HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
/-n0 e, � 4.14-1 � have agreed to be the
If (Company Name/Individual Name)
r j �/� . sub -contractor for
(Tvne_of Trade L (Primary Contractor)
for the project located at % 0 s 1,v9A1;) -ISZ 47- /spec rl � .3 T / d' 2—
(Project Street ddr�s o 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
acjg_<,,� 6,�_.cp eA-) 1? 12 7
SUNA,FIBRE PMINT NAME DALT.�
Business Name:
Address:.
City/State/Zip: �7 P/�2[ -r—
Phone: 772 O:K6d email: e4.4 122�
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):
Uhtw Gr-etn S have agreed to be the
( ompany Name/ uadual e)
-neeb sub -contractor for
&ypenhT , de) (Primary Contractor)
for the project located at 16 S— 1 S 7 ,C57 Aner, AZ 3 9� F-2--
(Project Street.Addressior 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 SIGNATUIZES ARI? REQUIRED
JTNAME
S
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
email: QI �n'�"
qWtaA
CO 0A
PERMIT # ISSUE DATE