HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
+ SUB -CONTRACTOR -AGREEMENT-
St. Lucie County Contractor Certifies pnrNumker -
State of Florida Certification Number (if applicable): 'E00000 81 S
have agreed to be tht(;FlRlNh1)
-``" (Company`Name/Individual Name) BY
sub -contractor for St. Lucie County
xr "(Type of Trade) (�gma;[y�GEtryctor)
1
for the project located at (A.ICOrT Piet- . FL
(Project Street Adaress 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:
CE I- L.L �
OFFICE USE ONLY:
ISSUE
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: SCANNED
State of Florida Certification Number (ifappucable): C /% CO 7 / Z3 BY
St. Lucie Cou*
Cpo/,, J i?,VW h1,ATi;,5 6 • have agreed to be the
(Company Name/lndividual Name)
�lct� �/✓/�G sub-contractorfor Q,9co$' fR6crr� hl4el ^�sn�cT� ' L�
(Type of Trade) (Primary Contractor)
d
for the project located at 0i 6;,S-/ cS. os
(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
IGNATURE PRINTNAME DATE
Business Name:
Address:
City/State/Zip: I-GWS a✓ Q -I
Phone: 772 2o/ 8!/7Z
OFFICE USE ONLY:
P0Mc�
email: C c X J,14 E lye L- Co rt7
PERMIT # ISSUE DATE