HomeMy WebLinkAboutSub-contractor form PLANNING & DEVELOPMENT SERVICES DEPARTMENT
- .! J != BUILDING & CODE REGULATIONS DIVISION
LIM BUILDING PERMIT
- SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number: 2&2 1 U4
State of Florida Certification Number(if applicable): tEril300(41 LZ
Cx_3MP,,-� have agreed to be the
(Company Name/Individual Name)
6.Curuc,&x sub-contractor for 6k(LA►JDE COc•���I,vLTWN
(Type of Trade) (Primary Contractor)
for the project located at L�8l b LJVrb'VlboN Gr W??u
(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 (Na
me ame of the Individual shown on the Contractor's License)
Q
UNAL ATURES ARE REQUIRED
C41P fDWMANr'S PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone: email:
OFFICE USE ONLY:
PERMIT# ISSUE DATE
• •
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number: ( 26 a 2
State of Florida Certification Number(if applicable): C,1'0-0 S tj E d L
cw, 0. plurm b vn cA have agreed to be the
(Company Name/Individual Name) 11
`011 W �Lr"-!�
sub-contractor for / � Y1C� em S uG Cfvl--
(Type of Trad (Primary Contractor)
for the project located at &�JA S('IY) C W G y 3 Cl Cj
(Project Street Address or Property TA 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 S NATURES ARE REQUIRED
` jolx4Ludiuwl - z 3-i 3
N T PRINT NAME DATE
Business Name:
Address: Jy
City/State/Zip: N-Lk �� �� _ ��Ci Sy
Phone: tl'1`�, -?� �4 i�y�" email: bch� EAU I-kffl, P ,Clar-
OFFICE USE ONLY:
PERMIT# ISSUE DATE
PLANNING &DEVELOP
MENT SER
VICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
li BUILDING PERMIT
- SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number:2 3 C 1_(1
State of Florida Certification Number(if applicable): 0
\ have agreed to be the
(Comp y Name/individual Name) ��1�
sub-contractor forC`'�1'f�r1dP. CLV1�`Cf
(Type o Trade) (Primary Contractor)
for the project located at o NK)gley 'Ivn;� 11�v
(Project Street Address or Prop rty Tax I #)
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)
ORIGIN J SI NATURES ARE REQUIRED
r
SI NA ME DATE '
GNATU \
Business Name:
Address: ��777�j,,, we Y 1 V°t✓
City/State/Zip: �-��•1 I e_y E� E. q4Q� -
Phone: email: _
OFFICE USE ONLY:
PERMIT# ISSUE DATE