HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTVkz,PC04?
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
e Countv
BUILDING PERMIT St. Luc
SUB-CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (ifappficabte):
(Company Name/Individual Name)
Electrical
(Type of Trade)
Sub -contractor for GloTel, Inc
(Primary Contractor)
have agreed to be the
For the project located at 3406-504-0040-000-5--5690 Environment Drive
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 filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the IndMdual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name:
Address:
city/state/zip-
Phone:
PRODU AS IDENTIFICATION.
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SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC I
SLCPDS: 08/06/2014
1601-1 -
DATE
(STAMP)
LINDA PALOZZOLA
Commission k FF 110250
My Commission Expires
April 07, 2018