HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSCANNED
BY
St. Lucie County
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
C'FC
State of Florida Certification Number (irappiicabie):
A 1 l (�OYt-� Y C�C�FUY � V l%��r �Y1 C have agreed to be the
(Company Name/Individual Name)
Ih sub -contractor for gf6"C,'S(r) r6t157vV fun cj t,-
(Type of Trade) (Primary Contractor)
for the project located at °73 `% 6 S U S 1 3 a 4 Y 13 `! 0 0 0 3. dt)4) 3p
(Project 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 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
IGNATIJRE 1 /P1RINT�N,A//ME 1 ' DATE
Business Name: /Irk I o i� I V Q `�`J eip . Yt1 , ���
Address: T�( s ��
City/State/Zip: /
Phone: C76,9'0-709 email:
OFFICE USE ONLY: