HomeMy WebLinkAboutKelly Sub Contractor Plumber Application_000042PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Pipe Connection - Cecil Lee Marion
have agreed to be
(Company Name/Individual Name)
the Plumbing Sub -contractor for Island Kitchen and Bath
(Type of Trade)
(Primary Contractor)
For the project located at q�RTo S � 4-' j�f( t T.-,�
(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.
JC T AACT0R SIGNATURE (Qualifi
Justin Thiery
PRINT NAME
CBC1259508
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
The foregoing instrument was signed before me thitgE day of
20,jL by Justin Thiery
who is personally known _or has produced a
DL
as identification.
44]11131��
STAMP
Aigf6re o Vot y Public
Michael Raaz
Print Name of Notary Public
o�
kIle OFV
Revised 11/16/2016
MICNAELRAAZ
Commisslon # GG 3165' 0
Expires July 28, 202`s
Bonded Ttw gpdpel NoUry S��rec
SUB -CONY TO SIGNA LIRE (Qualifier)
Cecil Lee Marion
PRINT NAME
CFC033824
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
The foregoing instrument was signed before me thit2L day of
d 2040by Cecil L. Marion
who is personally known or has produced a DL
as identification.
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Signafurc ofNotqvy Pu^lc
Michael Raaz
Print Name of Notary Public
6grAwl
�S°s`r ry
MICHAEL RAA2
Commisslon # GG 31869Q
Expires-July 28, 2023
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