HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PLUMBINGVDI zeal znns 13: U4
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ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING FERMIT
SM-CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State ofFlorida Certification Number (tfapplicabtc): C r— -CO Z=4rJS
M-ee K s __ Ptu e-o6�z c��--�-have agreed to be the
(Company Name%dividuat Name)
P Iwrs bt n_ sub -contractor for XCICOQ c r�E IP ior; d cL
(Type Trade) (Primary Contractor)
for the project located at t= z� , Dcew% -e&v'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)
QGI1A IG`ATURES ARE RE U D
�- knald E .
SIGNATURE PRINT NAME D TE
Business Name: Mee —Ks f i t~mbi rtc,
Address: i 1 Ll --7t"'- Q-v,eiDug
City/State/Zip: a (P Q
Phone: email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE