HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTS_ ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
OR1 P BUILDING PERMIT
-
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (I£ applicable): e<_aCt O 2 ! -St+
�Gczt'ru�—
(Type of Trade)
for the project located at
SCANNED
BY
St. Lucie County
have agreed to be the
sub -contractor for ?�Va 00�7_ e�;�T—_
(Primary Contractor)
cofL_ e2.-
Address or Property Tax ID #)
AN
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 SICAtATURES ARE REQUIRED
G A
CN
-10'SIGNAPRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
6g?__z3CV_( email:
nFFT('F. TTCF. nNY.Y•
ST. LUCIE COUNTY PUBLIC WORKS
�. BUILDING & ZONING DEPARTMENT
RAP
_ __ BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
-5
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): GA69
6_
(Company Name/Individual Name)
/-Ire 61VOi 770a`11 dub -contractor for
(Type of Trade)
for the project located at 73 2-c:;'
-SCANNED
BY
St. Lucie County
have agreed to be the
Primary Contractor)
C', a,7-L_ 612
(Project Street Address or Property Tax
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 SIGNATURE5,4EMOUIRED
SIGNATURE
PRINT NAME
DATE
Business Name:
Address:
City/State/Zip:
Phone:
77,i ;U/ z�(�O email:
OFFICE USE ONLY: