HomeMy WebLinkAboutSub-Contractor Agreement'�� '
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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St. Lucie County Contractor Certification Number.
State of Florida Certification Number (ifappiicabie):
107 ffa
EC p o a /::6�7-2,-
/ O7Z'✓7�'iLd/ A� L-!iC ! tZ� c l..on//�Z/;G/oi'-f d� ��^
(companyfindividual name)
7�-c has agreed to be
the E /r- C h—'- CW_ L i sub -contractor for C,A-, _/7k i l% , Nir
(type of construction trade) i (name of the prime contractor)
for the project located at603 -- o 0 o -s - o n 0 Id". 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):
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OFFICEMSEMNLY: SLCCDV FORM NO.: 002-00
PERMIT # I.el o l of o / I ISSUE DATE I �/ �,,, 3 /
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ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number. % 0 % °
State of Florida Certification Number (if applicable): E C ° 0 ° ��i 7 --2
eA;C 0N;JZ49-er_S -1Z c has agreed to be
(companyfindividual name)
the F z rC kPe o'�- sub -contractor for �'4 s h
(type of construction trade) (name of the prime contractor)
for the project located at 4W-Z Goa -oao-o, -0004_ . 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):
business name:
address:
city,state,zip:
phone:
N
R > //v
Date
Fo /ZW7)-k J
4c1Z'Ve ed,
S-i-k r r_f F-1- 3 ,t Q 177
Sc/— 2..V/ - 14YO
=FICE=USE ONLY: SLCCDV FORM NO.: 00:
PERMIT # -:� 10 f o 6_/ ISSUE DATE 9 m o o/
-00