HomeMy WebLinkAboutSub-Contractor Agreement` ST. LUCIE COUNTY PUBLIC WORDS
_ BUILDING & ZONING DEPARTMENT
F�OR{Op'
BUILDING PERIVIIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: -9� 1 � 3
State of Florida Certification Number (if applicable): �G 3y 0
zL" � �- ( e ` T� t cA L have agreed to be the
(Company Name/Individual Name)
�LCe-e-
l�-I C sub -contractor for / D t'+'1 41 ., Te
(Type of Trade) z- P DA, (Primary Contractor) - .
for the project located at oZ 17 A-) • i%i..S t11.1 y 4P4. 9,'.= r c- (E_
(Project Street Address or Property Tax # )
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 R (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
7;� �d�'�lNATURE
DATE
PRINT NAME
Business Name: : J AA10) S'
Tt -e ,`7,'L L C
Address: � f �l,I Luc
e,1 0/
City/State/Zip: _
L14 C
Phone: —"p
email:
OFFICE USE ONLY -
PERMIT # ISSUE'DATE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
OR10
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): X/'{ oncAQ 922
have agreed to be the
(Company Name/Individual Name)
sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at 2 42q 7
/Ofi
(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)
ORIGINI AL SIGNATURES ARE REQUIRED
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
a
Phone: Z 76441 % email:
CE USE ONLY:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
OR1�4 ,
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
aW"fS7
St. Lucie County Contractor Certification Number: C f� -
State of Florida Certification Number (If applicable): 1"-e J C 1(P1 3 G Z
/ n3 C have agreed to be the
(Company Name/Individual Name)
('OFJ/ sub -contractor for J Drn 140%.ee_ r
(Type of Trade) (Primary Contractor)
for the project located at _�.� 1 M LA< (4w v ,
(Project Street Address or Proper y aY 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 (Nariie of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
n
SIGNATURE PRINTNAME
DATE
Business Name: /�i�_idZ�l = c� t /� C
Address: all
City/State/Zip: u,�•`t` cJ 'T (% Ie r, ,�
Phone: % %-7 . - Sr 7 i U email- er,