HomeMy WebLinkAboutSub-Contractor Agreement,� Gy ST.LUCIE COUNTY PUBLIC WORKS
W. BUILDING & ZONING DEPARTMENT
�OR10
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): /- C
have agreed to be the
(Company Naine/Individual Name)
melee -A %.4 f sub -contractor forGl&
(Type of Trade) (Primary Contractor)
for.the project located at q 8' qq W *er.:
(Project Street Addressor
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 11EQUIRED
SI N 11INt NAME DATE
Business Name: ,/-0v'7~7v. Gou �� 7`"✓ FL�c f)-i l'o'7G
Address: 101��Ll$ %9 �h Terar�lcp /��v �-Li
City/State/Zip: Pd Ivry
Phone: M/j Zz7— 9'O 2-3. email:
C•
OFFICE USE ONLY:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ..,ti� .
State of Florida Certification Number (If applicable) l% 5 5
c�a kF�g2Y1`�+K h�su =f1�x�vCS; nL . have agreed to be the
(Company Name/Individual Nwmgy
p'' sub -contractor for
(Typ rade) (Primary Contractor)
for the project located at : L(e e S&P
(Project Street Address or ProppTax #)
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)
ORIGINA NATURES QUIRED
N T PRINT NAMEnn DATE
Business Name: Q (JG.Il:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
email:
PERMIT # ISSUE DATE
Y
ST. LUCIE COUNTY PUBLIC WORKS
. BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEN-k-NT
St. Lucie County Contractor Certification Number: 45 .
State of Florida Certification Number (if appucabic):
G Oq si n'.5 A � l n.c_, have agreed to be the
�(Company Name/Individual Name) ��
sub -contractor for ,►�l ; %��� �c ,� �o
(Type of Trade (Primary Contractor)
for the project located at �-�� lr��y 7P o�, Py
(Project Street Address or Prope 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. aoa-oo)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGitiiATURES ARE REQUIRED
SIGNATURE PRINTNAME
DATE
Business Name:
Address:
awstate/Zip: _1 �'i�t CeC� 33L1y P
Phone: 4S(A—Sclu - 0911crR g
OMCE USE ONLY:
Tuesday, February 06, 2007 4:46 PM 561-775-8086
0
p.02
oy ST. LUCIE COUNTY PUBLIC WORKS -
;� BUILDING & ZONING DEPARTMENT
• F�OR10�".
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ci7 y-�ps
State of Florida Certification Number (Irappucabte). e ee / ,3 a % SG.S"
e , A /. s %s da have agreed to be the
(Company ame/Individual Name)
Wom 4.✓ 6 sub -contractor for 6; W PU„g- 14 c k e
Type ofjTiade) (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)
07EiG In, GNATURES ARE REQUIRED
!J4J h 114.J IS"
SIGNA V PRINT NAME DATE
Business Name:
Address:
City/state/zip:
Phone:
OFFICE USE ONLY:
P.ERM[rW !
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