HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT:
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 1 Ce S
State of Florida Certification Number (If applicable):
Sa m C—r a&.- C1 z c 4 r i c CJ L L C, have agreed- to be the
(Company Name/Individual Name)
ri Ga 1 sub -contractor for We .e_e_ Co s� r W J; o
(Type of Trade) (Primary Contractor)
AAA-12,- Sic- UotD —000/a LI
for the project located at 5T it ,lJ W.. w ; n -er Is e� k "� P2 l — << ' "l FL
(Project Street Address or Property Tax ID #) 3 ,•4 ,9g o
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 (Naive of the Individual shown on the Contractor's License)
AL SIGNATURES ARE REQUIRED
!i- 1 01-
IGNA URE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone: -
5��arl �L 3y-jet 0
-7? Z as 3 M. S_ email:
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: c2 44 (Q 89
State of Florida Certification Number (If applicable): C CC. I A 2. 1(0 31
- (s�I j . "/('S W„ e c Q.J 0- ( „ 1% L c have agreed to be the
(Company Name/Individual Name)
112n , sub -contractor for ,, a_� 1 Go., s
(Typ of Trade) (Primary Contractor)
for the project located at c 1 I 1`1w w ; A 4 -v s C.- cA k. 2 d . P,_1 M C , Ly 1z
4142 Z - &1 o - 0o ► O v coo / 6 (Project Street Address or Property Tax ID #) 3 4 Y 4 O
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
fy1.Gt �,c 44— Gy a- L 8. 11
SIGNATURE T— PRINT NAME DATE
Business Name: Olam A9 S L,, oJ J-A 1g 9-. c.
Address: o'x
City/State/Zip:
Phone:
Po, 4 S 1._4v e u F(. 3 N 1711 Z
-1-7 Z. Z 2 3 O G 04 email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE