HomeMy WebLinkAboutSubcontractor form PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- � - Building & Code Compliance Division
COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
m 6 eynu& POO15e __ have agreed to be
(Company Name/Individual Name)
the PLUMBING Sub-contractor for A&G CONCRETE POOLS INC.
(Type of Trade) ,Q (Primary Contractor)
For the project located at J5AgO D�� !� .
(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.
CONTRALTO G U (Qualifier) S ONTRACTOR SIGNATURE(Qualifier)
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. LUCIE
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this A day of
20 I'l,by JAMES T. LEONARD 2d11 by JAMES T. LEONARD
gno, onally known or has produced a who i ersonally known_or has produced a
a' as' en fication
STAMP STAMP
f Notary Public ignature of Notary Publ c
FARA D. HERNANDEZ FARA D. HERNANDEZ
Print Name of Notary Public Print Name of Notary Public
FARA D HERNANDEZ
�`" •"'' FARA D HERNAN
MY COMMISSION#FF172419
EXPIRES October 28,2018 y '�' MY COMMISSION#FF172419
qtj 3"4153 FloridallotaryService.com '.?o,tid' ' EXPIRES October 28,2018
Revised 11 39
(407)398-0t53 FloridallotaryService.com
FERM # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
S" J 1= ;' Building & Code Compliance Division
Lff-015i
�._...... ._....... BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
C 'ri�t e_(A ! C— have agreed to be
(Company Name/Individual Name)
the ELECTRICAL Sub-contractor for A&G CONCRETE POOLS
(Type of Trade) (Primary Contractor)
For the project located at 5220 DUNN ROAD, FORT PIERCE, FL
(Project Street Address or Property Tax ID 0)
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.
CONTRA Q al' err) NTRACIORSIGNAT ualificr)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of6k•The foregoing foregoing instrument was signed before me this_day of The foregoing instrument was signed before me this lry
or
20_,by 20L2 by _
who is persooatly known_or has produced a 45ftustur.eotNotary
4PIablHic
�prmduced
as identirrcation. STAMP STAMP
Signature ofNotary Publie
FARA D HERN DEZ
.y ;
MY COMMISSION#FF 419
EXPIRES October 28,201
(407)388-0153 Floridallotary Service,corn