HomeMy WebLinkAboutSub-Contractor AgreementGy . ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTAIENT
�ORiDp'
BUM -DING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: Z 1J Y,
State of Florida Certification Number (If applicable): C
i
br,
have agreed to be the
(Company Name/Individual Name)
G re- �c sub -contractor for iq t o r f &G, rr e-
(Type of Trade) (Primary Contractor)
for the project located at 9& 7-9 A%` iAl / f-- - , �2 re ` a = I
(Project Street Address 6r Property Tax IIID #)
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
IVo. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
OR GII 3AL SIGNATURES ARE REQUIRED
S IN TURg�� A r � 1 CIS/ f)/CC /I
PRINT NAME DATE
Business Name:
Address:
City/state/Zip:
Phone:
email-
- c
ST. LUCIE COUNTY PUBLIC WO S
. BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMOENT
St. Lucie County Contractor Certification Number: d,,41 d 6 ZJ -
State of Florida Certification Number (If applicable)_ X 14 0 0 g o 9 7 7
kbe-d 6o, r re,-�f have agreed to be the
(Company Name/Individual Name)
sub -contractor foro
(Type of de) (Primary Contractor),
for the project located at & 7 3 f 0 ,e-rc e
(Project Street Address or Property Tax ID f -
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)
UWMNAL SIGivATI! ES.ARE REQUIRED
r r<=.TT"
AIGNA M
A , f PRINTNAME / DATE
Business Name:
Address:
City/State/Zip:
Phone: email:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
.. F OR1�� •'
BURMING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Cer0cation Number:
State of Florida Certification Number (if applicable): �.1 �- %�" 7�
r� `S �� ` ��' A-% have agreed to he the
(Company Name/Individual Name) n
!� G sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at
Q. 7 3 0, t4 S -
(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 thl Contractor's License)
ORTGIVAL SIGNATURES ARE REQUIRED
SIGNA'I'[IR> PRINT NAME / DATE
Business Name:
Address: il/ c-
City/StatelZip:
Phone:
Y,
-7 %2— rl' 7b' : �7 "L-
email:
76.
9!
OFFICE USE ONLY:
PERMIT #