HomeMy WebLinkAboutSub-Contractor Agreement ( Incomplete)D
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
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State of Florida Certification Number (If applicable): / C . 13 dG - 6 Ll d - \
C have agreed to be the ,_
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Company Name/Individual Name)
eLkVk Cry t sub -contractor for 1 C' ti`e 1 \oo \
Type of Trade) (Primary Contractor) f
for the project located at W\, v IS I!, Z
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
SIGNATYJRE
Business Name: Ly
Address: 5
City/State/Zip:
Phone:
nFFIr F. TT.4F. ONT,V!
s7-ev- 1
PRINT NAME
77a - (% -60-00 email:
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PERMIT 9 ISSUE DATE
1_11.11"