HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTSCANNED
BY
i St. Lucie County
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
r have agreed to be the
(C mpany Name/Individual Name)
sub -contractor for 411 00,441 sh,.��,.�
(Type of Trdde) (Primary Contractor)
for the project located at Z 317 2 Fri ,; 6A q eolrn, y c f S7►z,A�,� /
(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)
ORIG SIG AT ARE REQUIRED
SIGNATURE PRINT NAME DATE
Business Name: rl edgy -j C S-e r v I e-,,S L L
Address: 13D ( Sl-v A ✓iy /h/e
City/State/Zip:
Phone: 722 email: he_,rw i c JL e,
OFFICE USE ONLY:
PERMIT # ISSUE DATE