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HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUN'I"Y DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): M05-1 5,41n., ( 2,J,_vE �G T2/ G�9�- has agreed to be (company/individual name) the sub -contractor for 1/•c yip L/L o UPS—�i�.� (type of construction trade) (name of the prime contractor) for the project located at o�3 y% �0 • SG �G It is understood that, (street address or property tax ID #) 3 y9�or 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 (original signatures required): signature print name da e business name address: city,state,zip: phone: .SSM C���-� � ��C- 4z­ 0 J SLCCDV FORM NO.: 00, PERMIT # ISSUE DATE •00 ST. LUCIE COUNTY PUBLIC WORKS . BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): 5�c% 11q12 f'!/I It / igf'MM f - Jp i (' have agreed to be the (Company Name/Individual Name) " t k i r -sub-contractor for &bPr Lbe(10 hiller PM(S (Type of Trade) (Primary Contractor) for the project located at C (Project Streit 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 SIGNATURES ARE REOUIRED SIONATURE PRINT NAME DATE Business Name: Address:l C Ll2G/� City/State/Zip: Phone: e ? e, F- email: CE USE ONLY: I ST. LUCIE COUNTY PUBLIC WORKS a ` BUILDING & ZONING DEPARTMENT y�9 BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 23527 State of Florida Certification Number (If applicable): ROBERT DEAN SCHILLER POOLS CPC057114 ( ompany Name/Individual Name) POOL B .- t - sub -contractor for (Type of Trade) for the project located at have agreed to be the Robert Dean Schiller Pools (Primary Contractor) (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 SIGNATURES ARE REQUIRED ROBERT DEAN SCHTLLER SIGNATURE PRINT NAME M0 "a_ �_� Business Name: ROBERT' DEAN SCHILLER POOLS Address: 3590 S.E. DIXIE HIGHWAY STUART, FLORIDA City/State/Zip: STUART, FLORIDA 34997 Phone: 772 '287-0768 email: Schillerpools(abellsouthd OFFICE USE ONLY: VVENDY M. GRINNELL Notary Publir ; 'ate of Florida '• :o� Commis: No. uQ 687313 N&I� My Corr• :xp. June 20, 2011 "• Bondea thr;. ixy Pu;,!x Jnderwdters