HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTS10/17/2013 07:47AM 321
CHERRY BOMB
PAGE 02/03
PLAUNNI'_�C & D VELOPMENT SERVICES DEPARTMENT
BIiILDING &. CODE REGULAMNS DIVISION
BUILDING PERMIT;
SUBLCONTRACTORAGREEMENT SCANNER
BY
St. Lucie Coumy Contractor Certification Number: a;$ (a'10 St. Lucie Counfv
State of Florida Ccmiticmion Number�ufappticwgy 7—C1100598a
"'i have agreed to be the
(�-urnpany Xame inomaum -Name) -
p6e(kCicak s6-contractor for (� /
(Tpe of Trade), // (Primary Contractor)
for the project located atSCo� 2t�)
(Project Street Address or Property TazIA )
It is understood that. if there is any change of status regarding our participation with the
above mentioned project. I will jimmediafely advise the Building and Zoning Department
of St. Lucie Countv by personalty filing a Change of Contractor notice. (Form: sCCCDV
No. 004-00)
BUSINESS QUALIFIER j (Name.ofthe Individual shown on the Contractor's License)
ORIGIN.Al, SIGNATURES ARE REQUIRED
c
`✓� vtwot w, ChrrrH Tr
IUNATURE PRINT NAME 1D fE
Busincss\ame: Ch2rrH $omb ��,e�'�r`C�Tr�
Address: �Hq Ellwo� {a,w.
Chy/State:Zip: c74 �li�f B2GCIn pl.t 3�937
Phone. email: �inWp�pCHerru �u0.inrb.fc�nn
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
f BUILDING & CODE REGULATIONS DIVISION
BUILDING PEIT
r II SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie County
St. Lucie County Contractor Certification Number: q
State of Florida Certification Number (ifappl,cabte)n l� / U U �' 4 796
6
have agreed to be the
(Company Name/Individual Name)\ f /
/J 6-t/1? 8 /kj �jis b-contractor for �v//i��iLJ A
(Type of Trade) sw (Primary Contractor)
for the project located at �COc11 Lt�>'/�(/ lle714 // �
(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)
INAL GNATURES ARE REQUIRED ORIG
SIGNATU )PRINT
Business Name:
Address:
City/State/Zip:
Phone: _2 2%email:
OFFICE USE ONLY:
PERMIT N ISSUE DATE
DAT
Ca�.l