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ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERNIIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
1
State of Florida Certification Number (If appticabla): 459
S Gp c %/c_( C
npanv NameAndividual
.,j C, have agreed to be the
1-L C /I sub -contractor for / Uf-7'7 #yrl -K
(Type of Trade) (Primary Contractor)
for the project located at
Address or Properhfi 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 QUALIFTER (Name of the Individual shown on the Contractor's License)
ORIGhNAL SIGNATURES ARE REQUIRED -
.1d CAVo_�, '101-2,6 4�7
SIGNATURE- PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
.Phone:
1. 5 ,w _V i 4 -l-AL/ L / N C_
OFFICE USE ONLY:
PIT # ISSUE DATE
X'd t7
� ST. LUCIE COUNTY PUBLIC WORKS
• BUILDING &ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (If applicable): .� �7� — C06>0
/!/06L / 7_t7�",0'07 #V,4 _K have agreed to be the
(Company Name/Individual Name)
L %MI0 171✓6' sub -contractor for % M A1v1%-,-1r-5K
(Type of Trade) (Primary Contractor) - .
for the project located at- v2, & / 7 12,1 (%,j /,�
(Project Street Address or Property
0.
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
�� 1 !-
SIGNATURE PFJN T NAME DATE
Business Name:
Address: .42 c!pi i ,c�a P ! ��r� � =.«„� -•
City/Statemp:
Phone: —<a V 2%(o C6(p 6 2 email:
OFFICE USE ONLY:
0-111- 02 -sq