HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT s Sc�NN o
t <U��� Y
St. Lucie County Contractor Certification Number: _cc
State of Florida Certification Number (trapplimble): FIC I /J r7/t� 'Y
have agreed to be the
sub -contractor for
(Type of Trade) (Primary Contr tor)
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)
OR 1G1NA IGiY TURE RE REQUIRED
SIGNATURE PRINT NAME DAT
Business Name: Blosser Electric Inc.'
Address: P.O. ' oxr
7305
City/State/Zip: `off L Mel
.Phone: —nQ 33% no i� email: —
OFFICE USE ONLY:
PERMIT # ISSUE DATE
1�3'Y;
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT S'f yw/y
BUILDING PERMIT COU
SUB -CONTRACTOR AGREEMENT %,
St. Lucie County Contractor Certification Number:4_f'�
State of Florida Certification Number (if applicable):
have agreed to be the
(Company Name/Individual Name)
I sub -contractor for LGWOLfitK0Y12C N7 crGY�'—i
(Type ofTrade) (Primary Contractor)
for the project located at L__-_— __ _, u # ___ .
(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)
SIGNATURES ARE REQUIRED
PRINT NAME DATE
Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
l
ST. LUCIE COUNTY PUBLIC WORKS off.
L BUILDING & ZONING DEPARTMENT
i
BUILDING PERMIT NCO
SUB -CONTRACTOR AGREEMENT G�sS
St. Lucie County Contractor Certification Number: //��
State of Florida Certification Number (Inapplicable): C C e 13-Z7 33 2-1
Lair! { LO -G[ - 4- T;� e . have agreed to be the
(Company Name/Individual Name)
RO0sub-contractor for - t )0 P +� tJde.rs
(Type o ade) (Primary Contract r)
for the project located at 63s (` � w--( forllOus A": Ta! 67j ,t' 6 3�! 90
(Project Street Address or Property Tax ID # 7(
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 DQpartmer�
of St. Lucie County by personally filing a Change of Contractor notice. (Form�.;BbCCDv
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
7us*(rn e Aa. v /c s tAk;-P- to • 3 a• o 9
SIGNAT PRINT NAME DATE f1
Business Name: Last l&ke •t- 4ssc:,�aj-21 t��-y�L' VS �dq7/
Address: 3$3 A A , m c. 2,. -b
City/State/Zip: T&S4 e'tt e-u i_ ll, r A 3021 N
Phone: 770-1631-0loB7 email G LLA1<6 @ BEGC.SouTN• NE7-
OFFICE USE ONLY: