HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSep 05 07 07:32a
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
By
St. turip rnllnh,
St Lucie County Contractor CertificationNumben.. T a ( �
State of Florida Certification Number ofapptieabie): eG f 3'00 / 12
It
L C CAgo dFi,9-?,c have agreed to be the
_(Company Name/Individual Name)
sub -contractor for
(Type ofTrade) (Primary Contractor)
for the project located at . % / tp -//rc/el r� ela � �/i✓� � n7 rf'T L uc i L._ r3 �j/ 9s'.�
(Project Street Address or Property Tax 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 filing a Change of Contractor notice. (Forth: SLCCDV
No. ON-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REOUiRED
SIGNATURE PRINT NAME DATE
Business Name: CC-z CJCc i c_ /,ke
Address: 41449 NW . p/,tc,ar STc✓/
City/State/Zip: La r7" S7' 1, u e- S FL- J 91 '7 �6
Phone: 77Z 3y0 fIlt email: /�li/���l1 Oar= (dG7�%YG . �✓
OFFICE USE ONLY:
PERMIT tt ISSUE DATE