HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT) �)1 1 6-- 5kC1ddlrq
J A PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
- ----• . -- � - ---- BUILDING PERMIT BY
SUti-CSCANNED
ONTRAcrott AGREEMENT St. Lucie County
St. Lucia County Contractor Certification Number:
State. or Florida Certification Number arappucabte);
.O4a l C! rrm Ln)t i'� have agreed to be the
(Company Name/Individual Name)
CL,:.G721C1,9 sub -contractor for '176i6'r�
(Type of Trade) (Primary Contractor)
forthe project located at I i-+ Ocean Sgti r),- � 52Z^ (Obis -all— ocx--9-
(Project Street AddressciYProperty Tax ID #)
It is understood that, if there is any changc.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 it Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER(Name orthe Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED'
SPAURr PRINWIAME DATE
Business Name:
Address: Syx/� Th'¢}1r wracct LN .
City/state/Zip: Pa l rYt C',�+_! r._ G t_ ,S�)SlnO
Phone: .%) - 5A—(9—ai6-1 email: C19-cr— LvrG1lil '
OFFICE USE ONLY:
.PERMIT# ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
- SUB-CONTRACTORAGREEMENT
St. Lucie County Contractor Certification Number: & z&3.1
State of Florida Certification Number (Irappticabte):. _ FC_ 63z�SC 14
1 IPC- ConNICnyoc. have agreed to be the
(Company Namc/individual Name)
SCANNED
BY
St. Lucie County
M&" sub -contractor for 'ZSler�d k t ^ `a'� ?"fl^
(Type ofTtade). (Primary Contractor)
for the project located at f n 1c r %�i^
(1'roject,3trectAddress rPropertyTax IDIII)
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 Change of Contractor notice. (Form: SLCCDV
No.004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractors License)
ORICINAL SIGNATURF,S ARE REOU[RED
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SIGNATURE PRINT NAME UA'fE
Business Name: (DinVj
Address: '% -SUi 5—as r Sa .
Citylstawizip: (' UCrta £_P C-- —
Phone: 7LCf '6c,i email: I a=L�anm57oC�L'Yrtilll.Cor�
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MY COMMISSION IFGMTV
E%PIRES:Apr0 2; 20le
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