Loading...
HomeMy WebLinkAboutSub-Contractor AgreementH ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDMG PERMIT SU& CONTRAC?OR AGREEMENT St. Lucie County Contractor Certification Number: ----0.2 Q y S State ofFlorida Certification Nurnber(thpptkebk) 000 c 6//� eG7`r,2. .L17 C , have agreed to be (Company Name/lndivittual Nemc} /eG %r r<- sub -contractor for (Type of Trade) for the project located at (Project Street Address or Property Tax ID #) ' It is understood that, if there is any change of status regarding our participation %4t}i the h above mentioned project, I will immediately advise the Building and Zoning Iiertmerit of St. Lucie County by personally filing a Change of Contractor notice. (Form: 4MV No. 004.00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's Lice a d� ) sjcLNATURE DINT NAME DA Business Name: S d- LAJ E i ec--t r- -e— Address: S� ( C.`J (G City/State,'Zip: Photse: email: k - ` ST. LUCIE COUNTY PUBLIC WORKS i BUILDING & ZONING DEPARTMENT � R p BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 42 0 q 6 h State of Florida Certification Number (If applicable): ©(o '7 ► Icy T"v ►''� r-y o n `ILL have agreed to be the (Company Name/Individual Name) (�L,-,1 6r- ,a sub -contractor for `�, ems Co» —T 27&x (Type of T de) (Primary Contractor) for the project located at (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) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNAT11RES ARE REQUIRED S GNATURE V PRINT NAME DATE Business Name: -To ri-, -r !21 u,,N p 1,,.,,.,., Address: Po so* 1 Z to 21 City/State/Zip: i P1-4r­-� 3Yg7Q Phone: S' a- g oy ei'$ . email: OFFICE USE ONLY: ` ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT R pP BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: L4 y a (o State of Florida Certification Number (if applicable): R I4 0 o i t m i r_V* , •e S (Company Name) have agreed to be the 4 V 14 L _ sub -contractor for ])'I fr ah LLs W (0rIST TV1 c. (Type of Trade) (Primary Contractor) for the project located at 3a 11_ —71) 1 0 v j 4) a o`kS (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) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) atrt �,,-e s F k r-i"{S A, itp r 1 U tr TsN-ATURE PRINT NAME DATE messName: (gr;,r"eC onOW-Nni-r4 Address: '!�i 0 S V 1-4►--tom. us City/State/Zip: fT Q e e ms. L 3Y 9 Lt L Phone: L46Iy-II1 email: OFFICE USE ONLY: PERMIT # ISSUE DATE �J Gy ST. LUCIE COUNTY PUBLIC WORKS i BUILDING & ZONING DEPARTMENT �OR10P BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: A010 1 State of Florida Certification Number (If applicable): C Cc_ 1 l 5 , ;L o R 1 wY 10- r (Company Name/Individual Name) have agreed to be the o ,,� c•iie, sub -contractor for 9 i -CvneL,, e- ,s ea co �,x s r (Type ofTrade) (Primary Contractor) for the project located at La j 1-1 ( 4,L4,, y, obuki-•i-ry eS4-tk4 (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) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) A' C 4j oiuh A - PRINT NAME Business Name: S✓�- ��4Lo✓ �o• �,wt Address: ] �— 0-7,e-Li-o , 3r-iy.4, City/State/Zip: PT I? rc c r L - Phone: L(& G 40 Y 0 email: OFFICE USE ONLY: 5`I2—oL DATE