HomeMy WebLinkAboutSub-Contractor Agreement�Jr� Gy ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
O
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): �✓�
dY . have agreed to be the
(Company Name/Individual Name
sub -contractor for S"w �-f�N -
(Type of Trade) (primary Contractor)
6eVLeSIS CO,Mc�uA�`�� C,urG�
for the project located at & (63'1- 8 b L13 LIS PSL 5Z
(Project Street Address o 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)
OPJGIW SIGNATURES ARE REQUIRED
GN PIUNTNAME DATE
Business Name: W 4d CS E. \ e-e-V el L ' A I e'
Address: I'2- 4 5 S l 16n
City/State/Zip: Fork S- - L.u. t 4L 1 - 3 41 7
Phone: -I?- -14 N— I Cl (c 1. email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE
Sep 21 2008 3; i6PM D -,efano-Bui iding [8 t1 255-0741 p, 1
ST. LUC + COTJ= gUBILTC'WUIM
]BUILDING & ZONING D"ART1+ ENT
BUIWING PER WIT
SUB-00rgT tAcTo3t Ar.RF,N i
St. Lucie cbunty Contmctor certification Number: 19738
_
State of Florida Certification Number (If applimble): CF C 0 5 8 0 6 8
TR have agreed to be the
(Comp1,xQ N=nrAndh4dual Name)
PLUMBING sub -contractor for 0 0 � �r'k
Crype of Trade) `(Prjn a Contractor) /) C
6evta5►} Go�+.N.kn C ftw"
for the project located at a f S 4 �- �`
(Project Suet Address Prop Tax ] #)
It is understood that, if there is any change of status regarding our participation Nvith the
above mentioned project, I will immediately advise the Building and Zoning Department
of St, Lucie County by personally Hing a Change of Contractor notice. (Form t SLCC1Dv
14o. 004-00)
BUSMSS QUALIMER (Name ofthe.,individuat shown oa the Contractor's Lfccum)
URIGII IAL S1GMK :[_JRKS ARE ]REQUIRED
Robert
V 09/22/09 .
SIGNATURE APRINT NAME DATE
$m,*newN -TRYON PLUMBING INC.
Addmsa: 9 2 5 . WA-,GNER PLACE
CtylStaterz* FORT PIERCE, FL 34982
Pha�d. (7 7 2) 4 6 5- 0 2 8 4 Walk
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPA.RTMMNT
<oR�oP
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St_ Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): ^
(Company ame/Individual Name)
have agreed to be the
\ e C.4- aQ sub -contractor fbr _� • ST tpup qU��D IN(o � Q ESTo+�ATlo�y
(Type of Trade) (Primary Contractor)
G�1tSIS UMAAunl'� ClNarck
for the project located at srb 37 • 8b (o caS�}1AIn4�Ow Ors , QSL
(Project Street Address
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 11E UIRED
GNATURE MINTNAME DATE
Business Name: ar `tom f S \e tA-Oc— C•
Address: j 2 4 SS -C �--an K 064
City/State/Zip: PO 4t V 3 g Q 8 q
Phone: " l 7 Z y --1 q �p �o email:
OFFICE USE ONLY:
l4L