HomeMy WebLinkAboutSub-Contractor Agreement�y ST. LUCIE COUNTY PUBLIC WORKS e d
BUILDING & ZONING DEPARTMENT
BUMPING PERMPr
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contactor Certification Number: 3 O 5
State of Florida Certification Number (if applicabte). i, 0 l 3 2, O (0
'C i LQ— (� iLo 6kS CTfLk C ► c have agreed to be the
(Company Name/Individual Name)
sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at
Lacy b-a
(Project Street Address or Property
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)
ORIGGIINAL SIGNATURES ARE REQUIRED
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip: S L1 1, ` 7�, u- S9—
Phone: &C0 9_r0 i t email: JCE_ I E o /o n R
OFFICE USE ONLY:
I SS : °N N0I.LV0INnWW00 L 1 ° t iM 60 £ I '0f1V
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ST. LUCIE COUNTY PUBLIC WORKS
BUILDIl�G & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 0 Z
State of Florida Certification Numbe4 (tf applicable): I 41z1 7
have agreed to be the
(Company
iLi �ji sitb-contractor for w!,I ; _p
(Type of Trade) (Primary Contractor) y
for the project located at
( roject•$treet•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 wit 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 AI�E REQUIRED
141 Le Y Z
SIGNATM PRINT NAME DAT
L1J
S`fi. LlUCIE COUNTY PUBLIC WORKS
BUMDING & ZONING DEPARTMENT
B IL. MDI.NG YEF1Vi1<'li"
SUB -CON MACTOR AGRE.EIVI NT
St. Lucie County Contmctor Certification Number: /• s a 10?_7
State effFlorida, Certification Number grapplicable}�,!�/��
(Company Name&&vidual N
have agreed to be the
P, sub -con tractor for _• J ✓tI--
(Typc oiTrade) (Prirlaary Contractor)
for the project located at Tp 7/i� Wa1(, _
(Project �"treet ddress : p operty Tr• JD')_
It is understood that, if there; is any cl.,ange of status regarding our participation with the
above mentioned project, i will itnn.Aiately advise thr, Building and Zoning Department
of St. 'Lucie County by personally iil i rig a change of Contractor notice. (Form: Soar°
No. 004-00)
BUSINESS QUALIFIER (Nar to of the Individual shown or-, the C,ontracter's Linens
fiRIGINAL SIGNATURES ARE
4,:IGN�i TURE UREPRi�T 3dAMDATE
Business Name:: _ Q,� .__ cc 'Qom• ._ �- -
city/Statelzip: dlc�
OFFICE USE ONLY:
00
N
0�1
�s
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: abq 35
State of Florida Certification Number (if applicable): 20 2 '10 2 -V 3
L' QF. IKF y r n ` Q� , -'� (1Q �, have agreed to be the
(Company Name/Individual Name)
1�b sub -contractor fc ^ . �.,
(Type of rade) (Primary Contractor
for the project located at ' r'�o���' �a R
(Project Street Addr r Prope 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 SIGNATURESARE REQUIRED
Plij = r1)C 1-r. o ( 5 (3Ib
TURF
SIGN PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
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