HomeMy WebLinkAboutSubcontractor Agreement �y ST.LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
IOR1�A .
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number:
State of Florida Certification Number(if appiicabte):
have agreed to be the
(Company Name/Individual Name)
sub-contractor for !��i GE Gi ��i1�/�//��--ram cf-�
(Type of Trade) (Primary Contra or)
for the project located at '4d 1/1/!
(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
�._« �jU 0,r rz +_z 9 Z5Io�
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
.Phone: email:
OFFICE USE ONLY:
PERMIT# ISSUE DATE