name)
mac- 2 i c J sub -contractor for �b , Q COo c, Co nsk ('uc. vil-
(Type of Trade) (Primary Contractor)
for the project located at tq j 1' -- QIe ag- it
(Project Street Addrogs 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
a. CA'm'A'i -
SIGNATURE NAME ff - n DA
Business Name: e n.. r % on, CST 2� CA se fv lCQ$
Address: 10'M 6V�Z W L P me,
City/State/zip: '9a at-- , it 3 4q4 q
Phone: 17'1z- Z85-1380 email: &JArV10A&o#%-%av1 ti a a01• cvM
OFFICE USE ONLY: