HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTL7
�JC Gy ST. LUCIE COUNTY PUBLIC WORKS
a�. BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
C \ iv n rI
(Company Name/Individual Name)
e .,e cat 0,
�% M�� .p r\ sub -contractor for
(Type of Trade)'
kt,P
have agreed to be the
(Primary Contractor)
for the project located at to L
(Project Street Address or Property 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)
ORIGPiAL SIGNATURES ARE REOUIRED
C)cjrAQ r
SI PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
.Phone:
OFFICE USE ONLY:
PERMIT #
email: