HomeMy WebLinkAboutSub, plumbingPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
L�LUM91 S i LJL- 'ZvC -(�S have agreed to be
(Company Name/Individual Name)
the Twm—s Q Sub -contractor for
(Type of Trade)
For the project located at / 0 a S S , O C-.5 Ad D e ,
(Primary Contractor)
(Project Street Address or Property Tax ID #)
Lo 1
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.
CONTR,fCTOR SIGNATURE (Qualifier)
PRINT A E
1 7o'73 c,8c/;-
COUNTY CERTIFICATION NUMBER
State of Florida, County of M( n
The foregoing instrument was signed before me this �y of
OtU , 20 A/,CA/► Yl W by /mitt 1
who is personally known _or has produced a F/O�d LL bL
as identification.
/ tp0.Y PUB �
Signature of N y Public "17i$
* * MY COMMISSION # GG 064M
1 V l r'( l t �FOF F:o"L Wrch 6.2021
Print Name o Notary Public BorWedl?uogudgetNSW'Jc"
Revised 11/16/2016
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SUB -CONTRACTOR SIG TURE (Qualifier)
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PRINT NAME
C? a
COUNTY CERTIFICATION NUMBER
State of Florida, County of1�G1
The foregoing instrument was signed before me this 73—�dayy of (�
20,& by<Jf_1
who is personally known _or has produced a of - t`
as id tification.
iehature of Notary Public
1- 5 CZ -B Uyl L-k- v, O�—
Print Name of Notary Public
Y
Notary Public State of Florida
Lisa BonuraMy Commission GG 223725
Expires05/31/2022
STAMP