HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
oato� '
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 2
State of Florida Certification Number (If applicable): �L �l� — 0 0:00r T J
(Company
Name
0t 0(9�
have agreed to he the
sub -contractor for %�
(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)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
SIGNATURE P T NAME DATE
Business Name: ewo e-�
Address: 2 J U/ C L �ti/ /��
City/State/Zip:
Phone: � j S 2- y2 p rj' 7 email:
CE USE ONLY:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
F�ORI�A '
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State 3of Florida Certification Number (if applicable): C ) 6 0 / Sd')
/J
l � ." S Eledl-' ,c have agreed to be the
(Company Name/Individual Name) // j
de-d,,,� sub -contractor for _ 6. ro,,J
(Type of Trade) (Primary Contractor)
for the project located at
P N pis 1/4)
(Project Street Address or
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
- 7 � 4'? cn� d%s
SI" NATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
.Phone:
772— kxPxP f.�,7 z- email: /5 clw/ur (0) A 1--co n
OFFICE USE ONLY:
ST. UUCIE COUNTY PUBLIC WORKS
BUI7L-DI TG & ZONING DJEP.A,RTMEENT
-F�oa P
]BUILDING PEP&HT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number. .TkVC 00 g %rJ
State df Florida Cerificatiolon Number (If applicable):
have agreed to be the
,,�J (CompanyNamdtndividualName)
p�J�IIl'!! /✓ lam^ sub -contractor for 7'0r?I/ t�r�jS=
(Type of Trade) (Primary Contractor)
for the project located at ;,XV7t Al is' f Ff P6Fit•LX }=1
(Protect Street Address or Property Tax ID #)
Ldy`!
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 QUAJLJ[P)fER (Nam, of the Individual shown on the Contractor's License)
ORI GIr4"AL SIGNATURES 4RE REOUIRED
Cs`�1�-� �� % lJi'✓f l�i�s f1' � i 5 d8
SIGNATURE PRINT NAME DATE
Business Name:
Address:
Citylstate/Zip:
Phone_ 31y2 jE7 email
UFF-LUE USE ONLY:
PERMIT# ISSUE'DATE
J� c
�y ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
. F�OR1�P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 7 3 .
State of Florida Certification Number (If applicable):C'
G
(Company Name/Individual Name)
have agreed to be the
1'411A4G sub -contractor for &O'i'l A d' 9 *-416 lKoo►e .der✓'
(Type of Trade) (Primary Contractor)
for the project located at d2C2 7'/ Al fit S dav / Go-/ �
(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
�--� /ice\
SIGNA PRINT NAME / DATE
Business Name: /ti/A��' Lam[ c. r
Address:
City/State/Zip: u C t.
.Phone: -7]Z—!P%O - 5'P?-L- email: 9,110 a9-0
OFFICE USE ONLY:
ISSUE DATE
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