HomeMy WebLinkAboutSub Plumbing Application For Permit 2101-0395PERMIT #
ISSUE DATE
the
For the project located at
PLANNING & D11VELOPMENT SERVICES
Building & Code Compliance Division
BI)II,DIlVG PERMIT
SUB -CONTRACTOR AGREEMENT
have aglzed to be
Sub -contractor for =a5 Ptoo15
(Primary Contractor)
3321- So I - owl I -
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-eonhactor notice.
L
CONTRACTORSIGNA7URE (Q a11Rer)
Bruc.Q, WernOGQ,
PRINT NAME
C PC N S1 ZS zZ
COUNTY CERTIFICATIONI NUMBER
State of Florida, County of s "yidoW. .-r ['
The foregoing instrument was signed before me this W day of
M"LLiN- zoZ, by1%l1JCQ, �A1EMO� e.
who is personally knmvn As /mhasproduceda
/\/ I
SUB -CONTRACTOR SIGNAT(Qualifier)
-13fu Le.. W eeAe Q-
PRINT11, -r
CPC14S725z
COUNTY CERTIFICATION NUMBER �' �^s
Slate of Florida, County of ^ nu% c
The foregoing Instrument was signed before me this 2 logy of
alrLln 2011 by Ix uC �VUYI►
who Is personally known _Led has produced a
a9 identification.identlGcetion.
STAMP STAMP
Signature of Notary Public SignalurearNomry Pu c
keA&ejok M.lawve/keAn.k M. LaULWAS
Print Name of Notary Public Print Name of Notary Public
,far Pty Notary Public Stale of Florida
Knneth M Lauver III
My Commission GG 339130
Revised it
Exppas cc) I2a 3
Notary Public State d Florida
av� P� Kenneth M Lauver III
y, E�pUes Oa 2012023 339136