HomeMy WebLinkAboutSub-Contractor AgreementZt
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGU[.AMNS DIVISION
s m ouic PERM"
SUB-C'ONTRACrOR AGItEENWN'I'
St. Lucie County Contractor Certification Number: 13 46
Stave oflftida C&Ocados Nombar (cfapwc w): EC 00Q 3072
ACCo2RTE �cf.CTR�(CP�I Co�-rerlNG, 1NC have agreed to be the
(Couraa Mwe/bn"daal Name)
E=*t-) '_t. sub -contractor forMe —RV '
00
(•i W of Trade) (pier' cont<ada)t-�-
the 'ect d �G� S C�ne�� ebcl'i_L�
Iox b. pmJ locate at l �
(Project Sued Address or Property Tax ID #)
It is understood that, if them: 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. (Fw= '8LCCDv
BUSINESS QUALIFIER ¢bme of embdw&uat shown on the Caauacwt'a Lioem)
OSIGN ARE REQUIRED
ARrwrk E JL1GEC.,MA-0
OFFICE USE ONLY:
PERMIT ISSUE DATE
J
1 COUNTY PUBLICWORKS
BUILDIMG & ZONING DEPARTMENT
SM-CONTRACTORAMMUKENr
SL Lucie County Contractor Certification Number_
State of Florida Certification Number of appumt w). C—FLCP5&13-3
Ct�WlI�► C Wd � h1J1na�agreed to be the
(Company Nano11
(Type Vof de) sub -contractor for l" f l— P7i j— i Ord ��1� 1 \c
(Pxunary Conftwtor)
for the project located atd f S C9 6 ee?f'1/ b��
(Project Street Address or Pmpexty Tax IDj
It is understood that, if there is any change of status regarding our participation with the
above Mentione-d project, l will immediately advise the Building and Zoning Department
of St_ Lucie. County by personally filing a Change of Contractor notice. (Form stccnv
No. 004-00)
BUSINESS QUA.LIMR (Name of the Individual shown, on the Contractor's License)
ORTGINI AL MIY 'TU ARE RE LIMED
1
N r / Cf -and,..,ln/hi�P.�G�C(
PFJN'T NAME DATE
Business Name: S t (mot f'(�1�(f r (, I J
Address: — -q 9.-I fT IA / `5'r'!r y' i �, P,c��� n V
Cxty/Statezzip:
Phone: L 4 ;-; 9'
.oFFICE"USE ONLY:
et»afi: CCM-fn IG-(-,0CLC4. 60W)
- 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): CPO_ MS [ S_ a
V,,A pb_k, \o have agreed to be the
Company Name/Individual Name)
�itvyy,�lN\ sub -contractor for - CXf Y*% S (—'-b �
(Type of Trade) (Primary Contr t r)
for the project located at `a707l j C%C,Y�i PJ b,�2, GO
(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
S , Ti PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
D_a� 31+14- -9 S3-1:.
OFFICE USE ONLY:
email: olp o, cA lU m g o,buc0..d%m1 p_hg tonc,. e-o1
FLANNWG & DEVELOM EIV'I; SERVICES DEPARTNTNT
RiJIGDiNG & canE REGM ATIONS DIVISION
f )BUILDING PERMIT
SUR-CONICRACMK AGPXrA ENI<'
j
St Lucie County Cwtwtor Cerdfc4on•Numbec
State ofFim ida Certificadan Number afoopf mum)_ 02
V@, .1 • have agreed to he.the
0
(CMPROY Nama lncimiduat Nwe)
�Afe,
` 4 �'+V W ,v �1• �i+'��/ ' OBI �+
sub•contraotfo
r
or
(I)Fe (Primary Con or)
for the project located at
(Project Strcd Addrass or Pldpesty Tex ID #)
It is understood that if there is any change of status reggrding Our PardeiPation wbb the
above ;mentioned Project, I will immediately advise the Building and Zoning DePartment
of St. Lucie County by Personally filing a Change of Coma actor notice. (Form: SF CCDV
Na. 004-00)
BUSMSS SS QUALMER + R of &e Iudivk'NA ,shaven on •the Cm'sctor's License)
REQitMED
PRM NAM IRATE
$mess Name:
Address:
City/Statdz :
Phone.
nwrcw TTCi. AWT.Ve
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