Loading...
HomeMy WebLinkAboutSub-Contractor Agreement.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): WTI -I- has agreed to be (companyfinaividual name) t Lthe `��� sub -contractor for I�o1r�✓ �- 1Me x (type of constructio de) (name of the prime contractor) for the project located at s a ej U .S� �� 5!2 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.0D4-00). BUSINESS QUALIFIER (original signatures required): PA/0 �4 //,*,-- o ./ v ( cl Dl7 signature Print name Date business name: V� address: -c 1'4 ---e Y3V2 city,state,zip: h phone: - Z-I q Ce i )FFICEtiSE±ONLY: SLCCDV FORM NO.: 00 PERMIT # ISSUE DATE f l T: Lu. IE D -OF CO DEVELOP`"NT B1 I1�G 10ERU1T '$Ui�TitACT01= AGMMEfft St Ltnft county COM.— Nand r: state of FfMW coif * NWOM W k 0 S~ C— has agreed to be (oo�rptnYtiiirtdlni �? �, G for RD 6peci ;iyps of oonsbualoa tuft) for the pwjW ! Z2 S ! ON It is understood that. ,set or proper hoc 1D if -}- -S�E' Luc � � � cMed at change of sWtus regarding our participates jMM the gbwe merMoned if there y an Project, 1 wm hl advb CmmftkDmWnvntDipadmant (Growth Management t)iv mm) of St. Lulls County by petsm* OM a Change of Contra, - Form (sICCDV FORM NO W4W)- print nano bu*mm nWw �fdress: dtystatez�: ....9SsioN �p,RY rr�o �•; May-29-OS 04:49P P..01 - ST. LUCIE COUNTY PUBLIC WORKS' BUILDING & ZONING DEPARTMENT BIULDING ICE"uT SUB.CO,NTRACTORAGREEMENT SE Lucie County cortrator Cwtific:ation Number: � ...... ° � State of Florida Cer0frAton Number pi alpbsesblo): � � C0 5' 8 2 7 7 ohn KAn 1 P.`r ('ond4-l.dhinq hasagrbedtobe -- -- (cmnpsAy4ndiWduR1 nwme) — the H V sub -Contractor for , Rl c h ©rcl . M addax (type of constmadon ue,) (n,me of tt+e pr*m aontrr 000 for the project located at _ 2� °i J• ede 7 It is understood that, wMe sim mss or p owny tax 1Q #j ' if there is any change of status regarding our participaabon with the above. mentioned project; I will i1•nmed teiy e►dvise the Building and- Z0140 Department -of St. Lucie County by personally filing a Change of Contractor Form (SLCCDV FORM Np. C 4.00), L C ROSINESS t��.�.{: �:T�f:=1hVisi° A r1i%0*; r^%ivrf: F-60W2 � M�F, =4 i Ffio�s -vh n..'W . K0 � yi (",,7 3 -(0 Z Print home oots busing' im 96 k r\ 14 , i�o h n Air- QonI4 ion, ►�� adds: 6-7 ' (a1 UC +n r a ( res city,la"teAP: r . 171. ,Cffi rz 4aF. ONLY: PERM s, =UE DATE Sworn'to and subscribed before me this 3rd day of January, 2000, by John A. Kuhn, who produced a Florida's driver's license as indentification. — ����,��, Star D. Mashler ;;_Commission # CC 780351 l :I Expires NOV, 19, 2002 '�,oFFi�•� BONDED THRU S ar D. Mashler ++++•�• A7LANMBONDING CO.,INC. Notary Public, State of Florida