HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & 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):, WRS `5
have agreed to be the
(Company Name/Individual Name)
sub -contractor forN 4;_�, 1�
(Type of Trade) (Primary Contractor)
for the project located at V4;��,
(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. oo4-oo)
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: ��c� 'a�3—��1�� email:
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): QX_ 0—
have agreed to be the
(Company Name/Individual Name)
sub -contractor for \A .yk Q��)
.(Type of Trade (Primary Contractor)
for the project located at \mI--
(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 p
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:
`-) \5t, CnN
City/State/Zip:
—23�1�
Phone: -`�"
\ email:
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):
have agreed to be the .
(Company N dividual Name)
sub-contractor for`,nn��
(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
WGNATURE PRINT DATE
Business Name:
Address:
City/State/Zip:
Phone: �2� -,-51 ", email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE