HomeMy WebLinkAboutSub-Contractor Agreement�20-7 ao
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ;z S- 12 4
State of Florida Certification Number (If applicable): rL U 1 Ll U 47 & .�
L •4 t.z s have agreed to be the
(Company Name/Individual Name)
C i e c_, L< <, sub -contractor for 1_1n u V1" /J s 6111 cleid a i
(Type of Trade) (Primary Contractor)
for the project located at 1-/ 6 J- %Ve Hl ev 6 ) v../
(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 SRGNATUREES ARE REQUIRED
J,
SIG ATUM PRINT NAME DATE-'
Business Name: ,q g f.l rC-le" ` 7 -e e,
Address: S-1 /(/cam ev, . S V
City/State/Zip: S f L v G e% I
Phone: 722— :7 7V y 3f7 email: , o 'v- err j, er
OFFICE USE ONLY:
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):
taf
�. Vi0 mCE-S (2CL . ,t k have agreed to be the
(Company Name/Individual Name)
sub -contractor for 1 C)mas
aru�
(Type of Trade) (Primary Contractor)
for the project located at l !P� �3 l V �_
(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)
ORI AL SIGNATURES ARE REQUIRED
crrTMATrmF PRINT NAME DA
Business Name:
Address:
City/State/Zip:
Phone:
(IFFY F TIFF ONLY:
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (tfapplicable): C ()S `f'7 7/
)Ie �
(Company
Name)
i E C, ( (C& ( sub -contractor fo
(Type of Trade)
for the project located at q� S'
have agreed to be the
r�o �
(Primary Contractor)
(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
DATE
Business Name:
Address:
City/State/Zip:
Phone:
f1FFTVF. TTCF. ONLY:
v PERMIT # ISSUE DATE