HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSboy ST. LUCIE COUNTY PUBLIC WORKS
w BUILDING & ZONING DEPARTMENT
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St- Lucie County Contractor Certification Number: I 1 60,
State of Florida Certification Number (If applicable): EC00o SQ%a SGANNE®
A CCU Pip 1 E L :CTkI CP{ � C�J l 9ACTfit /have agreed to be the St. Luce BY
(Company Name/Individual Name) ty
d..-� PQ f CR' I sub -contractor for
(Type of Trade)
(Primary Contractor)
for the project located at J &?7 a S
(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)
ORIG AL SIGNATURES ARE RE UIREI)
sI A A,,,
ME
Business Name:
Address:
City/StateMp:
Phone:
/ /ot- c /b —`I I / I email:
TATC
- //o'G-`oa��
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
a - BMLD]NG & CODE REGULAIUONS )DIVISION
1111MIM PEOW
SUO-CONI SACTOR AGttEMMMF
SCANNED
St Lucie county connector Cesi&czti=Nnmber _ /�� BY
S St. Lucie County
State of Ftarida Certi6cstit� I�b� (IfDpp7jmble):
Ci to C— have agreed to be the
(CampauyNsmdladividastNamc
4�esub•contractor for Wfh=Y)
for the project located at AIL �dressor TID
-
It is understood that, if Orpre is guy change of status regarding our Participation with the
above mentioned project, I will immediately advise the Auidding and Zoning Department
of St Lucie County ay penonaill filing a Change of Contractor notice. (Form: SLCCOV
No. 004-0)
BUSINESS QUALIFIER gi,,.famrudmdantshow m'dDecw&a mesLiceose)
ARE MOUMED
PRINT NASMi DATE
�d SCi •!
Address: 1..
c tylstatdZip: e s2 f' �
Phony G - dnad
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u;Nr� -.
F
PLANNING&
DEVELOPMENT SERVICES DEPARTMMNNE®
BUILDING & CODE REGULATIONS DIVISION BY
BUIMINGPERM T SUB-CO.St. LUCI@ �CountyNITRACTOR AGIMW ENNT
St. Lucie Cmnty Contractor Certification Number:
State of Florida Cmt icWgn Number Ofamaiwtte).
j�534
agreed to be the
sub-cotrtrabtor for n'1 it L-YL C1�ry �551� uG•�vV
Croe of Trade) (Primary Cm *tor)
for the project located at
(Projem 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 wM immediately advise the Building and Zoning Department
of St. Lucie County by personally Ming a Change of Conbactor notice. (Foam: SLCCDv
No. 004-00)
BUSINESS QUALIFIER (Name of the ladividwl drown on the Cwatcacte ALi=w)
SIGNATURES ARE REQUIRED
Euskess Name:
r
(tttys:
Phone:
nvic w mr. cimxe
PERMIT i - — - ISSUE! PATE
I)o &�-d6aV
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 6/ Lf q Q
State of Florida Certification Number (If applicable): (..iJJC0_ / i /� 9 V
D%lS//6���0(7/�� have agreed to bee`ANNE®
(Company Name/Individual e) '�J�A LucieBY
d0� sub -contractor for
/, !tom'J '" Couf1b
(Type of Trade) (Primary Contract)
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)
ORIGI SIG ATU REQUIRED
S%NgTURE PRINT NAME- _ DA E
Business Name:
Address:
City/State/Zip: l`_y . b5 V /
Phone: _77y 2 R,3 —/ SA SS email: /,' 1' @ /?S�JO1G/Od-�i-,�.C'�jrL(