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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSCANNED ` ST. LUCIE COUNTY PUBLIC WORKS BY BUILDING & ZONING DEPARTMENT ST LUCIE COUNTY �OR10 BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: rD-,` —7 1 ' K/ State of Florida Certification Number (If applicable): L;®�O �lPc- (A& t xVtt-e_% have agreed to be the (Company Name/Indi dual Name) G4t`G sub -contractor for\�o (Type of Trade) (Primary Contractor) for the project located at (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) ORIGINAL SIGNATURES ARE REQUIRED SIG PRllqt NADAA DATE Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: Tr0 email: PERMIT # ISSUE DATE SCANNE-1) 5y ST LUM- COUNTY ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St Lucie County Contractor Certification Number: 08 5 Statc Cf Florida Ccrtification Number (If applicable): C� ✓ t �� _5auMn ?w—k ` I t.,1.fY1`OIIr q 2-riC have agreed to be the (Company Name/Individual Name) sub -contractor for PEO �S (Type of Tract) (Primary Contractor) for the project located at "AM -Cz` (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) BUSYNESS QUALIFIER (Name of the Individual shown on the Contractor's License) I ?o 60 DATE Business Name: Address: city/statc/Zip: Phone: C OFFICE USE ONLY: ICA fi t"l ernail: PERMIT # ISSUE DATE SCANNED BY 37=1E Q OUNI TY ST. LUCIE COUNTY ]PUBLIC WORDS BUILDING & ZONING DEPARTWNT OR BUILDING PERMIT • SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number. State o£F'loAda Certification Number groppiieablo): .r�':�:Z y g _ have agreed to be the ,0 1 sub -contractor for\7�:, ��� :fl (Type of Trade) 3 (Prinnairy Contractor) for the project located at &\ \\ CQCx\�,,_A—,\ , (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 Contraetor,notice. (Form. SLCCDV ' No. 004-00) BUSINESS QUALOUR (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE RE UMED GNATURE PRINT NAME Business Name; Address: City/Statc/zip: Phone: OMCE USE ONLY: PERMIT # ISSUR DATE DATE loc g4sbi-nn S U m - J 0 SCANNED B ST LOP- P- COUNTY ST.: LUCIE COUNTY PUBLIC NYORKS ]BUILDING & ZONING DEPARTMENT JRi'J BALDING PERMIT SuB-CorgTRACTUR AGREEMENT St. Lucie County CO tractor CerLificationNunbm �1 � �` ab v`� State of Florida C ;rtification Numbca (If appl'i-M-a)_ C�) co �� J ClVsvc) INS W; — nave agreed to be the empany Name/Individual Name) C.I t Pr ty l C A-L sub -contractor for Ivy (Type- of Trade) (Primary Convactor) for the project 'located atl (Project Street Address or ProRetty Tax tD It is understood that, if there is any charge of status regarding our participation wit'l: the above mentioned project, I will immediately advise the Building and Zoning Department of St- Lucie County by personally filing a Charge of Contactor notice. (Form: SLCMV No. 004.00) BUSINESS QUALIFIER (Name of the Individual show., on the Contractor's License) ,� mitts ?/ c. I[ A-r—L FLUNT NAME nT,4'ipTri . TT6F. nNJT V. nERf1fl1: # ISSUE HATE `t I