HomeMy WebLinkAboutSubcontractor Affidavit, plumbingI PERMIT# ISSUE DATE
COUNTY -, ..
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
FLORIDA
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
_M_e_e_k_&-:-:. _s_o_n_s-:-P_lu_m_b-:-i_n,.,..g-:-, 1,....n_,c_. _________________ have agreed to be
(Company Name/Individual Name)
the Plumbing Sub-contractor for DC Construction & Company, Inc.
(Type of Trade} (Primary Contractor)
For the project located at 7404 Deer Park Avenue Fort Pierce, FL 34951
(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.
CONTRACTOR SIGNATURE (Qualifier)
COUNTY CERTIFrCATION NUMBER
State of Florida, County of N '1ti-.._ vl ,·v"'4
The foregoing instrumeot was signed before me this ~ day of
D«uJ.z-w ,2~by L)ll-viJ.. Vee."-{,;hb,~v~
SUB-CONTRACTOR SIGNATURE (Qualifier)
David W. Meek
PRINT NAME
CFC057372 I 18623
COUNTY CERTIFICATION NUMBER
Indian River State of Florida, County of ___ _
The foregoing instrument was signed before me this 8th dlly of
December zo2 0 , by David W. Meek
I
who is penonally known /4 has produced•------who is personally known ~or bas produced a ____ _
as identification.
21~~ Signatu ofNotaryPubli
STAMP
~:, 1 L-{,<k-¼~CL
Print Na of Nolllry Putiic
Revised 11/16/2016
_.,fAv.~~~---. APRIL LESPERANCE L:··· i~i.'t Commission# GG 193362 i :,t.J!k.-~~! Expires March 7, 2022 f ·-.f.~'r;i~?.~-· Bonded Thru Troy Fain Insurance 800-3$6-7019
~-r;
Catherine A. Wheeler
Print Name of Notary Public
Ct>.Tl-lE~INl:A. WHEELER
eommisslon # GG 305853
Expiies June 3, 2023
i)Cnded~\kldQelNollllY~
STAMP