HomeMy WebLinkAboutSubagreement, electricalPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Aqua Dimensions have agreed to be
(Company Name/Individual Name)
the Plumbing
(Type of Trade)
Sub -contractor for RA Construction Of The TC
(Primary Contractor)
For the project located at 13403 NW Wax Myrtle Trail/4436-601-0002-000-0
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 o a Change of Sub ntractor notice.
a '
CONTRACTOR SIGNATURE (Quabfitr)//
PRINT NAME
CGGislao-213
COUNTY CERTIFICATION NUMBER
State of Florida, County of Mu f-, {l
The foregoing instrument was signed before me this 'K day of
rt 20�DbyKILV)aVri l4 QwK
who is personally known ✓ or has produced a
as identification.
Signature of\otav Publics
Print Name of Nobtry Public
+' LISA B MOTHERWAY
MY COMMISSION # FF981752
•AEXPIRES April 12, 2020
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UB-C SIGNATURE (Qualifier)
RQbe r i i l I A I UM
PRINT NAME
(Q a 2
COUNTY CERTIFICATION NUMBER
State of Florida. Countv of JL
The foregoing instrument was signed before me this I S r day of
�D'.2u2U�2I�er Lucilul�
who is Personally known or has produced a
a identifi<a,(tioo.
STAMP OYlG `
ignature of Notary Publ
d L L 0 � Ff f N
Print Name of Notary Public
RHONDA LAFFERTV
MY COMMISSION # GG058720
EXPIRES January 08. 2021
STAMP