HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT HVACp
SCANNED
BY
St:. Lucie County
I:
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Lucie County Contractor Certification Number: //cgs//.3
to of Florida Certification Number (lfc., applicabue): R �g� s7aJ
laCk �r'osf o, b* 4J Dl[77! 1'/D�"ida ��• have agreed to be the
(Company Name/Individual Name)
9 V/g e sub -contractor for
(Type of Trade) (Primary Contractor)
ot the project located at kP7 S GAk GA.
(Project Street Address or Property Tax ID #)
�I .
is understood that, if there is any change of status regarding our participation with the
i
a ove mentioned project, I will immediately advise the Building and Zoning Department
St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
Y,I
NVV. 004-00)
�LSINESS
QUALIFIER_ (Name of the Individual shown'on the Contractor's License)
�^ N TURES ARE REQUIRED
al �. U-n man 1D JI�(D
URE PRINTINAME rr' l- DATE
Name: Jae -A os+ ,'ld W U (} OG{.Ti'J F f ida, aA-
- 8qs g email: � e7(.hAn61-70o/'i d a @ 401, • C'arr►
(''Ti. TTCTi. nNI.V-
ERMIT# ISSUE DATE