Loading...
HomeMy WebLinkAboutSub-Contractor AgreementM G ST. LUCIE COUNTY PUBLIC WORKS - BUILDING & ZONING DEPARTMENT OR10P BUILDING PERMIT f gNTRACTORAGREEMENT (iN tii4 "L St. Lucie County Contractor Certification Number: Y��5Y � State of Florida Certification Number (If applicable): Zx=., have agreed to be the (Company Name/Individual Name) n �� r `G sub -contractor for (Type of Trade) ' ^e (Primary Contractor) 2� t7^5 for the project located at W "Agyp' Z� rea4 °3 ��41�j (Project ttreet 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 CIGNA URE PRINT NAME DATE ess Name: Address: City/State/Zip: �-7 Phone:2- OFFICE USE ONLY: C, email: PERMIT # ISSUE DATE 4 \ ST. LUCIE COUNTY PUBLIC WORKS 'f BUILDING & ZONING DEPARTMENT F�ORIOP BUILDING PERMIT SUB -CONTRACTOR AGREEMENT . St. Lucie County Contractor Certification Number: 'V 1�W� bUA—) State of Florida Certification Number (If appticWe): (Company N (Type of Trade) for the project located at fl Name) sub -contractor for have agreed to be the (Primary Contractor) (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 REOUIRED SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: email: OFFICE USE ONLY: � I r ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT ORIOp BUILDING PERMIT SUB. -CONTRACTOR AGREEMENT. _ St. Lucie County Contractor -Certification Number: -------- &j_4" 1 }ytQ/1 State of Florida Certification Number (If applicable): < < 1 have agreed to be the (Company (Type of Trade) for the project located at Name) sub -contractor for (Primary Contractor) (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 IGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: email: OFFICE USE ONLY: h 'c[OR1Vp'• St. Lucie County 3uilding & Zoning BUILDING PERMIT g ^ � 7 C�O�N�RACTOR SUMMARY � ^� f 11 \ �I� Z(&Z2_Sz �© WAIG_P 1 eui L_bELO�") L� will be using the following sub -contractors for the (Company/Individual Name) `_23 1 L:!5� f project located at_5L e�1t� des or Property Tax ID #) �3 / { 6 4� It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade ` Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical Plumbing HVAC/ Mechanical Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: