HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSA
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
R
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: ' 1 1� 5-
State of Florida Certification Number (if applicable):
(Company
Name)
SCANNED
BY
;t Lucie County
have agreed to be the
'E�tc:y `i Cn I sub -contractor for 4,cA-_C—( 0_unc_(-e4e V'D03
(Type of Trade) Primary Contractor)
for the project located at 993 / S hoq Chip Cr ►�
(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
SIGNA PRINT NAME DATE
Business Name:
Address:
City/State/Zip:
Phone:
1� C-t 1=1�c�kt'iC ,�nc
11- 1�TiGTG�
emait: i I:QC-(I=leekftC �e0)7 CL.V`�}
OFFICE USE ONLY:
PERMIT # ISSUE DATE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
F�ORIOp
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St: Lucie County Contractor Certification Number:
State of Florida Certification Number pfappticable): l l 1.�c5 / p2Q Q
47G Concre-Ee Poo (5 Snc
(Company Name/Individual Name)
SCANNED
By.
St. Lucie County
have agreed to be the
?1L)mbin sub -contractor for Ay G_ Con cne�� 0615, Tnc.
(Type of Trade))
a � '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
�W-SIG ATURE / L-ffiUV -H lLeA
PRINT NAME DATE
Business Name: ATl7 Conct'2i;-:�c),615. Snr
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY: