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HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS . BUILDING & ZONING DEPARTMENT 6OR0 DUkDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certi"cation Number: 6� 5 State of Florida Certification Number (Ifappticabte): EC 1.3 6 0 1�8% have agreed to be the (Company Name/Individual Name) (--c- ice.( c-�- ( sub -contractor for 7—oW! (Type of Trade) (Primary Contractor) for the project located ateier'ce (Project Street Address or Prollerty Tax ID # ) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I wi 1 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 �.AD CIL 3/2?oX SIGNATURE PRINT NAME DATE Business Name: Address: 3� ' Gf L teC e.L® ©^ City/State/Zip: iC f� Phone: �2—.�7�'—S�'?'Z- email: Cd% OFFICE USE ONLY: PERMIT# �cceo nn rc I ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT �ORlOA BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 9 State of Florida Certification Number (if applicable): 17 H OC�nQ 9- 7l have agreed to be the (Company Name/individual Name) sub -contractor for (Type of Trade) (Primary Contractor) for the project located at A447 (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 willll 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 PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: Ly Z 7C2;e _ email- CE " USE ONLY: 00D3; /)(Raq ST. LUCIE COUNTY PUBLIC WORKS i BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT ao Ys-� St. Lucie County Contractor Certification Number: C �� State of Florida Certification Number (Vapplicable): 04 C 1d313 G 2 T A.� C ' have agreed to be the (Company Name/Individual Name) sub -contractor for (Type of Trade) (Primary Contractor) for the project located at 1,216-3S_ 0, 4LJ,, 1 (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, jI will immediately advise the Building and Zoning Department of St. Lucie County by pe onally 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 PRINT NAME DATE Business Name: Address: City/State/Zip: r3rr 9_4_ ,_-i f( Phone: `1 j7, —�}=7 �? t- email:C'/�•�r. i�S�Y/I�' J AsL-C6J7