HomeMy WebLinkAboutPlumber SubContractor Agr._CompletePERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
For Him Plumbing/ Dale Hammond have agreed to be
(Company Name/Individual Name)
the Plumber/Cert#28754/State CFC1428915 Sub -contractor for Cooke Construction, Inc.
(Type of Trade) (Primary Contractor)
For the project located at 9650 S. Ocean Drive, #707, Jensen Beach, FL. 34957
(Project Street Address or Property Tax 7D #)
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)
Nathan Cooke
PRINTNAME
29081
COUNTY CERTIFICA'CION� yNUMBER
State of Florida, Coumy of /� �tC A
o is�The foregoi instrument was sign�eed/be/r�/ methi �iJ�tlayof
lgense Lor has Produced a
WALTER 0 PAYNE II
Nae y PoWASISM( b1 Florida
Conoco im # GG 24467
My Comm. Expires Aug 25, 2020
Revised 11/162016
6UB-CONT OR SIGNATURE (Qualifier)
Dale B Hammond
PRINT NAME
28754
COUNTY CERTIFICATION NUMBER
State affilorida, County of r/ 1-
The/q/ fo�ox,oingimanuurentwa gnedbafore(m,IhiSZ cg yor
/—y{��+.� 2B0 ,b, Lie— o-7kfRD cJQ_
who®is personally tenor has produced a
as hp.0fi,
W7g,Pub) PAYNE II
Notary Public Stale of Flone
Commission # GG 24467
My Comm. Expires Aug 25.20