HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSy� ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
R BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
/ St. Lucie County
St. Lucie County Contractor Certification Number: 147g�
State of Florida Certification Number (If applicable): E G pc)c_ 5t03
have agreed to be the
(Company Name/Individual Name)
'E�en�iCCUk sub -contractor for A-(A,-C-i CDnc _-P }Vp,-)�s
(Type of Trade) Primary Cnntractnr)
for the project located at
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 fling 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
SIGNATURKPRINT NAME DATE
Business Name: L— des-] fio— I (lC
Address: -
City/State/Zip:
Phone:
97?2(- $rl8-1ao33 email: EL_C-i1 e_&V Q @� �¢CkpNck YA_-%
OFFICE USE ONLY:
` ST. LUCIE COUNTY PUBLIC WORKS
�a BUILDING & ZONING DEPARTMENT
F�ORIOp'
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
Q St. Lucie County
St. Lucie County.Contractor Certification Number:,
State of Florida Certification Number (if applicable): l—L—�
A A A !�
(Company Name/Individual
sub -contractor for
have agreed to be the
for the project located at raj) I,-) —A01--(-rV (7— ire 1r 141
(Project Street Address 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)
ORIGINAL SIGNATURES ARE REOl1IRED /
Sl ATURE
RINT NAM n A TF
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONT.v.