HomeMy WebLinkAboutSub-Contractor AgreementDEC-27-2000 13:12 FORWARD ELECTRIC
561 221 3180 r.a
S'T. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
HUYLDING PERMIT
SUB -CONTRACTOR AGREEMENT
SL Lucie County Contractor Certification Number.
State of Florida Cerdcation Number (if aopUablo):
tti �
��� •LOW
G71 �3 �.`f s o Thas agreed to be
(companYlmdividuni name)
the
- sub -contractor for
i= k � Zr` � ,a /
(type of construction trade) (name of ins prime contractor)
for the project located at A-41'-2_f' ° 3 '" ` �� �' d . It is understood that,
(:beet address or property► tax 10 s)
if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Community Development Department (Growth
Management Division) of St. Lucie County by personally filing a Change of Contractor
Form .(SLCCDV FORM NO. 004-00).
.......-%moos......................w...w.»...«
BUSINESS QUALIFIER (alipinal signatures required):
$ e
business name:
address:
city.state,z(p: �.
phone:
PCRKM 0 1 1 issue DATE
print name date
SLCCOV FORM NO.: 002-00
� y
DEC-27-2000 13:12 FORWARD ELECTRIC 561 221 3ieo P.O4/O5
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (if mop►tesbiel
0 &It1 S LOW IN
%=has agreed to be
(aompa"y[rndividuni name)
,( / z �. % sub -contractor for
the �� � � i
(typo at construction trade) (name of the prime contractor)
for the project located at J�-��--� 5 ' a ° `�i — �` ° ° , . It is understood that.
(street address or property tax ID 0) '
if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Community Development Department (Growth
Management Division) of St. Lucie County by personally filing a Change of Contractor
Form .(SLCCDV FORM NO. 004-00).
BUSINESS QUALIFIER (oMpinei sipn■tures required):
ram„ s l.. "YA -(LA2IL l a
si a P time
date
7
business name:
address:
city.state,zip:
phone:
u,rr�r t�t/ll�A6Gs i616/. SLCCOV FORM NO.: 002-00
reta w 0 1 1 ISSUE MATE