HomeMy WebLinkAboutSubcontractor Agreement I
RECEIV
NOV 2 9 2016
i pi~R"1!r7'lPfG
PLANNING&DEVELOPMENT SERVICES DEPARTMEN1F
i �, BUILDING& CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Rom Imulilgra
St.Lucie County Contractor Certification Number: //��i
State of Florida Certification Number(If applicable): i 1 /-"`J / `'7 c� 3 ; 7
have agreed to be the
(Company Name/Individual Name)
� f1;ft S sub-contractor forv/-1, ��•� S �
(Type ofTrade) nary Contractor)
for the project located at "� 'G _��//> — G;,c'� �6 .—ef�Q�a 3
(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
r�' GNAT "' / PRINT NAME DATE
Business Name: / 21-�--.
Address: s� %al //f1/. ,r•
City/State/Zip: '� ✓`�`C�-7 /� ���.
Phone: 7� - >~-'moi- �,� '.� email: 16141 /2p (-/1 jzG° -
3.aG -
OFFICE USE ONLY:
PERMIT# ISSUE DATE