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HomeMy WebLinkAboutPlumbing Sub PERMIT# ISSUE DATE -- —•-- PLANNING&DEVELOPMENT SERVICES WON Building& Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT �lie ��o�e �/14-4-n S�4-�<C1S L`C' have agreed to be (Company N me/Individual Namej the plumbing Sub-contractor for WJH FL LLC (Type of Trade) (Primary Contractor) For the project located at -7004- ©1 ' (At (Project Street Address or PcWerty 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 SIGNATU Ifier) S OR SIGNATURE(Qualifier) nf10 PRINT NANIC PRINT NAME GGG CFC1430061 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER Slate of Florida.County oflCE, A44 State of Florida,County of ORANGE The foregoing instrument wss signed before me this 1 CJ day or The foregoing Instrument was signed before me this day.or t�rnh 269_Dy IDCLJ P> �C4JP .ue0by Jason James who Is personally known_or has produced a who is personally Imown X or has produced a as identification. as Identification. ( �j�, D—6— n` sC__YI f,#All �� STANIP STAMP Signature of Notary Public SI cure of N lary P tic >t4ea titer' dal l� Print Nome of Notary Public Print Name of Notary Public IiMtlw pkkk D�Mtl�ta tea MY Comnasstion M61038010 Ems odetl=4 ;<`Y'&'•• JASMINE CARABALLO ��= Notary Public-State of Florida Revised 1 lllfd2016 0' Commission X GG 927680 MY Comm.Expires Oct 29,2023 Bonded through National Notary Assn. i I