HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTST. LUaE COUNTY
DEPARTMEtiT OF COMMONMY DEVELOPMEr'T
`, �� � � � C•! ���/tom
SL Lucie County Cor>tra= Cron
State of Muda Cartlication Number of .ppoodd•r=
A-U-UIZATe CC�G WCAA,
(type of aonmmoon trade)
for the project located at
if then: is any change of status r+ng
project. 1 WM irnrrtediateiy advise the
Form (Su=V FORM NO Wuq.
I I GLI
EC OCiCi4?
I f46r , IdC. has agreed to be
for K®LTf R AOMES
ONOW atom Pnme, Conmemo
It is understood that,
participation with the above mentioned
BUTS QUALI ER cow wunamoae mgwo*
PdW dame
business mama:
addrm=
cky*
PrMle.,
Development. Departrnent (Growth
ter / j rlE Dit7
fift a Change of. Contractor
r
date
sicm+r FOW Ito.: aaa0
Ir
` ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
i�.
P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contract Certification Number: ��\\
State of Florida Certification tNumber (if applicable):
have agreed to be the
(Company Name/Indi'vi al Name)
�LkY\b\`f1a I sub -contractor for
(Type of T` de) (Primary Contractor)
for the project located at "Ib t W
(Project Street Address or Property Tax ID ')
It is understood that, if there is any change of status regarding our participation .vith the
above mentioned project, I will immediate) advise the Buildincr a o
y � n� 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 SIGN*ATL�RES ARE REQUIRED
SIGNATURE PRINT NAME DATE
Business Name:
Address: LW) F,. V�)C\v_2;Vr ia \ Awl
City/State/Zip:
Phone: 5\p\ -� < 'L ?� j�\p email:_tmhyrn
1
OFFICE USE ONLY:
PERMIT #
04/05/2005 113:55 772-468
St. Lucie County Contractor
State of Flcidda Certlf=Son
NLWR_
the N_4.AC
KOLTER HOMES
Iv -
I
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BtgLDING PERkT
SUB•CONrRACTOR AGREENIENT
n Number
appocoble); _CA CO 4119
(bPC of oont+ttuotlon tratfe) I '.SDI
�I,A-t S
for the project located a
(2tteet Address a
if there 'it, any Change of status re
Project, I will immedlatel advise the
by personally filing a Change of Co)
Form (8L(.00V FORM NO.004.00).
k'160 . has agreed to be
di &MI name))
subcontractor for KbL-TV-V, "aS
it (name of the prhm eontmdur)
I Jbi � It is understood that,
EUSINP-Es R1ALIFIEO (or+g)nat s4nawrea
businds name:
address:
e ty,state,zil):
phase'
OFFICEVSE°ONLY:
Print name
NISAIR AIR
PAGE 02
tv ID iR)
g our, participation with the above mentioned
ig and Zoning Department of St. Lucie County
$LCCDV FORM NO.: 002-00
PArr
ISSUE DATE
::!;�'
i
4-26-2000 8. 18AM iFi
I 1
ST. LUCIIE COUNTY PUBLIC W0RKS
BUILDING & ZONING YDJEPAlamr-'.'VT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St_ Lucie County Contras � i r Certfiication-Number.
State of i=l0rida Gertifieattp Number (if Epp =btu):
C00029554
P. )
has agreed to he
(t:ompenyfuMe+riduol narr�a) ,
the. sub -contractor for Ke1-L_-t %k' 4'c�kvuz s
(WY & of oonstrudion trar98) .Z DLi j ( rrq Iof live pnnw L"racdor;
for the Project located R It is ur<dersiUot! that,
('street addrew or PMPWV tax 10 a)
if there is any change of status regarding our participation with the above m. er ,ioned
1I '.
project. I will immediately a6ise the Building and Zoning departrnent of St. Lucie "ounty
by personally fling a Change of ContraLtor
Farm (,.LGCDv FCIRM NO.
I
13USlee : Q ALIFI�R (origin �t.�quismd):
Arthur Frantic
Sig aturE Print Harts
businessnome: Re7_tahlklRoofiaa 6 Gut
address:
c4.statex1p: Weqt pal
phone:
I
OFFICE LME ONLY:
I
Date
s. Inc
iSSuE DATE.
SLCCLPW toe hr:. a34-LV'