HomeMy WebLinkAboutToombs Sub AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY 'J
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
FAMILY POOLS INC FRANK RUSSO
(Company Name/Individual Name)
the POOL CONTRACTOR Sub -contractor for SELF
(Type of Trade)
For the project located at 902 ELYSE CIR PSL FL 34952
(Primary Contractor)
(Project Street Address or Property Tax ID #)
have agreed to be
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.
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CONTRACT O SIGNATURE (Quatifler) 91fB-CONTRACTOR SIGNATURE (Qualifier)
KGn�_ p2vSS0
PRINT NAME
QpG4 r6 q a-°1
COUNTY CERTIFICATION NUMBER
State of Florida, County of oG
The foregoing instrument was signed before
/meetthis M�J� day of
SgVf —1 20_A by YI an I� It U..?j)�v1
who is personally known _ r has produced a __
as identification.
[a A= STAMP
Signature of Notary Public
Print Name of Nota
' Notary Public State Of Florida
+° Nichole Aponte
< My Commission GG 983218
?� n Expires 05/04/2024
Revised 11/16/2016
v-V'M
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of d1�
The foregoing instrument was signed before me this J1 day of
S flPT ,20?hby 5YA11`1k ASSo
who is personally known /or has produced a
as identification.
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t lel VI ItJ��Cn.00yo STAMP
Signature of Notary Public
Print Name oYEK
State of Florida
nten GG 983216
2024