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HomeMy WebLinkAbout0804-0166 SUB-CONTRACTOR AGREEMENTST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT .�`oR►o�. BSCANNED UILDING PERMIT BY SUBA -CONTRCTORAGREEMENT St Lucie County St. Lucie County Contractor Certification Number: Da (q State of Florida Certification Number (If applicable): C 13 4 (p e have agreed to be the (Company Name/Individual Name) sub -contractor for -j AVgT0e-- G)Mpftt- f (Type of Trade) (Primary Contractor) for the project located at LOT '3 Qe1.eC6� ott'M Nava (Project Street Address or Property Tax ID #) :3 52z. Zed - O-OrO'l —004910> 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 PA-" dag _ '31 SIGNATURE . PRINT NAME DA E Business Name: Address: City/State/Zip: Phone: ` 1, U- S.S(o -1;tJ3 email: OFFICE USE ONLY: b( M Ca ST. LUCIE COUNTY PUBLIC WORKS ti BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: ��i C P o1 State of Florida Certification Number (If applicable): C� Fe 0 S 1 5 a L 02- Name/Individual Name) have agreed to be the QV M(0t !� sub -contractor for '5M\rT70'J (D2Qk1GT- ec. (Type of Trade) ' (Primary Contractor) for the project located at Ti5UCL-01 pC� (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) ORIGINIALIMNATURES PRINT NAME DATE Business Name: ' a- Address: / 6v S_( 0- %c) '":291 p d 6 /3 l yJ City/State/Zip: Pc . L. —44 a • i6_' q g Si Phone: 7� O. 31-/ 4- S V 3 3 email: ?7 7 a 3 4( 3— OFFICE USE ONLY: ST. LUCIE COUNTY PUBLIC WORKS . BUILDING & ZONING DEPARTMENT F�OR1�P BUILDING PERMIT SUB=CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 1 173- 1 ©•3t�3 State of Florida Certification Number (if applicable): Nag q (�q�_ have agreed to be the (Company Name/Individual Name) Al Ate -,sub -contractor for ��S �L_iO`� (Type of Trade) (Primary Contractor) for the'project located at LOC PG2_iCA-iJ T-0141 "'F 'De—lVGF- (Project Street Address or Property Tax ID #) ZL -110-0 o-C-�-'7 UCo 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) Name: Address: City/State/Zip: Phone: p4 toP '3-- 31-Cca PRINT NAME DATE t�1 A9- :642f, 9 900 is. 0s 11t4Nc � i 1 T_ PIEZ,t. %'Yy- �Co(o-E�Q�S Xt o3 email: 06P.-"M C. iJl'�A'1�.�,.� OFFICE USE ONLY: PERMIT # ogDL4- 0 J( TE ST. LUCIE COUNTY PUBLIC WORKS i ti� BUILDING & ZONING DEPARTMENT aP BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: y �� State of Florida Certification Number (if applicable): (JIMCnAL 'Roo- -h 45 id, n An have agreed to be the Wmm�anv ame/jndivi(u Name) woof EQ sub -contractor for+!!!Jt.Y-[a5 C'o�nSTi?�acttQN Cam, (Type of Trade) (Primary Contractor) for the project located at LI ie- (Project Street Address or Property Tax ID #) 3sas '7bD C)007 0000 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) 71ryVAT L S1G` URES ARE 12E UIRED 1�9-b - 6 RE PRINT NAME 'DATE Business Name: Address: City/State/Zip: Phone: ---p ?T ,,s FL email: OFFICE USE ONLY: 0?;Dq- 01