HomeMy WebLinkAboutSub-Contractor Agreementa
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ST. LUCIE COUNTY PUBLIC WORKS
y BUILDING & ZONING DEPARTMENT
F ORIOP
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT �i
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St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): 4can //O`
have agreed to be the
(Company
i Lit sub -contractor for K E E N 6 �6
(Type of Trade) (Primary Contractor)
for the project located at .�� J 6
(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 REOUIRED
!,
ill '� �' o'co - U
SI NATURE PRINT NAME
Business Name: b V ftTrS Lec= TP_A L '
Address:
City/State/Zip: _.:0 %.L4
Phone: %12--
OFFTCF. T TRF. ONLY:
• IS01 email: �JJvv- s —� `'
` PERMIT # ISSUE DATE
DATE
Qez�-
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
��OR10P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable): L F C 0a`15 `A t.p
A s--?\ u ,N, Sol ,_tP_ T�Mgj�,,N, L LE nave agreed to be the
(Company Name/Individuar Name)
_?ku M9-S%NX i-, sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at �53.0 5 `6 yj vkS -1 Sr,u-TVA pctzc S� Lucy E-
(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 S1G`XTURES ARE REOUIRED
t _
-�5-oa
SIGNATURE PRINT NAME DATE
Business Name: AT AN s s L -h s mA it i L_ N1
Address: A k (0`—t --S u\ � .:> r- . F . .
City/State/Zip: 'VI ELM Qj r, L as s
Phone: ���,�a,Q�-y►��� email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE
ST. L COUNTY PUBLIC WOMP
BUILDING 8, G DEPARTMENT
B G PERMIT
SUB-CONnUCTOR AGREEMENT
St. Lucie County Contractor Certification Number: I q
State of Florida Certification, Number elf applicable): C A- C O
C�s"tle--cou,� Nj l c I have agreed to be the
(Company Name/Individual Name)
sub -contractor for ]fie one Ccnos-t-c�,.c, o r.
(Type of Trade) (Prirniary Contractor)
for the project located at .5 �>. � ' 1� E• pare Luc Iv, ( �-�
(Project Street Address or Pr"i tty 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)
Name:
Address.
City/Stare/Zip:
Phone:
PRINT NAME DATE
C ca S-ciz-ro /N� r ZM c -
---7 g S C3 �� I ve a a (O
email:
OFFICE USE ONLY:
PERMIT 0 I58UE DATE
ZO 39Cd
SM38(INt/ 1S iv xi-iand
LE01000L EZ:ZO Z00Z/91/00
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if aooticabie): _ CCC 015 610
C & S ROOFING COMPANY have agreed to be the
(Company Name/Individual Name)
ROOFING sub -Contractor for ; KEENE CONSTRUCTION COMPANY
(Type o rade) (Primary Contractor)
for the project located at 7530-7588 U.S. HWY 1, POAT ST. LUCIE, FL.
(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 fling a Change of Contractor notice. (Form: SLCCDV
No. 004.00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
Io I 'NA
T rR U D
f
MICHAEL L. RUSS 6/07/02
SIGMA I PRINT NAME DATE
A11sin'me: C & S ROOFING COMPANY
Address: P.O. BOX 730
City/Statelzip: DUNNELLON, FLA. 34430
Phone: (352) 489-4274 email:
OFFICE USE ONLY
Pt=_r�wnr a ISSUE DATE
i I
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