HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTS11 :
PLANNING &DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
CaNNEC
SUB -CONTRACTOR AGREEMENT
BY
�r
St. Lucie County Contractor Certification Number: /� CK Lucie Cou6ty
State of Florida Certification Number (ifappiimble): �C� �'JC3G
SV_ //t Z �ec %ri � 27� C have agreed to be the
(Company Name/Individual Name)
if /C - %ivy sub -contractor for Dr-t)Lw (f 0e�!r� vs:
(Type of Trade) (Primary Cont actor)
for the project located at � - 13 5 U m id WCt.,c./ //zd rn4 FL
(Project Street Address or Property Tax I #) 3y q %?(
It is understood that, if there is any change of status regarding our participation with the
i
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)
I
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGI 'AL SIGNATURES ARE REQUIRED
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip: r 7,
I /
Phone: email: 57r-, %6g %r% fn z ®Qatl - e-v---t
i
OFFICE USE ONLY:
Jan.25.2013
10:14 AM Islandia I Condominium 772 229 3592 PAGE. 1/ 1
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If4ppticat;10
N ANNED
BY
�Q %cl at Lucie County
- �..... ..... ..
IC�.J71 t5�'1 RlynL� �z _-, have agreed to he the
(Company Namc/Individual Wno)
f� I' mtt l"14I sub-contractorf'or _DJ-AW r�5 -
(Type,of" adc) (Primary Contractor) —^
for the project located at _, Q 5� vV • v tt1 �_C
(Project Strcet Address or Property Tax 1D i)
It is understood that, if these 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 ofthe Individual shown on the Contractor's License)
I Q.➢ U(; INA1. SICNA`9•I!ItES ARE IZEQUlflkED
SIGNATURE, PRINT NA/MF. DATE
Business Name: .5�,P/V1(�I�Q „�n�•
Address:
city/state/zip:
Phone: --
OFFICE USE ONLY:
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
® � BUILDING PERMIT SCANNED
RAGRrEEMENT St Lucie County
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable): .f // �O (� �✓ 7
have agreed to be the
Company Name/Individual ame)
sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at Z`j `✓- �1'I!r/C✓h�, /Zr/ "Y4 E'a aj ( %C
(Project Street Address or Prop rty 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 RE REQUIRED
rX4Jke-( n �(/ ��� �l a
IGNA RE PRINT NAME // DATE
Business Name:
Address: 9 a5e-n;1g( :,Ir.
City/State/Zip: 1,,i efce — / ,`? �WZ Phone: .�-z 7 33%7 email: ley Coy.
OFFICE USE ONLY: