HomeMy WebLinkAboutSub-Contractor AgreementG ST. LUCIE COUNTY PUBLIC WORKS
o BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
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(Company Name/Individual Name
have agreed to be the
e'CG e72i<w- / sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at `7 9/o J�4 016-�s -/V gT
(Project Street Adddaessior 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 REQUIRED
Al tmn-i&-72
SIGNATURES
Plk NTNAMB
DATE
Business Name:
Address:
City/State/Zip:
.Phone: -77,;2—'-/" - 99U email:
CE USE ONLY: