HomeMy WebLinkAboutSub-Contractor Agreement�y ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
ORIOp BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification N umber (If applicable): /" /�L 20/ 0
f
(Company Name/Individual Name)
have agreed to be the
sub -contractor for Z4 .5/4���"�
(Type of Trade) (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)
f
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
1.4
AT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone: '922 C3 email:
OFFICE USE ONLY:
PERMIT #. ISSUE DATE
i
_ ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
0R10Q BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
have agreed to be the
(Company Name/Individual Name)
sub -contractor for ! /`` /����-�/ -Z7XC P
(Type of Trade) (Primary Contractor)
for the project located at 1 S
(Project Street Address or Property Tax ID #)
It is understood that, if theire 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 12EOUIRED
i
XATUREPRINTNAME DATE
ess Name:
Address:
City/State/Zip: /
Phone: S `� 3 email:
OFFICE USE ONLY:
PERMIT #. ISSUE DATE
_ G ST. LUCIE COUNTY UBLIC WORKS
BUILDING & ZONING DEPARTMENT
OR1�P BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
have agreed to be the
(Company Name/Individdal Name)
sub -contractor for I
(Type of Trade) (Primary Contractor)
i
for the project located at 3
(Project Street Address or Prope �TaxlD#�
change regarding our participation with the a of status
It is understood that, if there is any c g
above mentioned project, T will immediately advise the Building and Zoning Department
p �
of St. Lucie County by personally filing a Change of Contractor notice. (Form: sr cCDv
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGII AL SIG`aTL►RE,S ARE RE L'IRED
i
4SIATCU-R—EC��� PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
0
email:
OFFICE USE ONLY:
PERMIT #. ISSUE DATE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
��ORI�P
BUILDING PERMIT
STUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:��
i
State of Florida Certification Number (If applicable):
Sa, z /�EW ����/;�� f 1�,(� have agreed to be the
(Company Name/Individual Name)
��L1AIA sub -contractor for -1-c—AST -5216E—
(Type of Trade) (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)
S QUALIFIER (Name of the Individual shown on the Contractor's License)
OWGMAL SIGNATURES A1tE Kr: U1KLO
SIGN4N,04E 4DT4E
Business Name: %� AU
Address:
City/State/Zip:
Phone: email:
nl T'i TrIP VVIT (1NT .V-
vi-i'ivy v►.rnd v+.
PERMIT#. ISSUE DATE