HomeMy WebLinkAboutSub-Contractor Agreementemail: kS,� I I kQ QI p 2k;-L e a OI, C'6Yr,—
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): ;Ee.G�1 a
n. . 1 _A A 1
have agreed to be the
Name/Individual Name)
UX p 41L�o aJ— sub -contractor for T t- B to {
(Type of Trade) (Primary Contracto
for the project located at S7000 0 ,tea-,xae, Q� C �3 Nq q
(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 0 DAT
Business Name:
Address:
City/State/Zip:
Phone:
USE ONLY:
f- `) I C) vUu h
G ST. LUCIE COUNTY PUBLIC WORKS
y� BUILDING & ZONING DEPARTMENT
�ORlO
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: a (o
State of Florida Certification Number (If applicable): 00 1 B07 1
G , nne3 !'fie cx.� ; n 4 d- ffle have agreed to be the
(Company Name/Indi dual Name)
H V R C_ sub -contractor for 1!nc} S& C_
(Type of Trade) (Primary Contractor)
for the project located at ZrCCO Oro nc.R qu-e
(Project Street Andress 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)
n FGmes /0-3-�7
AME DATE
Business Name: �D rime;, N yea , n o d R/ C
Address: _30Sy /V LA s t
City/State/Zip: F`f - P- e r c -e F L q lg y(o
Phone: y (o 1 87 I I email:
OFFICE USE ONLY:
[--TffwffT# I ISSUE DATE