Loading...
HomeMy WebLinkAboutSub-Contractor Agreement9 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): r `0, -6 1 .4a4Z C,have agreed to be the (Company Name/Individual Name)- 6; ivL sub -contractor for 6�l �6 �d �� AIVI S (Type of Trade) (Primary Contractor) for the project located at ���� �y Goa`" '(� A✓_ ry 3 co q 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 ST ,NATTTRF. Business Name: c Address: City/State/Zip: Phone: OFFICE USE ONLY: FROM A, MPF7011Y, r PERMIT# ISSUE DATE l PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT _ SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: l ✓ I State of Florida, Certification Number (If plicable): C, Lr- % 1W1 have agreed to be the (Company ame/Individual Name) P)Wn h N a sub -contractor for 4/',J/-Ve_4t, rS (Type, of Tra (Primary Contractor) yy �= Y for the project located at �-,b � / � G Q' 0/4 (Project Street Address or Property 'fax 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) I BUSINESS QUALIFIER (Name of the Individual shown on'the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED t rs SIGNATURE PRINT NAME DATE Business Name: 9f I lr'` r Address: q City/State/Zip: JA ' ✓ % Phone: _)-7Z 41 9 d q %pL email: OFFICE USE ONLY: PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION • BUILDING PERMIT + SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: " State of Florida Certification Number (If applicable): C AC, `"A (�6 0G-3 N 6m6t.- CL"6-L CAp2, �p C have agreed to be the (Company Name/Individual Name) �1cz Cow& L l k o w � p g, sub -contractor for (Type of Trade) (Primary Contractor) for the project located at (Project Street Address or Property Tax ID #), i 1 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 SIGNA 1 PRINT NA DATE Business Name: 00 6L " 0�4-6-L 4 �Cokm -_-rLC Address: --Z s :5 W iSGu s 1 S 7` City/State/Zip: -?p51T ST � -:FL 31q' -s . Phone: 73 Z- W - 3/34 email: fA t,,O c,A,-,,LCA,,,, 4 pT�r N Q_ Le OFFICE USE ONLY: PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT . • SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): e(� a t �Q, i have agreed to be the (Company NAme/Indiviidual Name) T sub -contractor for (Type of.Trade) (Primary Contractor) for the project located at n (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 S.I ATURES ARE REQUIRED f e , SIGNATU PRINIl IqAME Business Name: Address:- City/State/Zip: Phone: OFFICE USE ONLY: PERMIT # ISSUE DATE 0 �Q DATE