HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY, PUBLIC WORKS
BUILDII� G & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (If applicable):
name)
006
has agreed to be
the ��e coax sub -contractor for
(type of construction trade) (n me of the prime contractor)
for the project located at LW� S • U S " _ \ . 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).
i
BUSINESS QUALIFIER (original signatures required):
t� S I�,.rv�. i%,%„
01 2_'2_ b i
Date
address:
city,state,zip:
phone: S-6 \ —
)FFICE-USEfONLY: SLCCDV FORM NO.: 00
PERMIT # ISSUE DATE
-00