HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT05/20/2003 23:04
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7722298132
Done
TOMAC OF FLORIDA
PAUE 02
Pew M,+ � a 304 0O 3S-
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
5t. Lucie County Contractor Certification Number: O 9-5C;2_
State ofFlorida Certification Number (if applicable): C F—-Cb Z-4
5-5—
M e
K s rn have agreed to be the
(Company Name dividual Name)
N&rn to i n . sub -contractor for _"Tom nF F lac id 0—
(Type Trade) (Primary Contractor)
,qS0 g/6
for the project located at Oe,eou'\ k\/c4
(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 arid, 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)
O GINAL SIGNATtIRES ARE REQUIRED
SIGNATURE PRINT NAME qD7 E
Business Name: ineeks pl krr4Pi r78
Address: 11 t"` %i,er�u�
City/Statelzip: �,� c 1?xecr, ch F ►r -3 Z a Co O
Phone: email:
nFFYrF. I N.F. ONT.Y:
PERMIT # ISSUE DATE