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HomeMy WebLinkAboutSub-Contractor Agreement1�. ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT !`<ORIO� BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): T= C /306 16-,Jr2 ✓2�'� 11' JE%� % r� tlt� G /.0 c have agreed to be the (Company Name/Individual Name) �c-611 c,4 c- sub -contractor for o n �v ' (Type of Trade) (rimary Contractor) y3 _ for the project located at 7 (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 land 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 /J �d SIGNATURE PRINT NAME / DATE Business Name: fytc c g- c Address: 1_/s0',e2o ©✓A City/State/Zip: 10 % JT ZC{c� F L ��%�-� .Phone: 77yP7P 9�7a, email: )3rA&d,4 Ne, OFFICE USE ONLY: PERMIT # ISSUE DATE 0371 email: ST. LUCIE COUNTY PUBLIC WORKS y BUILDING & ZONING DEPARTMENT 'c<OR1DP' . BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: �Z7e .� State of Florida Certification Number (If applicable):/T - 000 0 6 7 (Company Name) have agreed to be the sub -contractor for % Oy�y (Type of Trade) (Primary Coor) ylo - for the project located at CPf' IV US (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 i No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REOUMD SIGNATURE E PRINT NAME DATE I Business Name: Address: City/State/Zip: .Phone: CE USE ONLY: