HomeMy WebLinkAboutSubcontractor AgreementPERMIT# 2 ac�� � 100 73 ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division A;unoa alDn-I "-IS
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BUILDING PERMIT oZOZ I. �I(lr
SUB -CONTRACTOR AGREEMENT
Classic Plumbing / Robertt Sheltra
(Company Name/Individual Name)
the Plumbing
(Type of Trade
MAIgD3M
have agreed to be
Sub -contractor for D Poulin Construction
For the project located at 12188 Riverbend Lane
(Primary Contractor.)
(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.
CO3T CTOR SIGNATU (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
CBC # 1255309
COUNTY CERTIFICATION NUMBER1,�
State of Florida, County of
The foregoing instrument was signed before me this C1 day of
1 l� 201 by 9-6X � 'k
who is personally known -"'or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name. of Notary Public
9EM
A CAMPOSIO lic-State of Floridaon # GG 311351mission ExpiresRevised 11/16/2016ch 13, 2023
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PRINT NAME
53 Ire z`
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this, 0 d/ay of
who is personally known _K-r has produced a
as identification.
v — STAMP
Si nature of Notary Public
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Print Name of Notary Public \��\\\�` �W. RVjy�,�/��i
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