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HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: I 2 to p( 2 State of Florida Certification Number (If applicable): C F01 Q Si7 '5- a (� Aau 0, N,t.Vorv�, j tm < have agreed to be the Company Name/Individual Name) 1 1U1yy1A) VY\ sub -contractor for - CLry (Type of Trade) (Primary Contr t r) / � Vt/ / 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 PRINT NAME DATE Business Name: Qq,,iwC, pQrn.�IIY� Address: I In S City/State/Zip: , 1?0-%k Phone: 33 email OFFICE USE ONLY: PERMIT # ISSUE DATE H 3Tc1$q , bb��xA tLtV%& 0 , adiM-V_hs,ons. PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMiT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: ' ' 6) 9 State of Florida Certification Number of applicable): g�—C 000 30 7 . AauRATc- Licmiad Coo -rk4C� 1AJ(;, /AX have agreed to be the (Company Name/Individual Name) E LECTF,(ek sub -contractor for t �L- Q C01J5-Pc1C-7-10AJ (Type of Trade) (Primary Contractor) for the project located at `d %?2 J S e'_ o' ;;4,' 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 m rid R /n 0 SIG PRINT NAME DATE Business Name: LEC-r2le� If CQrJT"mllfG. Address: 3OO GJ l loin PL- City/Statelzip: Roar S-f Lue tE I rG ,3 q o 9d, �, Phone: 7-7a- �? 9171 email: bC V k+N cfT � �" // i N97- OFFICE USE ONLY: w 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): �� 4 lave agreed to be the (Company Name/Individual Name) sub-contractorfor 1 �� (Type of Trade) (Primary Contract ) 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 IGNAT S ARE REQUIRED S G PRINT NAME LATE Business Name: Address: City/State/Zip: Phone: .. t�t� �_� � ice' >♦� �� _ fir. � Mot• r r►t�: 1 OFFICE USE .ONLY: PERMIT # ISSUE DATE cm) ' wo-) i.R' INJJ (©"00 ON Add :mm j) •aVm 10MM0 3 jo aSaggj v 2luclg AWMO gad Aq Auno j atanZ 'IS Jd ;uauqn&Q SufaoZ pub glgpin►.pattruu ILA T ` afojd pauot naw "oqu . aq� Muai�zdrac d.mo Sutpga ai sn;e�s16 aguatia tug st amgty, °zegi;Poo3SXVa Yn. sc;1 • pa aoj mfotd oqt joi 10 L"!:woo "mud) (a 3a odw jai xuQns '{am�idiB�Fr"YPa�a�as�,(rtecium�) agvaq m MOlp anvq 'dA0 �agcaaHuo�� sa��e.AUQ� ��� aCaYCj 'fig .Kolswa suouviaoau Jaw v omawatr . 1