HomeMy WebLinkAboutPizzano Plumb Sub PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
= Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Y ro h I have agreed to be
(Company Name/Individual Nam
the Plumbing Sub-contractor for Agler Kitchen, Bath & Floors, Inc
(Type of Trade) (Primary Contractor)
For the project located at 7380 S Ocean Drive #918 A 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.
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CONTRACTOR SIGNATURE(Qualifier) Sub--60&W1fACTOR SIGNATURE(Qualifier)
Katherine LaDeene Dodson Dale Hammond
PRINT NAME PRINT NAME
CBC1250637 cv:L 1 gat lCD
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of et
_iACie State of Florida,County of �Sf li-A Q '
The foregoing instrument was signed before me this 4111day of The foregoing instrument was signed before me this 411k day of
aU ,20 1 by}�LZWine. Ldgv� pU 11 _ xo?-1,by DCIL[• 44 fraC -
who is personally known '}for has produced a who is personally known x or has produced a
as identification. as identification. T
S rgAlfiginiure 01 otary Public Signntnre of Notary Public
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Print Namb of Notary Public Print NarkpAf Notary Public
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Revised 11/16/2016 '= '•;°k;;;r