HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSST. LUCIE COUNTY PUBLIC WORKS
- BUILDING & ZONING DEPARTMENT
OIiSDp'•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: A O ( 6 3
State of Florida Certification Number (If applicable): D -� 733
SLt=
have agreed to be the
"Fl a'C-R I C'A& sub -contractor for Tom. zs c- -i �'���✓� f
(Type of Trade) (Primary Contractor)
for the project located at $/9J R1- 4ckaelootxb CT
(Project Street Address or Property Tax ID #)
SCANNED
BY
St. Lucie County
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 SIGN.'URES ARE 12EOUIRED
4!�� / off; f G�'Vr
SIGNATURE PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
ST. LUCIE COUNTY PUBLIC WORKS
s� BUILDING & ZONING DEPARTMENT
ORI�P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: �SCANNED
State of Florida Certification Number (If applicable): SNyeeo/y/ St. Lucie County
TH6u(y S (o ..�En/N/NGS have agreed to be the
(Cpmpany Name/Individual Name)
L1ilE 10U_-Vr—JqLLaeJ sub -contractor for ;Tao ri AfGs /l'toetc.G 401165_157'u,4
(Type of Trade) (Primary Contractor)
for the project located at
(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 REQUIRED
7floMf}5 6 . 3'HN1J J U6S / /Y
SIGNATURE PRINT NAME DATE
Business Name: �E xi u i ii 65 Aob; I r t'te+xe_ JSe -Kp, LLG
Address: P.0 , 30 k 14"
City/State/Zip: k-BK"DFLC , F` 335,L3
Phone: SIP3 - 9(pg- o693 email:
OFFICE USE ONLY:
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
• �<OR1�P
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 6zQ 1 x_
State of Florida Certification Number (if applicatite): CAC-O Si 5.59
S
SCANNED
BY
St. Lucie County
have agreed to be the
meaft-AwIC�-Z. sub -contractor for Tif.Wx-r 0. ,7-eww,N6f
(Type of Trade) (Primary Contractor)
for the project located at y193 C% .
(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
Business Name:
Address:
City/State/Zip:
Phone:
(Name of the Individual shown on the Contractor's License)
PRINTNAME L�iI I I L-P ol-e C DA E o `7