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HomeMy WebLinkAboutSubcontractor Agreement iR,E C E€VE: MAR ? 8 201 PER PAITTfj.'c:, St. Lucie C ois;;; FL PERMIT# ISSUE DATE ............. ... ... -- - PLANNING&DEVELOPMENT SERVICES Building&Code Compliance Division BUILDING PERMrr SUB-CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual Name) the ELECTRICAL Sub-contractor for (Type of Trade) ff ++(Primary ontractor) f For the project located at -7 S 9 A ��u ea 5 tl Po, 0 (Project Street Address or Property Tax ID# It is understood that,ifthere 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. CONT AeToR TuPx,(Quanser) SUB-C NTR�ACT,OR/SSIG(NA� ualiller) V PRINT NAME PRI1�7 NAME COUNTY CERTIFICATION NUMBER rte UNTYCERTIFICATIONNUiaERState of Florida,County of of Florida,County of bt• The foregoing instrument was signed before me this_day of The foregoing instrument was signed before me this_day of .20_,by 201Z b LtJ2!X ( G l!JL_Q who is personally known or has produced a who' pelrsoaatly known ger p odaced a as identification as i en'I cation. STAMP 4STAMP signature orNotary Public ?nature of Notary Pnblie U; A : FARA D HERNA Z MY COMMISSION 472419 EXPIRES October 2018 (407)398-0153 FlorldallotaryService.com PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division - BUILDING PERMIT SUB-CONTRACTOR AGREEMENT MAR ` 8 201 PERMITTING St. Lucie County, FL Ahave agreed to be (Company Name/Individual Name) the PLUMBING Sub-contractor for A&G CONCRETE POOLS INC. (Type of Trade) (Primary Contractor) For the project located at �( A �luac, I I (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. CO OR GNATURE(Qualifier) T CTOR SIGNATURE(Qgl1fier) JAMES T. LEONARD JAMES T. LEONARD PRINT NAME PRINT NAME 25959 25959 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of ST.LUCIE State of Florida,County of ST. L U C I E The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this 15 day of 20ff,by JAMES T. LEONARD NL(/f� ,2017,,by JAMES T. LEONARD who is ersonally known �i or has produced a who is personally known �/ or has produced a as' enti rcatio . as i ificati STAMP STAMP i41) gnature o Notary Pu lic ignature of Nota Public FARA D. HERNANDEZ FARA D. HERNANDEZ Print Name of Notary Public Print Name of Notary Public FARA D HERNANDEZ • MY COMMISSION#FF172419 EXPIRES Octobef 28.2018 Revised 11/16/2016 ' 1a0713s 39 a 0153 FloridallotaryServicexom