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HomeMy WebLinkAboutSub-Contractor Agreement02/23/2001 12:14 954431a332 D F CONSULTANTS INC PAGE 02 .i' ST. IXCIE COUNTYIPUBLIC WORKS BUILDING & ZGNING,DEPAR'I TENT BUILDwc PERNUT SLUE -CONTRACTOR AGREEmIENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If app01e): . CLE L © -51d 9 ✓ 7 ei 0,4 a 2 — has agreed to be C@Mpanylrndividual name) the` sub -contractor for t!-s! 'e9t T�W6_ (type of construction trade) 601WCeoft pri r.®ntmawr) Q"n' for the project located at d-- Af1_5��`✓-�',� !� f It is understood that, (street address or property tax ID S) 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 Form (SLCCDV FORM NO.004-00). BUSINESS QUALIFIER (oripinai abnewres mulred): 3 /15r/ azz� signature Print natrte date business name: ��>� ��� /�l/ � 7�/`l�k '�e�� l yr -� address: city,state zip: ..+ ,� 1-O. j^� ,13 r(G� - i ®o � 1�, phone: ? DFFICE,!U5tOONL- I sr cauv FORM nu.: ow MAW 0 ISSUE DATE LIE 41 .4 , , •• i 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): 1�__: Q_ \0CA 6 pwrn,VLo p. 2.S F-mac C\- 2., CP, Qc S, Gc,) , E t,�c has agreed to be (company/individual name) the ex-r-s U'�u CAL sub -contractor for or-i_)E q' MQ`-15LA" Co'3TM/5: '(- (type of construction trade) (name of the prime contractor) '53zl I c��z.3cnc) ,-- for the project located at 33zr7 3� `�t�z�o�°3 . It is understood that,, (street address or property tax ID #) tJ� L � v.�i z\,J � 'l C" a"' Qr 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 Form (SLCCDV FORM NO. 004-00). BUSINESS QUALIFIER (original signatures required): AW �'Vg N . — (�q � I �- signature Print name Dat business name: QW "NZQ C-Y-, Lc C'S'`MI CAV- GQ s--)C address: 433 bZ kc�\ t city,state,zip: �wu3,�c7«� P� 5 , �L 33 QZ9 phone: .l =FICE1USE'lONL .: SLCCDV FORM NO.: 00: PERMIT # ISSUE DATE -00