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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTram" PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGUI ATIONS DIVISION BURBINGPIERMW - — SUB-CONTRACTORAGREEMOff St. Lucie CouatyContractorOx fcationNami er: 2 State ofFlorida Certification Num6w (tfamum mer EC ®Vp� J 0 O?a have agreed to be the (Company Name/lndividual Name) EL,;-; UP, l C I sub -contractor for MEL kY C0jJ3-rR UCT QN (Type of Trade) (Primary Contractor) for the project located at M Ne-41 e s N VA. Mtn s e l• ?,C Ct(k 1[7L �-q 9 .,Il (Project Street Address or Properly Tax #) 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) Phone: �7d- 7 Jr- 1171 email: D C-09WC !, A, /Xr OFFICE USE ONLY: PEWITS ISSUE DATE PLANNING & DEVELOPMENT SERVICES DEPARTMENT J r = BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable):) 1nC, r " Have agreed to be the (Company Name/Individu Name) IL sub -contractor for (Type of Trade) (Primary Contracts •) for the project located at Za'S INJOICs AW. )e_r sek. GPcc_6. FL 31 (Project Street Address or Property Tax ID #g 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) ORIGINAL SI N TU ARE REQUIRED C Cd � 11,�,e6d 'SIGNATURE PRINT NAME DATE Business Name: Address: �_ e1 ,Cw 4,*'�1 :T1V\C City/State/Zip: , T:__7 L_ ?�- 4n!� Phone: Z ( —�� Z�j email: 0 oQQ 6l OFFICE USE ONLY: PERMIT# ISSUE DATE i ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING, PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: (0 State of Florida Certification Number (If applicable): C F-0— C) a ("2 WAss.a�`m P1J Vyv A3 yn s have agreed to be the Company Name/Individual Name) ?Iwvy,bVr, sub -contractor for - CLn S z_b m�_, (Type of Trade) (Primary Contr t r) for the project located at20NegleS uc1 jChS(h Gc6 �L 5 (Project Street Address or Property Tax Ef #) 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) ORIGINAL NATURES ARE REQUIRED _bt r�_ Uj, k s vv` SIGNA PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: 1 to S_1 (3\y cA U ,Port S � --3 ' 40L,8 q I Qe-34L[^ -8 433 email: bob lv,A Ium id A qL nA rA2i)i tons. col OFFICE USE ONLY: St. Lucie County \ Building & Zoning ��ORo -RUX]C.D.XNG PERMIT SUIS-CONTRACTOR SUMMARY'' (Comp2ny/1hdiv1dual Nama) will be using the following sub -contractors for the project located at (Street address or Property Tax XD It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, X will Immediately advise the Building and Zoning Department of St. Lucie County. Uk'FICE TJSE ()NLX: LY 3M_ I ?j �-- co � ISSUE 1DAT r pLANNING & J}EVELOpMMNT SERVICES pEPAR.TA ENT • - jIUIfDING, & CQDE g GULA' QNS �VISI4N .ti )9UILDWG PERMIT SUSCON!' UC'rOR AGREEM N T St Lucie County Contractor CertiffadonNumber. oQ 5- O ` State of.Ptodda Cerdf'iwdon NumW OfepOcabl* 02 0 0 Y@, f �l have agreed to be .the (cbmp�ny Nmne/lndis�dns! Name) 2ORr sub -contractor for /772:5 4� ype of ) ('-) for the project located at(Pro.ed s at Adar ws or Property T ID #) It is understood that, if there is any change of stanza regarding our participation with the above mentioned project, I wfll in mediately advise the wilding azid Zoning Department of St. Lucie County by person&lly filing a Change of Cont ractar notice. (Porn: SLCCDV I No, 00"0) BUSMSS Dusiness Name: Address: City/State/Or. Phone: nwrry TTQF nw xi {Name of the Individual shown on She Cun tactor's License) ARE Ii,EQL'IRED / PRINT NAME DATE COM,