HomeMy WebLinkAboutPlumbing subPERMIT ## % [j ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the �(Comp Name/1ndividual Name)
L 'l+n f l7kr Sub -contractor for
(Type of Trade) (Primary Contmetor)
For the project located at DOD L 1 aC ... Ca__ U. NA
{Project Street Address or Property Tax ID #)
have agreed to be
?-)I- [q]
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 p Change of
CONT7OR SIGNATURE (Qualifier)
, V A (�; A
PR1NT NAME
COUNTY CERTIFICATIONNUMBER A
State of Florida, County of � "I 0 1�1
notice. eh
SUB -CONTRA TUR SIGNATi RE (Qualifier)
PRINT NAME
The foregoing instrument was signed before me this f 9 day of
who is personally }mown -_X_or has produced a
as identiiic Lion. �j
5ignatu Notary Public
Print Name of Notary Public
COUNTY CERTIFICATION NUMBER
State of Florida, County of 0 L� f +i�
The foregoing instrument was signed before me this ]day or
)Ctn aI 20_jjbyjja1e_,,J
who is personally knownor has produced a
as identificativ .
STAMP
Signature of Notary Public
Print Name of Notary Public
SARAH LAMBiE
Co
My C0MMISSION # GG354256 SARAH LAMBIE
EXPIRES: July 25, 2023 My' CON1NiIS.SION 406359256
Revised I1I1612016
w EXPIRES: July 25, 2023
STAMP