HomeMy WebLinkAboutSubcontractor Agreement May 20 20,07:02a Fitzpatrick Plumbing Inc. 7724645142 p.1
PERMIT# ISSUE DATE
_ PLANNING& DEVELOPMENT SERVICES
1 - - Building& Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
t(n.b J'n have agreed to be
(Company m,/Individual Name)
the Sub-contractor for
( ype of Trade) 61
(Primary Contractor)
For the project located at , ��a 1�_ �� eJ' IIod'
(Project Sheet 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.
C RACICOR SIGNATURE(Qualifier) SUB-C GTOR SIGNATU (Qualifier
'uli�S PRINT
PRINT NAME
COUNTY CERTIFICATION NUMBER / COUNTY CERTIFICATION NUMBER ,+ '
State of Florida,County of5Q� l/l State of Florida,County of
The foregoing instrument was signed before me this day of The forgoing instrument was signed before me this a day of
y
who is personally known or has produced a J'.
ersonally kn�sv�or has produced a
Tidelfflfion. ( 'fico'on.
CSTAMPSTAMP
`` �� f Notary Public e of Notary blie
'q fro
Print Name of Notary Public tint Name orNota P b c
=otirs+;P MAIRAESCAMIUA
Commission#GG923053
• LISERTYA.KING
ExyiresNovember2,2023 _,Bonded Thm MY COMMISSION#GG 090638
�rF oQ� Bar wram&40HamSWAM$ � w WIRES:May 4.2021
.
or e� ' c+
„�,• AlotarY Pubic Urk+mwdicvs
Revised 11/16/2016