HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT ROOFINGFrom: 58 9505 Page: 212
"ii� G�Ilbal 11.111 5614664tiue� r
Date: 9/8/2005 3:17: _— I
PAGE 02/62
ST. L
COUNTY PUBLIC WORKS
& ZONING DEPARTMENT
BMDING PEP —NOT
)NTRACTOR .A,GREEMMNX'
St. Lucie Co my Gontra=r Certification Number.
State of Flo;da Cl2rtiiiC tian Number of sppilcnble); C�
i
i
r
� '•�t.M c.(-ri _ has agreed to be
AadiVidual mrrie)
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the" sub -contractor for
(tym i or eonstrudian trads) /' (nams of the prime contractor:
for the proj ct llocated at / It is understood that,
(eOrm *"won or property w ID �
if thore Is i ny change/of status regarding our participation with the above mentioned
Project I will irnmediat6ly advice the Building and Zoning Department of St. Lu,ie County,
by personally fining a/Change of Contractor
Form (SLCCbV FORM NO, OQ4-00).
A
rUll-rt=Fi (origins( skmdur" MgUM)r
sign u / Print name - Date
business namE R�0 'r`i
Wdress: / 519 S I a
city,state,zip: S.`i' 111-FCZ" 6-
phone: C""`d ( 3 — c5od�,�` -S
DFFTCE173WiN1'gr: MCCAV FORA NO.: ooz-oo
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t=lrrr rr �� lo- O�G 2 LBSt'IS DATE
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St-jcry�
Building
Fee Receipt
Code Compliance Division
2300 Virginia Avenue
Ft Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
Date: 21 September 2005
Receipt #:
0000025376
Job Address: 7041 MAIDSTONE DR
Permit Number:
SLC- 0506-0792
Received By: johnsonm
Amount:
$25.00
Paid With: CK
Credit Card Number:
Check Number:
2020
Paid By: KOLTER SIGNATURE HOMES INC
Sign: