HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMTr
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
1�'C have agreed to be the
(Comp Name/Individual Name)
afflaz sub -contractor for C4�
(Type of Trade) (Prim ontractor)
for the project located at 6a 0�i _,�qr2 A /9r
(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)
ORIG AL SI ATURES ARE REQUIRED
SIGN&CM PRIM NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
email:
PERMIT ISSUE DATE
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMTr
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable)
�/dmy � have agreed to be the
(Company Name/Individual Name)
sub -contractor for
(Type of T&) (Prim ontractor)
for the project located at 5`�O�' </��� ,�/� • �/ ��/�
(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
12 8' 0� \
S GNA PRINT NAft DA E
Business Name:
Address:
City/State/Zip:
Phone: email:
OFFICE USE ONLY:
PERMIT 9 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMrr
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable)
elm C� , d 1 �� have agreed to be the
(Company Name/Individual N e)
sub -contractor for
(Type of Trade) (Prim Contractor)
for the project located at Ji%K lg� �✓l ��
(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 SIGICATURES ARE REQUIRED
D( __11 C �i2/U,di(J �i
SIGNA PRINTNAft DAT
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
email:
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERAM
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If a plicable): ,(�
/1Z, - have agreed to be the
(Company Name/Individ al Name)
zMMK sub -contractor for L�11
(T a of Trade) (PrimR Contractor)
for the P roiJect 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 SIG A URES ARE REQUIRED
Sf(j7N_AT1W PRINTNA6ffi DA
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
email:
PERMIT 9 1 ISSUE DATE
FROM.: GARY KERNAN PHONE NO. : 772 334 8518 Jul. 13 2011 10:451qM P2
•�;A4
ST. LUCYE COUNTY PUBLIC WORKS
BU LDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number. .117 ;zS90
States of Florida Certification Number Of applimble):
have agreed to be the
(Company Namc/lndividual Name)
(Type of Trade)
sub -contractor for
(Primary Contractor)
for the project located at�dG
(Project Street Address or Property Tax ID ir)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, Y will immediately advise the Building and Zoning Department
of St. Lucie County by personally riling a Change of Contractor notice. (Form: SLCCDV
No.004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
o'N Sri, ARE REQCU,I�RCyn��
_S A
P NAME DAT19
Business Name: f/� ,.C.ev/ems ' If
Address: !�D / it 1,Wl!r
City/Statetzip: t+'O� /dl-y SA.- SYryz
Phone. 7?:2-'220- W79 ' email:
ntarriw r rrw tIM .V
PERMITS ISSUE DATE
iNe-11-