HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT SCAN NE®
SUB -CONTRACTOR AGREEMENT BY
Sp. Lucie CounY�
St. Lucie County Contractor Certification Number: 1002.
State of Florida Certification Number (if applicable): EC clo0 156
EU S &U-0NIG have agreed to be the
(Company Name/individual Name) /�
E 6-u f�� sub -contractor for A t. G Can fy o kl ie
(Type of Trade) (Primary Contractor)
for the project located at l/03 L,%QA/ le
(Project Street Address or Property Tax ID ff)
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
SIGNATURE
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
��wav-, _� 7TU -Iti
PRINT NAME DATE
ST. LUCIE COUNTY PUBLIC WORKS
y� BUILDING & ZONING DEPARTMENT
F/ORIOP
BUILDING PERMIT �
SUB -CONTRACTOR AGREEKENT SGANNEU
BY
St. Lucie Counh,
St. Lucie County Contractor Certification Number: 19104
State of Florida Certification Number (Itapp)i�bre): CPC 057200
A & G CONCRETE POOLS have agreed to be the
(Company Name/individual Name)
PLUMBING sub -contractor for A & G CONCRETE POOLS
(Type of Trade) (Prima r} Contractor)
for the project located at -L
(Project Street Address or Property Tax ID 1#)
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. 00440)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINrAL SIGNATURES ARE REQUIRED
ARTHUR ALLEN
SI ATURE PRINT NAME DATE
Business Name: A & G CONCRETE POOLS
Address: 410 SAEGER AVENUE
City/State/Zip: FORT PIERCE, FL 34982
Phone: 87 B— 7 7 5 2 email -
OFFICE USE ONLY:
11 __ . 10g0s-ooa7 I 1 11