HomeMy WebLinkAbout22020536 SUB-CONTRACTOR AGREEMENTST. LUCIE COUNTY PUBLIC WORKS
ti BUILDING & ZONING DEPARTMENT
R10P BUILDING PERMIT
bU
SUB -CONTRACTOR AGREEMENT By
1;t 0
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
(Company
Name)
� sub -contractor for
(Type ofTrade)
i
for the project located at L Z
have agreed to be the
-. s. E'P CJ--T¢ a CC -t:,Z51
(Primary Contractor)
A, l A
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
i
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County bYP Y ersonall 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 REOUIREU
I
PRINT NAME DATE
Business Name:
Address:
City/State/Zip: z ��' � -
Phone: email:
OFFICE USE ONLY:
PERMIT # �O ISSUE DATE
a a 6 A2 oko 53