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HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT `<OR1�P . BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If appticabte): (Company Name/Individual Name) have agreed to be the C, sub -contractor for CO • �cl\� �i <<e (Type of Trade) (Primary Contractor) for the project located at (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 SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: 1. OFFICE USE ONLY: email: PERMIT # ISSUE DATE 6705 -0 Y 0,3 ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT OR1� BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): have agreed to be the Name/Individual Name) CJ sub -contractor for C6-si i a2 w c 2 (Type of Trade) (Primary Contractor) for the project located at �G' (2? nee (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 SIGNATURE —�� PRINT NAME DATE Business Name: Address: City/State/Zip: .Phone: 1. OFFICE USE ONLY: email: PERMIT # ISSUE DATE ©�Q