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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
fi Building & Code Compliance Division
•
- --- - - - — BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
St.Lucie County Contractor Certification Number:
State of Florida Certification Number(If applicable): I H 1114056
JONATHAN ESCOBAR have agreed to be the
(Company Name/Individual Name)
PLUMBING Sub-contractor for JONATHAN ESCOBAR
(Type of Trade) (Primary Contractor)
For the project located at 5205 D EAN NA LANE
(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, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub-contractor notice.(Form: SLCCDV(No.004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
l
Business Name: ' 1::Y l.S
Address: 10128 NE 23RD LANE
City/State/Zip: OKEECHOBEE
Pho : 863-801-0567 email:
ONATHAN ESCOBAR 3/13/2017
SITIATURE PRINT NAME DATE
STATE OF FLORIDA,COUNTY OF ST LUCI E
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 13 DAY OF MARCH 2017
BY JONATHAN ESCOBAR WHO IS PERSONALLY KNOWN X OR HAS
P DUCED AS IDENTIFICATION.
ANCY MIMS ARMSTRONG (STAMP)
NOTARY PUBLIC T NAME OF NOTARY PUBLIC
SIGNATURE
SLCPDS: 08/06/2014
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