HomeMy WebLinkAboutSub-Contractor Agreementa
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
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Company Name/Individual Name) `]
have agreed to be the
sub -contractor for
TyRJ of Trade) (Primary Contractor)
for the project located at 2V l w,,r, A 5 TC1
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
K
SIGNATURE
Business Name:
Address:
City/State/Zip:
Phone:
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PRINT NAME DATE
44, f/ !/ F arc c
S,4, Fl. 3Yggc),
3 3.5 ^ 3 6 9S' email:
OFFIC'F TTSF, ONLY: