HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTN CANNED
BY
St. Lucie County
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
LIF�+PB11 M-UlU & U44ha
ON-00 A _ t
St Lucie County Contractor Certification Number: /� j� �s / 2 Q
State of Florida Certifica •on Number (u ppticat t 9 / S�'y &
�% t
1-04a r ( ,", /i e'h 14C have agreed to be the
(C panyNametindoridualName)
sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at 5761 Ar o A) �l 1'c o i r "- i / LTI
(Project Street Address dr Property Tax W #)
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 onthe Contractor's License)
OFAF
11., i. %li
Business Name:
Address:
City/State/Zip:
Phone:
27-1—.37D—ZSi/f( email:
OFFICE USE ONLY: