HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ry oD - 1, n ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Crimes Heating & Air Conditioning
(Company Namellndividual Name)
the Mechanical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for John Jacobs Construction Inc.
(primary Contractor)
For the project located at 356 Midway Rd:; Fart Pierce, FL
(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.
CON OR SI N {Qualifier}
John�,!Lcobs
PO' NNAME
192461 CBC060421
CQT3NrfCERTrMCAT'IONN NBEl2
State of Florida. County of Si • L.. u 1 Q
f
The foregoing instrnment-cas signed before me this Eday of
J 20.gO, by 7�5h n 70,C5'P__ E
who is personally lmown -X-.r has produced a
'-CONTRACTOR S INATUREE (Qualifier)
�J
CL Yv3. e- 'T
PRINT NAME
l � c/' —
COUNTY CERTIFICATION YUIVW ER
State of Moreda, County of !!:�T- L-0 aJ (fr
The foregoing instrument was sinned before me thisa day of
C i l X 211
byTalves
who is personally known X,or has produced a
as identification. as identification.
*° STAMP
Signature o _- tory Public 7 Signatureafi4*ohuyPublic
9n� v
Print Name of/Notary Public m -:2PrintNamc of Notary Public --�
03 Tr_
,e�e..G,. • p
SUSAN miJl`ii��`t��I�Q
MY COhriION
C)" EXPIRES:A¢ni2.2021
r
Revised 11116f2015 �.
7:
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i D__„
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Crimes Heating & Air Conditioning
(Company Namellndividual Name)
the Mechanical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for John Jacobs Construction Inc.
(primary Contractor)
For the project located at 356 Midway Rd:; Fart Pierce, FL
(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.
CON OR SI N {Qualifier}
John�,!Lcobs
PO' NNAME
192461 CBC060421
CQT3NrfCERTrMCAT'IONN NBEl2
State of Florida. County of Si • L.. u 1 Q
f
The foregoing instrnment-cas signed before me this Eday of
J 20.gO, by 7�5h n 70,C5'P__ E
who is personally lmown -X-.r has produced a
'-CONTRACTOR S INATUREE (Qualifier)
�J
CL Yv3. e- 'T
PRINT NAME
l � c/' —
COUNTY CERTIFICATION YUIVW ER
State of Moreda, County of !!:�T- L-0 aJ (fr
The foregoing instrument was sinned before me thisa day of
C i l X 211
byTalves
who is personally known X,or has produced a
as identification. as identification.
*° STAMP
Signature o _- tory Public 7 Signatureafi4*ohuyPublic
9n� v
Print Name of/Notary Public m -:2PrintNamc of Notary Public --�
03 Tr_
,e�e..G,. • p
SUSAN miJl`ii��`t��I�Q
MY COhriION
C)" EXPIRES:A¢ni2.2021
r
Revised 11116f2015 �.
7: