HomeMy WebLinkAboutSub-Contractor AgreementFROM PHONE NO. Nov. 07 2001 12:39PM P1
ST. LULIE COUNTY PUBLIC WORKS
DUILDING & ZONING DEPARTMENT
BiJILDI NG PERMIT
SUB -CONTRACTOR AGREEMENT
St Lucie County Contractor Certiftaatian Number. 1919.
State of Florida Certification Number (if appiloabie): G `—C= gad
has agreed to be
(compenyrrndiVIdU8I name)
the sub -contractor for ��� Z 001
(type of construdion trade) (name of the prime cantraetorj
for the project located at / 9 T LI• . ' "` 4 ` • It is understood that,
(street address of property W 10 0)
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 fling a Change of Contractor
Form (SLCCDV FORM NO. 00"0).
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BUSINESS QUALIFIER (oaginar sognatufm required):
signature Print name Date
business name: C'q'�qX��
address: /.2 9 i�c1 �'�n_ �u Ir t�l_ .-Gr e
city,state,zip: _ S. i` ✓� = L 6:�z -
phone: C_��
DFFICELISE,ONLY: SLCC;DV FORM NO.: 0024X
PERM tT 0 ISSUE DATE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUR-CONTRACTOR AGREEMENT
at. Lucie County Contractor eertlflaation Number.
$tat# of Florida Certification Number (if noPUame):--
,�(�C)C f�"���1�.�. _ has agreed tc be
(e4mparxyAn41ve4o mu )
the F' it +�� I - Bub-oontmctor for n C-,
try" of Oonstruaw trade) ` (narne of the Aries 001VMt4".
for the protect locate3d et '� / It it understood that,
(su et sedan or pro'enty taxi 10 0) 5 L F 3 / 5 Z
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 personalty filing a Change of Contractor
Form (SLCCOV FORM NO.004-00).
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BUSINESS QUALIFIER (onginai lkwA ms n4uh":
J1z,4- V m A lem I) )"? lc) I
spnatun Phat norm paw
business name: r( , I ) e V l
addre00: • C '
efty,atat/4,=lp:
Phone: c .. 0
JFFICew'Ua�'ONLY: 9LCCov FORM NW 003
PERMIT 0 taeue DATE
40
.:.
ST. LUCIE BOUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: /
State of Florida Certification Number (If applicable):
has agreed to be
the sub -contractor ford�-
(type of construction trade) (namelof the prime contractor)
for the project located at 190? lS4--&JC . It is understood that,
(street address or property tax ID #)
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).
B S ESS U L I o irLalesignares nequ�n�.�d):
ign ture Print name Date
business name: COC S4-X-e 4tekir / C a� 1e j
address: D kC, btu ,t,Iet,,"
city,state,zip: FL 3
phone:
OFFICEVSE'.ONLY:
PERMIT # ISSUE DATE
SLCCDV FORM NO.: 002-00
0(,
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number. 006
State of Florida Certification Number (If applicable): COC - e- dg�55
has agreed to be
' (company/individual name)
the sub -contractor for U C
(type of cons lion trade) y ame of the prime contractor)
for the project located at I M > ���5 c,1 /. It is understood that,
(street address or property tax ID #)
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):
// LFO/
ignature Print name Date
business name:
address:
city,state,zip:
phone:
OFFICE'USE•;ONLY: SLCCDV FORM NO.: 002-00
PERMIT # ISSUE DATE
Al
OR10P
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: la-\
State of Florida Certification Number (If applicable): 0 V - LO C:� na � �
have agreed to be the
Name/Individual Name)
err, er sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located atyc:kocp �,��� �� ; S _ ��, .4
(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
Business Name:
Address:
City/State/Zip:
Phone:
rD-
PRINT NAME DATE
�A\ — 2 an -A V g a email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE