HomeMy WebLinkAboutSubcontractor Agreement for plumbing PERMIT# �O` 0995 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
0
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
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vM b)r have agreed to be
(Compan Name/Individual Name)
the `UM�� Sub-contractor for
(Type of rade) /� (Primary Contractor)
For the project located at ��l /y A LA %05
(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) S ONT CTOR SIGNAT (Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of 2 U11 State of Florida,County of
The fo , oing instrument was signed before me this day of The foregoing instrument was signed before me this day of
20.nby�Z) ] 1 S kOLI " , 20____,by
w s personally known or has produced a 01 r. r who is personally!mown or has produced a
as identification. as identifi 'on.
STAMP elk STAMP
4Sighae o Not Public Signature of Notary u
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?RJgv1
V1 m`P 11
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Print Name of No ry Public Print Name of Nota Public
,S; UBERTYA.KING
iis�YP�e4, AUDREY B.HUMPHP,EY 9.• ;�_ MY COMMISSION#GG 090$38
MY COMMISSION#GG 300317
';; EXPIRES:May 4,202t
="c� �`• EXPIRES:March 6,2023 " oE;,°.�`� Bonded Thru Notary Pubk Underwriters
Revised 11/16/2016 °F``� Bonded Thru Notary Public Jndeiwriters