HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENT0 %
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IGNATURE
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PRINT NAME
DATE
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if appumbie):
for the project located at
sub -contractor for
Address or
have agreed to be the
(Primary Contractor)
Tax ID #)
SCANNED
St Lucie, countV
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
Business Name:
Address:
City/State/Zip;
Phone:
USE ONLY:
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