HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSy ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
. F OR10P'
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: L; o a -a-
State of Florida Certification umber ,If ipplicab el: 6 (-A
�--
s ��C have agreed to be the
Company Nameadividual Name)
t✓ O(!. 7( %L L C. HL, sub -contractor for LIdes : •-�-+nL
(Type of Trade) (Primary Contractor
for the project located at , I') U:�
(Project Street Address or Property Tax ED #)
is understood that, if there is any change of status regarding our participation with the
mentioned project, I will immediately advise the Building and Zoning Department
St. Lucie County by personally filing a Change of Contractor notice. (Form SLCCDV
004-00)
USINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
TUBE PRINTNAME
Name: C.l.d!C _
Vzio:
email:
USE ONLY:
ERMIT # ISSUE DATE
DATE
.r—
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 3 1
State of Florida Certification Number (If applicable):
have agreed to be the
(Company Name/Individual Name)
sub -contractor for � c,ge_4�l
(Type of Trade (Primary Contractor)
for the project located at
(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
I
No. 004-00)
S QUALIFIER (Name of the Individual shown on the Contractor's License)
'SIGM!3¢ M' %%" V� PRINT NANM
Business Name:/ 94- �-
Address:
City/State/Zip:
Phone: 76-72 to
OFFICE USE ONLY:
email:
(PERMIT # I ISSUE DATE
I
DATE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
*OR
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
of Florida Certification Number (if applicable): 1 `� C c�' u ��
A- c, ' have agreed to be the
(Company Name/Individual Name)
I tt1)Lzftn
lie-s
� sub -contractor for �
�4.`l.
(Type of de) (Primary Contractor)
�.
for the project located at ip oiS �n LJ Ike.. (Project Street Address or Property Tax ID #)
is understood that, if there is any change of status regarding our participation with the
mentioned project, I will immediately advise the Building and Zoning Department
St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
004-00)
QUALIFIER (Name of the Individual shown on the Contractor's License)
TURF PRINTNAME DATEf
Name:
OFFICE USE ONLY:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERAM
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number. ! (✓
State of Florida Certification Numberr((v
appH able):
7� 0 0 ( / 6 ��
AS4have agreed to be the
(Company Name/Individual Name)
W�nc i C_
OO, sub -contractor for �. lac: � i.�+ l �.l.�S, --�6�1
(Type of Tra ) . I (Primary Contractor)
for the project located at W (SN . Cxco �)e_ri
(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)
SIGNATURE PRINT NAME VAT
fkBusiness Name: V 8 , (j znU
Address: Inq
City/State/Zip: C:41e- JL (G 9 41.
Phone: _5 fo- ; 1Uc2- email:
OFFICE USE ONLY:
PERMIT #
ISSUE DATE