HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMrr SCANNED
SUB-CONnUCTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State ofFlorida Certification Number (It'applicable): L&L
6. nsl A oSj�j 6, LA) -�-2 rp cc, 11-� have agreed to be the
(Company NameAudividual Name) 1i
sub -contractor for (tz&�MC Coawrlw�-no�' oic VLoei o4
(Type-ojTrade) (Primary Contractor)
for the project located at 580V' CA55-kA T>&. FT-P)9AL1s,rt—
(Project Street Address or Property Tax ID #)
OT
St. Lucie County
),JC-
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 SIGNATURESARE REQUERED
A'I rtw S
Ak..A PRINTNANE DATE
Business Name: D t- (L 60�J� �J)�� ( wjz!:Xl�
Address: �W ys;I�Afire— 51
City/Statelzip: 5� Luz-;,L PL Nc� Rq
Phone. —)-I )- -3 4 3- � 3 03 ernail:
OFFICE USE ONLY:
') rr 4 11 -0 (' - 05C-) �0
PLANNING & DEVELOPMENT SERVICES DEPARTmEreCANNED
BUILDING & CODE REGULATIONS DIVISION BY
BUILDING PERMIT St Lucie Ciounty
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: I I I I
State of Florida Certification Number (if appiicable):
have agreed to be the
(Cornpany Nameqndividual Name) 1�
\�qK' sub -contractor for Ciz&,mi5 Co�m-rvwc--no,4 ote Rorjooj
CFype of Trade) (Primary Contractor)
for the project located at 5 805- co�*s 51 A 'E>R-. FT. Pi FiPi-is, rL
(Project Street Address or Property Tax ED #)
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 SIGNATURESARE REQUIRED
arvl4f-
D�
Business Name:
Address:
City/State/Zip:
Phone:
IJ �\W
PUT -KIT MALW "T'�l
OFFICE USE ONLY:
PERMIT # I I 11SUE DATE
—T'—.� �';nz7� ANNING &DEVELOPMENT SERVICES DEPARTMENT
'JitJ14 SCANNEE)
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT BY
SUB-CON'TRACTOR AGREEMENT St. Lucie Countv
St. Lucie County Contractor Certification NutnLvr: Z� 1 (0 LA
State of Florida Certification Number (uspplicableY. _�c L*3c)q Li IZ?-
P—LGoTrL'r-- I C, KvtLfS F�)WMA/J�havc agreed to be the
(Company NamelIndividual Nami)
GUCC71AACAL, sub -contractor fbr 6-a&4vc C�,jsvauc:ro�i ofe Ftofjo4.�
(Ty
ype of Trade) (Priam, Contractor)
for the project located at 580'5- C,�sz-1 A 'Diz. FT. A FR-Lts , rL
(Project Street Address or PropertyTax ID 11)
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 riling a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSENESSQUALIFIER (Name of the Individual shown on the Contractor's License)
Q�AIAJUATURES ARE REQUIRED
W&K'k'4rJ
SIGNATURE PRINT NAME DA' E
Business Name: SELLL,)fTH6a— e!,&L Lx� ..Co M pp, I-) Li
Address; 5-11
City/Statelzip: P()ft_,C uctr— fL
Phone: email:
OFFICE USE ONLY:
PERMIT# I I ISSUE DATE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
SCANNED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT BY
. It LudeCOUTAY
St. Lucie County Contractor Certification Number: ( 1� *6 )"_8
State of Florida Certification Number (If a pplicable):J., EC 0 51 �5 Q
oatm Nbg
,4 have agreed to bethe
U (Company Name/Individual Name) (3
sub -contractor for �Aamkg_
(Type of Trade(3 (Primary Contractor)
for the project located at C�
(Project Street Address or Property Tax ID 9)
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 IGNATURE RE REQUIRED
,jNAL IGNATURE 11 �,:�,bpq ��LkA�um
I PkfNT NANW- DATE
Business Name:
Address:
City/State/Zip: VINA_�_ LL
Phone: T') - 9433
OFFICE USE ONLY:
,.� C
email:
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