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HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMCr SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 1 62q State of Florida Certification Number (If applicable): C C Q 0 0 3 07cZ Aelco r"ATE E�CTZICA-1 GO' 1�fG WC have agreed to be the (Company Name/Individual Name) � 14m icf'r L sub -contractor for 110-_ PY COA) (Type of Trade) (Primary Contractor) for the project located at g511- 510 - !3Q 3y - ©C1 O - q (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) ORIGIlV SIGNATURES ARE REQUIRED P7'lix Cm;a Af ST //�� PRINT NAME D AT E Business Name: A ccupzhT� — L.ECT2 iC1t( Ca u-MAO-WGlNC Address: 730O (90 ©TI PL. City/Statelzip: R prt '3T l Uc IF—, FL 34 9sa , Phone: 7 ?d- Ug' 91 7 J "email: D L 1fRA'If e rl `/ r Ai,-J'*� OFFICE USE ONLY: 1 - ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 12(o, 2 State of Florida Certification Number (If applicable): C T-01 C i'7' a �a PILVYV--,b have agreed to be the Company Name/Individual Name) sub -contractor for (Type of Trade) (Primary Contr t r) for the project located at g51I - 5/6 - oa34 _®00 - (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 A�a - UJA 1�k m ,pXS N T PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: email: u0 u lvtA l l l VUl Cv1 Q ucc .d %me_ h,% loll.&. Col OFFICE USE ONLY: PERMIT # ISSUE DATE r 3 � ST.'LUCIE COUNTY MLIC WORKS !: J SUB-CONTRACMRAGREE&MNT St Lucie County Contractor Cenifiw enNumbet: Mate of Florida Cerhif cation Nua *a (ifvPbC*)e)_ c 5 6 I � ei r.hq-rA W' itrke .6 -- have agreed to be the (Company Name/J)dividwl NaM) sub -contractor for (LA COR511q_t CF) I� (TWo of I•rada) QTiWA7 Contractor) fs the project located at f5 j- / -M q- - (Project Street Address or Property Tax ID #) it is understood that, if there is any change of status regarding our participation with the above taentioned project, X wiIl immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No_ 004-00) Qu.' � �R Name of the Individual shown on the Contractor's License) �• •�MARK .2," L/ l Busbms Name: .Address- city/state/zip: ��AOAC: OFFIMUSE ONLY: CmaL' f 1 f f SUB-CONTRACTOR-AGREMUNT St. Lucie County Contractor CertWcatian Number- - State 6MOrida CntW=TkmN=berUf appXtMbkk C CC �3 )'t'. A c;,-,2g- 1240,09 (Comp=y Namebdividua Nay have agreed to be the per-, sub -contractor for g' ype ofxnde) t actor) for the pxojmt located at �% 1 j - 5(Q - ®� . (Rrojea Sbvet Address or propeny Tax mIt is ut domtood that, if them is any clauge of status regarding our paztic ipation with the above mentioned project, I will immediately advise the Burbling and Zoning Department Of St_ Lucie. County by personally Eding a Change of Contractor notice_ (rornc st.CCDV No_ 004-•00) . B INES &QUA+IMR (Name of the Individual shown on the Conuactoes Liccme) (;h iA,L NMA RE i1 D StCNATMt PRINT NAW DATE Business Name: ©M Address: CityJStaftop: . LE MC- -17 2-