HomeMy WebLinkAboutSub-Contractor Agreement (2)_ _ _ PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number6) 0s
State of Florida Certification Number (if applicable): i �� v
G Y��e' have agreed to be the
(Company Name/individual Name) ,
sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at -l0•' c' ° A���'��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
PRINT NAME DATE
Bu�ness Name: 1:)FQ 'C � -') l A P_
Address: �.1 G,ta ,c%� : �—� �� Q i'✓%�� %�% /`�
City/State/Zip:
Phone:
OFFICE USE ONLY:
PERMIT# ISSUE DATE
PLANNING &- DEVELOPMENT SERVICES DEPARTMENT
J - BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB-CONTRACTOR_AGREEMENT
- - - - — _ --- - ---- -- - - - - - -
St. Lucie County Contractor -Certification Number:
State of Florida Certification Number (if applicable):A;;,T -Er--.111ave agreed- to be -the _ -
(Company Name/Individual Name)
-
(Type of Trade) (Primary Contractor)
for the project located at Z/ 4 0 ",' `{ Z Ave—
(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
SI
City/State/Zip:
Phone:
€;�� E r1ArrYU0WL .
i, C,qr�,�Iello
PRINT NAME
PERMIT # ISSUE DATE
iJ�-
DATE