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HomeMy WebLinkAboutSubContractor_Agreement_PlumberPERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDM PERMIT SUB -CONTRACTOR AGREEMENT For Him Plumbina/ Dale Hammond (Company Name/Individual Name) the Plumber/Cert#28754/State CFC1428915 (Type of Trade) have agreed to be Sub -contractor for Cooke Construction, Inc. (Primary Contractor) For the project located at 8750 S. Ocean Drive, Unit #1133, 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. CONTRACTOR SIGNATU (Qualifier) Nathan Cooke PRINT NAME 29081 COUNTY CERTIFICATION NUMBER - State of Florida, County of Ille4 The foregoing instrument was signeed� before me this , day of who is.personally known e�or has produced a as °lfellrel_ I/. Print Name of Notary Public Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) Dale B Hammond PRINT NAME 28754 COUNTY CERTIFICATION NUMBER State of Florida, County of wi"i/a , y The fo regoing instrument was s' nedlbefore me/t�hiisp,� dayof who is is pe or has produced a WALTER D PAYNE II WaAry )fublic - state of Flo < commission # HH 3 at o oto Pd ' Y &Q, M Comm. Expires Aug 25, ZO a ti. 10L�(i Bonded through National Notary Print Name of Notary Public WALTER D PAYNE II ary PubdTAgT9tb of Florida Commission # HH 32033 Eamm. Expires Aug 25, 2024 hrough National Notary Assn.