HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE C01&rY
APARTMENT OF COMIIRUNIIY DEVELOPMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):-����o�o� (g 5
has agreed to be
(company/individual name)
the Eke- c t cC k sub -contractor for yip ,, cD9nuA 'emal ,
(type of construction trade) ^� (name of the prime contractor)
for the project located at wwT 1ytl� It is understood that,
(street address or property tax ID #)
if there is any change of status regarding our participation with the above mentioned
project, l will immediately advise the Community Development Department (Growth
Management Division) of St. Lucie County by personally filing a Change of Contractor
Form (SLCCDV FORM NO. 004-00).
BUSINEyS QUAWIER (original signatures required):
l �[ I[t •'T� i'7�-�I�_1� �
print - date
business name:
address:
city,state,zip:
phone:
SLCCE)V FORM NO.: 002-00
PERMIT # I I ISSUE DATE
i
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: J(I 1
State of Florida Certification Number (if applicable): Cad % 7 sy 9
1 A have agreed to be the
(Compdny Name/Individual ame)
sub -contractor for �j rl
�(Tof Trade) (Primary Contractor)
for the project located at
_,) ei�cmteler &nd
(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)
ORIGINA S NATURES ARE REQUIRED
St
SIGNATURE PRIM NAME DATE
Business Name: 1. A. -FA -
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
PERMIT* ISSUE DATE
/T#1
vile
4t!212014
St. uccie CVoO.Contractor Certification Number:
PERMcou�ty , Ft-
StSiple0e RiSnertification Number (If applicable):
(company/individual name)
ST. LUCIE CC.' �TY
"DEPARTMENT OF CO DEVELOPMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
MAID 9ceKt-t Roloaorl
— — •
has agreed to be
the DeC A( i ca-k sub -contractor for QAf3S 57ftg58AulC.,�-kCWST.
(type of construction trade) (name of the prime contractor)
for the project located at 33S P6,21MAKIM It is understood that,
(street address or property tax ID #)
4
.if there" i"s„any, :;change of statusregarding our participation with the above mentioned
project;- f "will1mmediately -advise the Community Development Department (Growth
Management Division) of St. Lucie Courity'by personally fling a Change of Contractor
Form (SLCCD%' FORM NO. 004-00).
BUSINESS QUALIFIER (original signatures required):
business name:
address:
city,state,zip:
phone:
PERMIT #
ISSUE DATE
c.' SLCCDV.FORM NO.: 002-00