HomeMy WebLinkAboutSubcontractor Agreement ;XYZ
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
o r —
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
AQUA DIMENSIONS PLUMBING SERVICES INC. have agreed to be
(Company Name/Individual Name)
the PLUMBING Sub-contractor for RUBIN CUSTOM HOMES
(Type of Trade) (Primary Contractor)
For the project located at 12482 HARBOUR RIDGE BLVD 3-6, TAX#4426-510-0022-000-6
(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,the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) /SUB-CON, COR SCC NATURE(Qualifier)
ROBERT LUDLUM
PRINT NAME— PRINT NAME
`S�IU9 18628
ZOUN71YACERITFICATION NUMBER COUNTYCERTIFICATION NUMBER
State of Florida,County of � State of Florida,County of
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this 91h day of
20s'by � MAY -.,2019,by ROBERT LUDLUM
who is personally known Nor has produced a who is personally known X or has produced a
as Identif ati n. as Identification.
STAMP
STAMP
Signawe o , otary u lic Signature of Notary Publi )n rr
4p)oja Lci�-1:4��Z��
Print ame of Notary PubIk7 Print Name of Notary Public
,�e�•^ve, RHONDA LAFFERTI'
'0' LCi
c FdY C001Mi*15�1ON GG058720
Revised 11/16/2016 ='ir.•,C EXPIRES January 08,2021