HomeMy WebLinkAboutsub agreementsPERMIT# 2005-0443 ISSUE DATE 20 May 2020
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Southpaw Plumbing and Metering Services LLC
(Company Name/Individual Name)
the Plumbing
(Type of Trade)
have agreed to be
Sub -contractor for Raymond Brobst Construction Inc.
(Primary Contractor)
For the project located at 130 SE Entrada Ave
(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.
eONT6ACTOR SIGNATURE (Qualifier)
Raymond Brobst
PRINT NAME
COUNTY CERTIFICATION NUMBERyy��
State of Florida, County of Jim -It/ IV 1 p
The foregoing instrument was signed before me this ! day of
f�
zoIL by Q-A 4 M6V^ _ Q in6b��
who is personally known _or has produced a .l lycrs �cw is
as identification.
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STAMP
SYg4witVe of rTotaTy Public
QAA (1A M (s5;CA
Print Name of Notary Public
,pljjiY Pd� C H R I S T I NA CASSELL
V'-Notary Public -State of Florida
*= Commission # GG 16927
My Commission Expires
July 31, 2020
Revised 11/16/2016
ST CONTRACTOR ATURE (Qualifier)
Adam Sampson
PRINT NAME
29207
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this_ day of
20 : by
who is personally known or has produced a
as identification.
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07! i ;t tagwa1do3.3gNlr
Signature of Notary Public JJ r. t901S3IWW00 - =
ti{;SNHOr'dWS �W = ; •= iiti�;r;
Print Name of Notary Public