HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS
y BUILDING & ZONING DEPARTMENT
F-OR1��
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):,, Zd �
--,;Z t
GQ G itir C � 141 C_ JA) L- have agreed to be the
Name/Individual Name)
sub -contractor for nn7 y/i
(Type of Trade) (Primary Contractor)
for the project located at {o / y 11,5 / F%. fri596 F,,4, ,2VA
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
ce .40, 10 Z- 6 /6
SIGNATURE-- ZPMT NAME DATE
Business Name: S��y ,o ,,- // /. c N C,
Address: icy Ly c e rg AA_
City/State/Zip: `� ct p EL 3, te 5"v P3
Phone: email: AC IL a' o/Ci,P// 4 /*,,.r6 t7
CE USE ONLY:
9 Gym ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
FCORI�P
BUILDING PERMIT
SUB=CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 2#4g—V/, , 3
State of Florida Certification Number (If applicable): T /T ® 0001 27�
have agreed to be the
Name/Individual Name)
A— sub -contractor for
(Type of Trade) (Primary Contractor)
�,o� z y�
for the project located at �0 5 / /�2T// 1✓S / Qi l�l_� Fl—
(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 11EOUIRED
SIGNATURE PRINT NAME �dlL DATE
Business Name:
Address: % % /�,QC�F /CL 31-19Vc,
City/State/Zip:
Phone:
OFFICE USE ONLY:
email:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERIVIIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ES L C 204-57
State of Florida Certification Number (if appiicabie): t�w G yel Z) 2
C • have agreed to be the
(Company Name/Individual Name)
sub -contractor for
(Type of Trade) . (Primary Contractor)
for the project located at 5-/ IV a5 / F-L, 2 f .
(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 QUALIF R (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REOUMD
-�—Z
SIGNATURE PRINT NAME DATE
Business Name: Au C
Address:
City/State/Zip:
.Phone: 777 _ —A72;—^ OR71, email:
CE USE ONLY:
3 ISSUE DATE I
C
V.