HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTS�y ST. LUCIE COUNTY PUBLIC WORKS
m BUILDING & ZONING DEPARTMENT
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable)_
OZ41ec7k1c111_ sub -contractor for
(Type of I`rade)
for the project located at
SCBNNED
St `uCie County
have agreed to be the
(Primary Contractor)
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)
ORI�jGINAL SIGNATURES ARE 1tEQUIRED
CSIGNA71JIM PRINTINAME rDATE
Business Name:
Address:
City/State/Zip: I, ' t ", r. F re, 3
.Phone: (�fJ 7? 't(�R9 5 email:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
. F OR10p'
. BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
aE2s
SCq
NNFD.
St�"Cie 01J17
ty
have agreed to be the
Poo F / n�C, sub -contractor for
(Type of Trade)j (Primary Contractor)
for the project located at eloo OcERN-,Ete /%"yE F%AeAct`.
(Project Street -Address orProperty 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
`�SIGNAT RE CPRINTJqAME L`DATE
Business Name:
Address:'��(�� �%Lep /9nJbl1 -Ps Cr ji �O
City/State/Zip:
Phone:
. 1
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
F<OR1�P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if appticabte):
(Company
SCq
NN
St4Uc�B o n® .
`Y
have agreed to be the
/! c Alzc?41 sub -contractor for
(Type of Trade), (Primary Contractor)
for the project located at
Street
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
/LAY c( eu 5,r dW,/lS y /k 0%
SIG�TURE- LPRIN .NAME --I tDATEl
Business Name:
Address:
City/State/Zip:
Phone: ill email:
USE ONLY: