HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSt Lucie County
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
II
BUILDING PERMIT
)NTRACTOR AGREEMENT
St. Lucie County Contractor CZer
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State of Florida Certification (If applicable):yc 1 ?)o V LJ� 1 CJ
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Sit \1 Y\C,( t MA. �' have agreed to be the
( ompany Name/Individual Name)
LIP C'>i- y I (-CJ J sub -contractor for \'� � ` I 1 9 J (,
(Type of Trade) 1 (Primary Contractor) rJ
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for the project located at
(Project Street Address or Prop 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)
ORdGINAL SIGNATURES ARE REQUIRED
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PRINT NAME DATE
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Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
PERMIT # ISSUE DATE
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