HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSo ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
F<ORIDp'
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number
P)10,kPS lee ofect(-
(Company Name/Individual
EC A r3 o0 3o3 /
&C
0/6 00
agreed to be the
�l C Tw 10/4 sub -contractor for �� n �e� � 1 - 3er AD'&
(Type of Trade) o k, (Primary Contractor) p
for the project located at 1000 :54o KE Ld t 1493, De. r+ 1 I L—ecc FL
(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 REOUIRED
SIGNATURE PRINT NAME 1DATE
Business Name: 6/ a kc-s f ee �le( 7/ /C�� �!/l'1 iQ�°�/ $ JVC
Address:
qD& 6-1—m 19-Ue57
City/State/Zip:
Phone:
OFFICE USE ONLY:
a C email:
Gy ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
• F�OR10p'
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: Z Z r/(?
State of Florida Certification Number (If applicable):
Name/Individual Name)
tpc
have agreed to be the
ir_/ e,- /, / sub -contractor fory, tie.„ f 71 1,4
(Type of Trade) (Primary Contract r)
for the project located at
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
SIGNATURE PRINTNAME DATE
J
`
/I� Business Name: (cilj/mac
Address: Z yff
City/State/Zip: _ S L 3 4
Phone: 7 72-- 4/4 V -'73G e email:
OFFICE USE ONLY:
17771-
ISSUE DATE
G ST. LUCIE COUNTY PUBLIC WORKS
iy BUILDING & ZONING DEPARTMENT
F�ORIOp'
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 36 ?/
State of Florida Certification Number (if applicable): C-C /yZCeS3
6:
00,
41,
�r7u- 6 sub -contractor for V r -r
(Type of ade) (Primary Contractor)
for the project located at
have agreed to be the
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)
Q I ;AL SI t AT . I RE RE 1 TTRED
Z-d-oS-
SIGNATURE PRIM NAME DATE
Clts Pluw.is, wf
Business Name: '/_0.0-9,k 12?S-,s—
Address: T; 1,&rLC
City/State/Zip: 3 5eq P,?
Phone: 7 7 e�l email:
OFFICE USE ONLY: