HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTS06/10/04 12:57 FAX 561 234 812n
Ids 002
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB-CONTRA477TOR AGREEMENT
St. Lucie CAunly Contractor Certification Number.
Stale of Florida Certification Number (if applicable):
SCANNED
BY
saudje county
tT otie A j n1 G q- -A r g_ has agreed to be
(componylindNldual name)
the meM 6V _ sub-contractorfor
PfTCfor Cc,3 54UCI,o�
(type of construction trade) % (name of the prime contrador)
for the project located at A Zj It is understood that,
(street address or property tax ID 0) .
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
Form (SI.CCDV FORM NO.004-00).
BUSINESS QUALIFIER (original signatures requited):
..�� veS �r n'J'J 6 e 0
snature Print name Date
business name: ������� .&r
address: firt `2
city,state,zip: 14
phone:
DFFICE7,USE°ONL'Y SLCCDV FORM No.: 002
. E 'RMIT 0 iSUE DATE
0o
06/10/04 12:41 FAX 501 234 8188
ST. LUCIIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUBCONTRACTOR AGREEMENT SUANWD
BY
St. Lude CoMy
St. Lucie County Contractor Certification Number. 17679
State of Florida Certification Number (if appurab)a):
J ER 41IC eS 1t1W"(has agreed to be
(campanyftdMdual name) (�
sub -contractor form o s . C�
(type of construction trade) (name of" prime controm*)
for the project located atAd / A,25�6 It is understood that,
(stroet address or property tax ID R)
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
Form (SLCCDV FORM NO.004-00).
NNNINNNIN.N..�N
BUSINESS QUALIFIER (original eignawres revwreI:
signature {//� Print name Date ((� -/�
business name: P/e�d rCaL � RVI�es oT -/i- J'�-�
address: 7
city.state.zip: f
phone: Rzg-
DFFICEUSEONLY• SLCCDv Form NO.: 002-00
PERMrr a ISSUE DATE
06/10/04 12:57 FAX 561 234 8188
r�rr,
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCAMED
m LuClec®nnTy
St. Lucie County Contractor Certification Number.
State of Florida Certification Number (u appt :able):
('_.are. 05-7 10,2
r.) G J— -At R has agreed to be
(co.WwW8ndhddual name)
the �t 1
y �._ c sub -contractor for
(type of construction trade) (name of the prima contractor)
for the project located at 07� It is understood that,
(street address or property tax ID 0)
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
Form (SLCCDV FORM NO.00"0).
B INESS QUALIFIER (origtnal signowres requhed):
nature Print name Date
business name: e,ATi .J G e- Lk
address: Dio c eeT
city,state,zip: V-0co A H 7-7_ 3� D
phone: '"c ^ 52�9 — 7
DFFICERJSEONLY: SLccDV FORM No.: 002-0C
11 PERMITO ISSUE DATE
1 ST. LUCIE COUNTY PUBLIC WORKS
y� BUILDING & ZONING DEPARTMENT
ORI�P•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: •���Lci9
State of Florida Certification Number (if applicable): ("&/ Y_&6
SCANNED
BY
St Ludo (County
have agreed to be the
_.----- .---- .___-_._____,
sub -contractor for —P2 ctroc_�
Type f Trade) (Primary Contractor)
for the project located at N , a 6.9' a . 1--c
(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)
C -�s-0
PRINT NAME DATE
Business Name:
Address: edtu eGdun rsooring, Inc.
City/State/Zip: VOFO Bead it
FL 329
Phone: _ 2 emai
OFFICE USE ONLY: