HomeMy WebLinkAboutPlumber sub form signed 4-26-21 2Parr# ISSUEDATE
BURRING PERMIT
SUB -CONTRACTOR AGREEMENT
Triple K Plumbing of the Treasure Coast, Inc.
have agreed to be
(Cody NamelIndividual Name)
the Plumbing Sub -contractor for Diversified Professional services Corp.
(Type of Trade) (Primary Cattttaotor)
For the project located at 27101 Okeechobee Road, Ft. Pierce, Florida (31 i4111-0001-000/7)
(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.
CONTRACPtiRSIGNATURE( ) U Sf TU (QaatiSer)
Donald R. Polanis Kenneth Y. Krueger
PRMT NAME PRINT NAME
CGCO61303
COUNTYCSWMCATIONNILINS It
state of Morw CmIty of Pasco
The foregoing instrummt was signed ese thO !L doy of
who is personally er has prodowd it
CFC035728
COUNWCEWBICATIMNUAMIM
swe of Florida, County of St. Lucie
The far+egoing instrcrnvat was signed before methis 1Sth day of
April , by Kenneth Y. Krueger
who is personally IMOYM _)(_or has produced a
ns identifrcatiion. as identification.
�Y p`e�`- NotaryLANIS
- S
$ Public tOttt> wWorida STAMP
gnatare of Notary Pubic LOMMISSIon It GG 212026 gjnafiia of Notary rubhe
My Comm. Expires Apr 29, 2022 �t
Bonded through National Notary Assn. i L t S %s t
Print Name of Nagy Puhfit PdM Name of Notary Pabie r
w,
m ° •� AR&.EN£ RIGu6Y
MY C4MMlSSIQN # GG 08058
• �� F..KE'iRES: Jury f3, 202f
.,, +° 8aamedrhuNoq�yi3l+ie(�gny�g
Revised 1111612016