HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB --CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: d 5/
State of Florida Certification Number (If applicable):
C/T- &4-5,r k c have agreed to be -the
(Company Name/Individual Name) ,
sub -contractor for S 4 'r
(Type of Trade) ' (Primary Contractor)
for the project located at 3� 4e- �-1z kq cat -e
(Project Street Address or Property Tax ID #)
It is understood that, 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 notice. (Form: SLCCDV
No. 004-00) .
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BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
®RIGLN1 A IGtiATllRES ARE REQUIRED
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SIG A PRINT NAME
Bu " ess Name:`¢ C
Address:
City/State/Zip:
Phone:
77-o
OFFICE USE ONLY:
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email:
�y ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State ofFlorida Certification Number (if applicable): 2� 1145 0 ce) SL
I _ c
j4s P tqc_irL 7'
have agreed to be the
(Company Name/Individual Name)
i sub -contractor for X tjw Ro
(T a of e) (Primary Contractor)
for the project located at 1op�oGr q /9 t 0 M -4
(Project Street Address or Property Tax ID #) ®�®�
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It is understood that, if there is any change of status regarding our participation with the
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above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
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NATURE PRINT NAME DA E
Business Name: i (r /C7 00v t 41 / "� � ioz c
Address:
City/State/Zip:
Phone:
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OFFICE USE ONLY:
email:
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J.J. ELOISE CUMINGS
Y COMMISSION #00874307
IRES: APR 06, 2013
ndedthrough 1stStffie Insurance
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUR DING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number ¢fapplicable): C Pfc d 3� �+ (o!1
p aV a i \+ e— ; vy\ have agreed to be the
(Company'Rame/Individual Name)
R% r Cy vt aoo u n c,,> sub -contractor for ► S r` s rh b n'& 1- L o m g
T (Type of Trade) (Primary Contractor)
for the project located at 5�� �� gr� L4R p� V + �b �r«J
(Project Street Address or Property Tix ID #) 3 T 11 9
It is understood that, 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 notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
IGNATURE _ ,PRINT.NDATE
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Business Name:
Address: �
City/StateJZip:
Phone:
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FORT PIERCE, FL 34982
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PERMIT#
ISSUE DATE