HomeMy WebLinkAboutMARTIN PLUMBINGPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
.^
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
61cde Cbrbtruc47on Gypuen, �'c
(Company Name/Individual Name)
the Lim bo 61 Sub -contractor for
(yype of Trade)
For the project located at o230V OPK br.
P ' 5 ug6 have agreed to be
AoucOits
(Pricy ary Contractor)
(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 SIGNATURE (Qualifier)
-Fe(!X M-esit J_r
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of adle
The foregoing instrument //was signed -before m/ ee thisf-5 day of
r1 20 L/ by T epI,f a�✓[ E1� fsj l
who is personally known ✓ or has produced a
as ' ification.
a
tore of Nota 6lic
Print Name of Notary Public = ; .
z
*yl��
Revised 11/16/2016
SIGNATURE (Qualifier)
-1)l crv'V-d Tww
PRINT NAME
u3 0520
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 25 day of
,20�� by ►1���1`� Wll.l�l
who is personally known _or has produced a
as identification.
STAMP /- STAMP
Sign re of Notary lie
DannMQ*n ! " boom
Comm.: i#1 Jn�W q n n G n . dpdgn.; m. Im
Co s" FaW Print Name of Notary Public W/i�. ow"
A028,20 a