HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT`ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT .
SUB -CON` TRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number orapplicable): 61-5- 1013 447
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Name/Individual Name), -
have agreed to be the
iy ec."VLOI—t sub -contractor for *Me-77- Idousi . � t' - 4-J M-
(Type of Trade) (Primary Contractor)
for the project located at 406 (.f-I.CA4 R-b -
(Project. Street Address or Property Tax ID R)
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 Depaiiment
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 SIGNATI;RES ARE REOUIRED
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
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OFFICE USE ONLY:
email:
PERMIT # - ISSUE,DATE
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