HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSr
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
St. Lucie County Contractor Certification Number:
BY
St. Lucie County
State of Florida Certification Number (rapplimble): �P/� ca %A
C.i41]Olm& �77/C 2iv- 0& ( ���� A � � have agreed to be the
(Company Nametindividual Name) /�
rICZ7 l6/YG sub -contractor for tQ04 CGI7/17Yl r 4C
(Type of Trade) (Primary Contractor)
for the project located at ( ( 4 9 - 6 h ) S , us Llyj -q- I
(Project Street Address or Property Tax 10 #)
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)
13USinessName:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY-
ARE REQUIRED
MINTNAME DATE
email:(7711 Yto -OF60
PERMIT # ISSUE DATE
W
PLANNING &'DEVELOPMENT SERVICES DEPARTMENT
NMI I � ' BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
a' Q 13 Si Lucie County
St. Lucie County Contractor Certification Number: Z
State f Florida Certification Number (ifapplicabie): D515FA
6ave agreed to be the
(Company Name/Individual Name) I kL_
j C� ��}�
sub -contractor for�D_% � 1, � ""-"' �
(Type of Trade) (Primary Contractor
for the project located at
� -M1 o S N
(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
a
SIGNATURE t PRINT M DATE
Business Name:
Address:
City/State/Zip:
-► : i _ •�� 1.. C E: y ail
OFFICE USE ONLY:
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (Ifapplic bie): L/ / `9 /
c have agreed to be the
/ (Company Name/Individual Name
1� sub -contractor for
(Type of de) (Primary Contractor)
SCANNED
BY
St. Lucie County
for the project located at (Q10 I — US S. II,\ (I" 1
(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)
(Name of the Individual shown on the Contractor's License)
ARE REQUIRED
ritI lit -mil
DATE
Business Aame: �6so i`r�G
��JTJ1•ii�t�li.'%ice'
�_ t
OFFICE USE ONLY: