HomeMy WebLinkAboutSub-Contractor AgreementG ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
F�ORIOP
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
tArn
(Company Name/h
Name)
have agreed to be the
1% _y"p—G sub -contractor for �p�J�x�l /*�ICS_
(Type of Trade) (Primary Contractor)
for the project located at ' / 361 &1. U. Sr I 1149,p— Jq/.r 0&D3 --®®a
(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
SIGNATURE PRINT NAME D TE
Business Name: llC^' csS76
Address:
City/State/Zip:
Phone:
.>%2 ^ e2. ? A - /// V, email: le—
OFFICE USE ONLY:
PERMIT # ISSUE DATE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
. F�OR1�P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):�,n co 170 "A
e �/k, • /C
(Company Name/Individual
have agreed to be the i,
431�t`�/ sub -contractor for
Type of Trade) rimary Contractor)
for the project located at 'y _Iv
(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 SIGN IRES tE UIRED
wo, , f—
k1V &,��t-Qkcnrd�q_ 1171o5'
SIGNATURE PRINT NAMEDATE"
Business Name: ! f ' C L�P�'•T
Address: �F_
City/State/Zip:
Phone: email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE