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HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT .��OR►oP. - � BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: f SF - State of Florida Certification Number (If applicable): Jib D a��g e490 tY �C�7� c c.3-L have agreed to be the (Company Name/Individual Name) sub -contractor for % d.,47 e.. n 4c r (Type of Trade) (Primary Contractor) for the project located at O'� Avg Xl Lt - �� , p'�r L,.+ 41-Y (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) ORIGnNAL SIGNATURES ARE REQUIRED SIGMA _ PRINT NAME DATE Business Name: �, A40 3' -1F C,-- c- (Rt C Address: 34< dJ Lice• ,3 ©✓L City/State/zip: T C Zi4- C-, ,C- Ft V5d�s Phone: 77 Z-- c?P-3;� L-email: 6C'/to o OFFICE USE ONLY: Q8d3-D�a3 ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT F�OR10P BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): ri 0000 8ROWN 49'- A // 5erytyr&6 have agreed to be the (Company Name/Individual Name) 1041/ma p✓(r- sub -contractor for %i2M_ (Type of Trade) (Primary Contractor) for the project located at /I/ 015 / f%s A - (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 0. No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED JivNATURI -- Business Name: Address: City/State/Zip: Phone: PRINT NAME DATE &d FT ArCIZ. CC C4 OFFICE USE ONLY: email: i ST. LUCI E BUILDING .'c�OR10p' COUNTY PUBLIC WORKS & ZONING DEPARTMENT ]BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: S� C j State of Florida Certification Number (IfappGcable): a.4 C /'r! A.3 C haven agreed to be the (Company Name/Individual Name) ,( 4 /12- Cow; . sub -contractor for -Ta m l} n J e le — (Type of Trade) (Primary Contractor) for the project located at JJ LA5 4 w„ 1+ C ( 3 --4 q `�( Lc (Project Street Address orPropezty TaY IDI#) It is understood that, if there is any change of status regarding our'Iparticipation 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 otice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Narhe of the Individual shown on the 'Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED il�G MM /�-PRINT NAME DATE Business Name: C� ,_id�il _ • /� r / �,1 Address: City/State/Zip:7 /( ci < Phone: �j�,-�`J��i 7.- email: /��'/