HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
OR1�
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: •2 yc)6 5
State of Florida Certification Number (If applicable): 0 o 81
have agreed to be the
(Co any Name/Individual Name)
sub -contractor for c vgf V..
(type of Trade) (Primary Co ctor)
for the project located at 2 6 c? / i'L' 115 / Tq%grPl 'GG-" G-
(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 11EQUIRED
SIGNATURE PRINT NAMEei' DATE
Business Name:
Address:
City/State/Zip: 7 Z
Phone: YT2 qz 760f 7 email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE
DiQg- 0143
�J �y ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
F�ORI��
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor
State of Florida Certification
(CompanyNami
rf/ r
(Type of Trade)
for the project located at
ion Number: o 5 O DL
(if applicable): 30o1 L4>
have agreed to be the
it Name) ``''
sub -contractor for >pil� ,V
(Primary Contract
P� /"
(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 QU.
Business Name:
Address:
City/State/Zip:
.Phone:
(Name of the Individual shown on the Contractor's License)
PRINT NAME DAT
email: 9 &t Vcywa -i� to 0 0.b I -Lem