HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
F ORt�P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
have agreed to be the
f (Company Name/Individual Name) �( ' I /]
C I e ck✓i cti I sub -contractor for jJ o� , W H�46�,—
(Type of Trade) PP
(�(/ri'mary Contractor)
for the project located at 52-(1 Pf M Y )te{//E , P--
(Project Street Address or Propertyax 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 rr -
(yJ1 )1� —
I A r PBINI'NANM DATE
Business Name: ' X tl PAC. ()(L
Address:
City/State/Zip-
Phone:
L
email:
OFFICE USE ONLY:
PERMIT # ISSUE GATE
SCANNED
BY
St. Lucie County
ST. LUCIE COUNTY PUBLIC WORKS
i' BUILDING & ZONING DEPARTMENT
F ORI�P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (Ifappliabte):
have agreed to be the
/ (Company Name/Individual Name)
NeOPIC4L sub-contractor for J o4 W^ II &a , U{a-
(Type of Trade) (Primary Contractor)
for the project located at �Sd1f P&AA N , G- pl e x(l
(Project Street Address or roperty Tax ID 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
J00i &,ocxie-4 i1L 7--to—a.
V44 PRINTNAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
SCANNED
BY
St. Lucie County
ST. LUCIE COUNTY PUBLIC WORKS
w BUILDING & ZONING DEPARTMENT
• F<ORIOp'
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
have agreed to be the
(Com any Name/Individual Name)
o rJ sub -contractor for V b Vl� �/U ���b�✓bt �n
(Type of Trade) (Primary
QContractor)
�
for the project located at.. L?V P� OIL, P! tS t(c V `'/ � �2
(Project Street Address 6r 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)
ORIGINAL SIGNATURES ARE REQUIRED
4NA,
PRINTNAME
Business Name:
Address:
City/StateMp:
Phone:
/'/G y—(a) b U 1-7 email
OFFICE USE ONLY:
PERMIT # ISSUE DATE
Z-/o—o 6
DATE
SCANNED
BY
St. Lucie County