HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTG ST. LUCIE COUNTY PUBLIC WORKS 0 t 10 — 0004_
BUILDING & ZONING DEPARTMENT RACLK
/OR1�Q' BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: _
State of Florida Certification Number (If applicable): _
0. M. J r4G.
(Company Name/Individual Name)
'SCANNED
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have agreed to be the
Lee ..� 1 C A L sub -contractor four M CO PJ Si P. oc.- o / N a.
(Type of Trade) (Primary Contractor)
for the project located at 6V 9 RA tJG CL I xJE f-?,P t fir• f� �� PL.
(Project Street Ad dr ss 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
Business Name:
Address:
City/State/Zip:
Phone:
PRINT
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H- ! R11_P.-A 1.:
30S &&'1- .G9 /
OFFICE USE ONLY:
al shown on the Contractor's License)
DATt
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email: 0rA @(CCtr&, � �e��SQW4%. 01Z_