HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTFeb 18 01 10:49a
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ST. LUCIE. COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (If applicable):
4426
RA001 8071
cR1IES ice= & AIR CTDI'IRUM has agreed to be
(companyAndividual name)
the H.V.A.C. sub -contractor for
(type of construction trade) (name of the prime contractor
for the project located a S G r' at- &L� , It is understood that,
(street address cr property tax ID #)
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
Form (SLCCDV FORM NO.004-00)_
INESS IFIER (original signatures required):
slg ture `ly6nt name Date
business name: Q21MES HEP= & AIR =TIMMG
address: 30% Ili u_s_ # 1
city,state,zip: EM ET. 34cAh,
phone: 561-461-8711
FEWUSEPNLY: SLCCDV FORM NO.: G
PERMrT 0 ISSUE DATE
G ST. LUCIE COUNTY PUBLIC R'ORKS
BUILDING & ZONING DEPARTMENT
RIOp BUILDING PERMIT
SUB -Cop, -TRACTOR AGREEMENT
�I St. Lucie County
Contractor Certification Number:
State of Florida Certification Number (If applicable):
�' �� 1�� ��' 2lC C M have agreed to be the
I
(Company Name/Individual Name)
sub -contractor for TO—
(prunary Contractor)
(Type of Trade)
-4T7 50u-N
for the project located at p
(Project Street Address or Property Tax ID #)
h the
It is understood that, if there is any change of status regarding our participation wit
above mentioned project, I will immediately advise the Building and Zoning Department
o Change of Contractor notice. (Form: SLCCDV
of St. Lucie County by personally filing a
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNaTITRES ARE REOL'IRED
SIGNATURE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
PERMIT #
f " b3
I ,� DATE
PRINT NAME
ca.
1— 0--� email: