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HomeMy WebLinkAboutSub-Contractor Agreementi ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT • F� ORI� BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: "— State of Florida Certification Number (If applicable): K (,' C �' Gy have agreed to be the (Comoan Nnme/IndividuaWameY (Type of Trade) sub -contractor for --E—le_ (Primary Contractor) for the project located at 2.90 Nam/ c./ c©�•z LZ��• V �/'�i� (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 REQUIRED SfGNATUkE PRINTNAME DATE Business Name: �- Address: City/State/Zip: .Phone: email: 1. OFFICE USE ONLY: PERMIT # ISSUE DATE IL Ppa &0 • y+�,OPA