HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERNIIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: Yl 0
State of Florida Certification Number (If applicable): X C 6XV 30 ^
ActykAfe- E-d-c-F9I CAI GWo —IRK -r)/JG, W C. have agreed to be the
(Company Name/Individual Name)
tXL'7rIi C.P(1 sub -contractor for Z + e-.
(Type of Trade) (Primary Contractor)
for the project located at 0a 5_ S ,
(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 SIGN TURES ARE REQUIRED
Atz
��EI�I�JAI� NL13
116"ATU171 PRINT NAME / DATE
Business Name: f�CCi01�ft� CdC-rA16,1/ COt11i:AO-M, IAIC
Address: I—Viy �U01101/ I rL
City/State/Zip: POR7 !'T L uc Ir , rL 34ct_6.�l
Phone: -7)�I — �7I Ip 1 % 1 email: b C V PIAIJ C J' ne 0 061'
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: 2 6 V / '-/' C�C IfIc S- 7
State of Florida Certification Number (If applicable):
/ � have agreed to be the
(Company Name/Individual Name)
sub -contractor for . Z'��.—
(Type of Trade) (Primary Contractor)
for the project located at !() %oZ� S O�=e�a.,� �a�, LoT
(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 /►
�IGTURE / PMNTNAME DATE
Business Name:
Address: 96
City/StatelZip: `"/, , � 5�1 /7 F 2
Phone: 772 - SZ 9 3 3 77 email:
OFFTrF, TTSF 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 (Ifapplicable):
PfU O � `111 3 _)� V_ C— have agreed to be the
j (Company Name/IndividualName)
sub -contractor for e G V1_1 7L
(Type of Trade) (Primary Contractor)
for the project located at %O� Z S. ;�,.•g v )p
(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)
Name:
City/State/Zip:
Phone:
(Name of the Individual shown on the Contractor's License)
ARE REQUIRED
PRINT N DATE
��-e � l ���1 ✓mot � I �- � �r� C
G 0�
\ LL
79 -6j o� email:
n1 1 Tr1W TTCF. nNT.V-
PERMIT# ISSUE DATE
S � \
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 1 .3611
State of Florida Certification Number (if applicable):
have agreed to be the
(Company N e/Individual Name) J
II j
-4n ri . CR
sub -contractor for l_. -t C
(Type of -Trade) (Primary Contractor)
for the project located at NIa Q K 1i o 0A
I� cZ y
(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)
ORIGINA, S NATURES ARE REQUIRED
i
let,
h�fe
SIGNATURE PRIM NAME DATE
Business Name:Tl Yl
Address: ✓
City/State/Zip:
Phone: �ylJ (� email:
OFFICE USE ONLY:
PERMIT# ISSUE DATE