HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT - ELECTRICALft Sf. LUCIE COU�W
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING PERMIT
SUBCONTRACTOR AGREEMENT.
St. Lucie County Contractor Certification Number. 1
State of Florida Certification Number (w applio.W.):
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�cL i V�q �tec�c'_ :3:�,c
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has agreed to be
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the oe-c�o Cc -I' sub -contractor for MtlAiA &S4lrCd on �---
nypa of oonatn WW trade) (num of the primn oonVactor)
for the project located at �A It is understood that;
(afto addnn a pmpe&j tax ID I) `I a 3 — >e b a - o 3 i'a-,- ono --7
if there is any change of status regarding our participation with the above mentioned
project, I will, immediately advise the Community Development Department (Growth
Management Division) of St. Lucie County by personally filing a Change of Contractor
Form (SLCCDV FORM NO. 004-00).
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BUSINESS QUALIFIER (otipirW atpna3r,raa nqukr�:
signawne
`114'n '14
print name J
—?�--_
date
' Y ' SLCCOV FORM NO.: OM4)D
PERMIr r t88uE DATE
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