HomeMy WebLinkAboutSubContractorAgreement mechanical SIGNEDthe
UNTly
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual Name)
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for AVA CONSTRUCTION INC
(Primary Contractor)
For the project located at 10410 SOUTH OCEAN DRIVE JENSEN BEACH, FL 34957
(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.
CONILRACTOM SIGNATURE (Qualifier)
JILLIAN RAGOONATH
PRINT NAME
STATE CERTIFIED
COUNTY CERTIFICATION NUMBER
State of Florida, County of B ROWARD
The foregoing instrument was signed before me this 8 day of
DECEMBER,2o2Qby JILLIAN RAGOONATH
who is personally known X or has produced a R253 423 76 787
as identiffcation.fl
""' t_./ STAMP
Signature of Not y Public
ANDREW ANDERSON
Print Name of Notary Public
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ANDREW ANDER$ON
Commission * GG 210157
Expires February 22, 2023
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STATE CERTIFIED
COUNTY CERTIFICATION NUMBER
State of Florida, County of BROWARD
The foregoing instrument was signed before me this 9 day of
DECEMBER,2o2Qby JESUS CARMENATE
who is personally known X or has produced a
as identifica
STAMP
Signatur of otary Public
ANDREW ANDERSON
Print Name of Notary Public
a`t:�rruer ANDREWANDER50N
* # Commission #t GG 27015
`qR Expires February 22,202
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Revised 11/16/2016