HomeMy WebLinkAboutPlumbing sub agreementPERMIT # ISSUE DATE
COUNTY
F L O R I D A
` - -
40rlurf
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
lt4 C
(Coany Name/Individual Name)
the Umt3ffJ 6F Sub -contractor for
(Type of Trade)
For the project located at
(Project Street
or Property Tax
rt Or ILD r4
(Primary Contracto
.
have agreed to be
P �7L
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.
C"OR R SIG ATURE (Qualifier)
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PRINT NAME
903FZ
COUNTY CERTIFICATION NUMBER
i
State of Florida, County of (.�.
The
////foregoing instrument was sighed, beefforre^me�/t�h/l�a � day of
�20Rby W ' k! I I l.�f�TIVL}(,
who is peso ally known 1 or has produced a
as identification.
a
S store - of Notary Puh c
kRy,, Josendra A. Ingraham
Print Name of Name of NoWC, STATE OF FLORIDA
CommO GG954178
Expires 3/9/2024
Revised 11/16/2016
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SUB O TRACTOR SIGN URE (Qualifier)
1 >m Q
PRINT NAME
ag3Y Z
COUNTY CERTIFICATION R
State of Florida, County of it L,
The foregoing instrument was signed before me this day of
270t' by
who Is personally known _or has produced a
as Identification. fJ
STAMP --_ld-AM1-da-i" .' A- l�rl- AME
S"I' ore of Notary Public
�Josandfa A. IngrahamA. Ingraham
Print
ICI STATE OF FLORIDA
Commit GG954178
Expires 3/9/2024