HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPLANNING & DEVELOPMENT
Building & Code Compliance
BUILDING PERMIT
SUB-CONTRACTOR.AGREEMENT
SL Lucie County Contractor Certification Number.
State of Florida. Certification Number(Irappucabie): dle 00L54/ &
16✓f iry Azee7 "e /10 INN have agreed to be
(Comp y Namegndividual Name)
fLEtr?iLWL sub -contractor for
(Type ofTmde)
for the project located at
or Property Tax ID 8)
It is understood that, if there is any change of status regarding our participation
above mentioned' project, I will immediately advise the.Building and Zoning D
of St. Lucie County by personally filing a Change of Contractor notice. (Point:
No. 004.00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's Li,
ORIGINAL SIGNATURES ARE REQUIRED /
IG A P✓�
Business Name: /V E/M ^64pre7R/C Cie
Address: �30 ALL G/NL'3 %1
City/StatcMp: /1Ayo1JNlt! / -e �?-R
Phone; email:
S'C
St Luc eyNFp
e C°Un
Y
the
PLANNING & DEVELOPMENT S VICES
Ouilding & Code Compliance sion
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number afappiicame):
(Company
agreed to be the
Q(LA -A�,m Ins sub -contractor for uSw's SSUr-S%
(Type of Trade)(Primary Contractor) St.e j,NFO
for the project located at 33Vi�c. l Qdl _e, µ
�1/f t 0 CUCiE) Cot n
(Project Street Address orlsroperty 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 filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name ofthe Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address: 5 k • l..l,L6 e Ct
City/State/Zip:
Phone:
'Mm
STATE OF FLORIDA, COUNTY OF
CL
email:
(A�5W. S MCA �F
PRINT NAME DA
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS _ DAY OF
BY
AS. IDENTIFICATION.
WHO IS PERSONALLY KNOWN
OR HAS PRODUCED
SIGNATURE OF NOTARY PUBLIC ji PRINT NAME OF NOTARY PUBLIC
20
(STAMP)
t
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St Lucie County Contractor Certification Number: ZJj Iod ,6 3
State of Florida Certification Number (If applicable): C )q C y h y
Ce ~ Co have agreed to be the (Company NameandtVIaual Name) S'C
sub -contractor for Sf 44CiecNFO
erlLga
(Type of Trade) (Prary ontractor —�
imCUn1 j 1
for the project located at Aw 'b
(Project Street Addrew or Property Tax ID p)
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
PRINT NAME DATE
Business Name:
Address:
City/State/Zip: L
Phone: 1Z gs_
--�� 14 email; , n,1