HomeMy WebLinkAbout0506-1220 SUB-CONTRACTOR AGREEMENTSCANNED)
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ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): Gce? D,�0(0
have agreed to be the
(Company Name/Individual Name)
sub -contractor for &- Lx7 c (Type of of Trade) (Primary Contractor)
for the project located at 336A pi ► A%yg, &A0
(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
SIGNATYEE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
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PRINf NAME DATE
PERMIT # ISSUE DATE