HomeMy WebLinkAboutSub-Contractor AgreementST. 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):
1796
oCCk,0_0A z N,\(,-- } r has agreed to be
(companyrindividual name)
the sec Y' co_A
(type of construction trade)
sub -contractor for C� n e4\ cD'
(n me of the prime contractor)
for the project located at LALkOS Sp . 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).
BUSINESS QUALIFIER (original signatures required):
6.) (1110, . 6, N 2-1- 1 0 1 -
sig rl/ Print name Dat
business name:
address:
city,state,zip: fir- S-T` WcAe
phone: S co V --Og — 6B OU.
OFFICE?USEl'ONLY:
PERMIT # ISSUE DATE
SLCCDV FORM NO_: 002-00