HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSPLANNING & DEVELOPMENT SERVICES DEPARTMENT
I BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
By
St Lucie County Contractor Certification Number: _20 t at4Uc e Unty
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State of Florida Certification Number (If applicable): C/L
5`L LcJ (�7 [ ,P c- i f /-' c- -Qf c have agreed to be the
(Company Name/Individual Name)
(f _c / r/ sub -contractor forT n; l,1 m� tom. � o�T tsW-L C6&6+1
(Type of Trade) (Pri y Contrac r)
for the project located at oQct U S W ' dA" Rai Fi( Bl Q,f b I T—L 3 Y % 1
(Project Street Address or Prope ty 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)
ORIGI I.. SIGNATURES ARE REQUIRED
SIGNATURE PRINT NAME DATE
Business Name: 1eC %r,-L. �
Address: o I W 675= K, r tP, 1 -
City/State/Zip: I C'-e re eclJ—
Phone: LC�`/-���� email: STr 60� T�ieoirlt�3CnG� C� t
OFFTCF, ITSE ONLY:
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT SCANNED
SUB-CONTRACjT�OR ::;?I Cie
StL
St. Lucie County Contractor Certification Number: �'✓ ( UCCOUI1ty
B
State of Florida Certification Number (If applicable):
have agreed to be the
l(Company Name/IndividualName) 11 n�
(1f`1 LI sub -contractor for Tr l r,k-YU Aklxn( V_m ,&t
(Type of e) (Primary tractor) Cl� L1_CA&U_tt_ � - L L(1,
for the project located at 9,Li 1p 5 Q, NAA 1k" fact- FO ij �1 Q y FL
(Project Street Address or Propeiky Tax ID #) 3,`4
q � I
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
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
PERMIT# ISSUE DATE