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HomeMy WebLinkAboutSub-Contractor AgreementST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: & / / State of Florida Certification Number (If applicable): 70.5 X-41-R--mc, EIRCATic, have agreed to be the (Company Name/Individual Name) G&I-1- COA sub -contractor for (Type of Trade) (Primary Contractor) for the project located at 1A06I D 3 OMR O D� (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) ORIGIN. `N ' ' 7RE„' E REQUIRED 1 .1% 0 SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: 192-3L{U- n% �,'a.l email: _ �t� 1�L 1CQ F/e/ ��t��+ •n OFFICE USE ONLY: PERMIT # ISSUE DATE ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida CertitplayKhing, ion Number (If applicable): C GI Aa(j:T7AD have agreed to be the (Company Name/Individual Na e c� s p 1 n sub -contractor for VL'V ef)f) (Type of Tad ) (Primary Contractor) for the project located at M0 9'1D3 QCo 12)W D (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) zSIGNATI JRES ARE REQUIRED � 6r)l \IV6& q-219_05_ SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: PERMIT # ISSUE DATE Sep 28 2005 2:20PM LRSERJET FAX p.2 ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMff SUB -CONTRACTOR AGRMEMENT �e'� St. Lucie County Contractor Certification Ntunber: 40-0-�o � V , / State of Florida Certification Number gappucable): 0. A - CCU 61Rt 0100 ail C , r 5l have agreed to be the (Company Narne/Individual ) . ksub -contractor for L �MQ s (Type of Trade) (Primary Contractor) for the project located at q0e>- % ccp M w� „ (Project Street Address or Property Tax M 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 APJ� REQ2UIRED SEP 2 8 2005 DATE �c Address: City/State/Zip: Phone: OFFICE USE ONLY: SEP-28-2005 10:24AM From: ID:CLEAN AIR TECHNO Pa9e:002 R=96% Sep 28 2005 1:25PM H _ASERJET FAX p.2 ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State oUaortda Certifica ' n Number (Vapplicahle): ,,Kpo(� pkl have agreed to be the (Company Name/Individual ame) ©� sub -contractor for (Type of Trade (Primary Contractor) for the project located at V'Oe5l c):,;� Doia) D000t (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 ofthe Individual shown on the Contractor's License) ORIGIN,A,:I.: SIGNATURES ARE REQUIRED SIGNATU PAH4t NAME Business Name: Cd Address: _ & C�L Q City/State/Zip: S�/—F,4— Phone: 1 a— "?y r� / `l c?21_ email: OFFICE USE ONLY: PERMIT 9 ISSUE DATE DATE J0uAl ST. LUCIE COUNTY PUBLIC WORT<S BUILDING & ZONINC DEPARTMENT P BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: - �v GP�9 State of Florida Certification Number (trapplicablc); L C, 5ea\w� ti x • STY*z have agreed to be the Comp ny Name/lndividual Name) • sub -contractor for m �� (Type of Trad) i (Primary Contractor) for the project located at (�)� (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: SI,CCDV No. 004-00) BUSINESS QUALIFIER (Nameof the Individual shown on the Contractor's License) ORIGINALSIGNATURES ARE RE UrRE•D S 4PTNAME DATE Business Name: Address: City/State/zip: Phone: "-&3W5;k OFFICE USF, ONLY: ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: C State of Florida Certification Number (If applicable): l� 000 6 � 4+ have agreed to be the ,�- / (Company Name/Individual Name) F—1 eC4r` ca sub -contractor for - `�►��{�� P (Type of Trade) (Primary Contractor) for the project located at /32 %s 2 13)r , (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) ORIG • : .SIGN TURES ARE REQUIRED SIGNATURE NAME a / DATE p , / Business Name: ACNPIA-77NT F-�clplrC�Y ( ��� / Nf Address: 73 City/State/Zip: f6P9-Tp S-r, Lt1C Phone: b - email: OFFICE USE ONLY: PERMIT # ISSUE DATE 3 495e