HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: !y
State of Florida Certification Number (if annticahte)-
have agreed to be the
�aiPY� sub -contractor for
T e 01 �) (Primary Contractor)
for the project located at
(Project Street AlUd ess 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
S+ GNAI L�T�Iy A
Business Name:
Address:
City/State/Zip:
.Phone:
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OFFICE USE ONLY:
PERMIT # ISSUE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
ORI��
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
(Company Name jxR1g l Name)
sub -contractor for
e o ,rade
for the project located at i �j k) goo
(Project StreaAffirt
have agreed to he the
(Primary Contractor)
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
Icat L&17 YU kl&l
IG + E W NAME TE
Business Name:
Address:
City/State/Zip:
-Phone: o� % email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE
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