HomeMy WebLinkAboutPlumbing Subcontractor Agreement - KleinPERMIT # I I ISSUE DATE I
Building, & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
� (aw-'5 0 � um b i f (�nc, have agreed to be
(C any Name/Individual Name) ---.I _D I B
the I um bNeQ Sub -contractor for
(Type of Trade) (Primary ContracO)
For the project located at \'Dm-a MW fnwunks� PQ�m
(Project Street Address or Property Tax ID #)
1, CA Ju
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.
COUNTY CERTIFICATION NUMBER
State of Florida, County o
The foregoing instrument was signed before me this-7e day of
/__—,6?_ 2� by
who is personally known or has produced a
as identification.
Signature of Notary Public
X
Print Name of Notary Public
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed befo e me thiszedy of
,20�D by
who is personally Icnown k.r has produced a
as identification.
STAMP a - pnam Lm� STAMP
Signature of Notary Public L)
A. Doreen Langford
Print NamWo'viceIMP I AK Y �'UbLlt,
STATE OF FLORIDA
Comm# GG043591
Expires 12/812020
Re,vised 11/16/2016 MTHIADJUNNG
jAN.'
W COMMISSION # GG 367784
EXPIRES: S"mber 23,2023
Bonded Thm Notm Public UndMftbm