HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSJ ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
OR10P'
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
,;�011`79 / -
St. Lucie County Contractor Certification Number: 6
State of Florida Certification Number (if applicable): 9 0/0 ®7I 7,O
Ad�.�»t �%s Jn(�
(Company Name/Individual Name
have agreed to be the
OTCA NNED
Lu&ge
(4/Ai�/') sub -contractor for V S'yoQ %% Uo oc, us-zw
(Type o de) �(Primarry`CoPL
nttractor) (f t
for the project located at lZ-7� OCZ \ O ,6 k1
(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)
ORIGINAL SIGNATURES ARE REQUIRED
offi,ww
_-
Business Name:
Address:
City/State/Zip:
Phone:
PRINT NAME
P� - �S4, Zc,,etC`�, FI- 3g54?3
�% q o F %33 email:
OFFICE USE ONLY:
PERMIT # ISSUE DATE
2-IK-os
DATE
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g 09 05 09:52p S%eve Koentge 954-874-2197 p.5
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ST. LUCIE COUNTY PUBLIC Wt)RxS men,
BUILDIN(; & ZONING DEPAR�r� FNT
Ov
SUIL ING Pt:ltmiT Q��I�a �®
:ftjli CONTRACTOR AC:RKI;MEN'1'
St l,ucic County Contructor Certification Number. 405? CJ S o
$laic of Florida (:cr HIC2lion Nunibcr pfn rl„ante). EC- 1,30o (6 41
(Company Name/ln&vi(1u.11 Wimp) IIAW agreed to be the
CCCi12/ (�/7 sun-u�tttracturfor lSi()t J 9UkL611QC,
i'rypc arrraticj {Prinlary t:antt-,tatnr)
lr�r tllo project loca(cd at 2 Ja T'N OP-1 O U . `=1 �l �- CEO r[� ?J Ol 1{
Pr i�ct Struri"Add i i i rc5s or ArepurtX'i ax II) fl)
It is understood flint, if E110M i-4 My Change of status reg urding our pu'ticipation witil the
I
atxrve Mentioned project, I will immediately advise the 13ui1ding and Zoning nop;�rt11c1,t
! oPSt. Lucie Court b ei-sunall Jilin � tY Y P Y a f;harlgc, of (,.otlirac:tor rtt>titc. (NM�tL' fi1.C,Cr►V
No. 004-'00)
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BUSINESSQUAL1FIER (Na,neoftiwindividual • ,
sltuwn on the tcntrtctar It Ltec,nRo)
OR1G'lNAL y1f.NA.7'Ji1ZRS Aldo: 14EQ1111t1:D
AQ
r+ •rtlltl; PFtINr 1+fAM1r, iin•rr; -'
Phone: ?? email:
j { OF)NICF US ONLY:
NtttttA�i IS IF DATE
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