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Sub Contractor Complete Plumbing
PERMIT # ISSUE DATE 7UNTY � I IF L© R I V R Palm Pool and Spa, Inc. PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division (Company Name/Individual Name) the Plumbing (Type of Trade) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for Palm Pool and Spa, Inc. (Primary Contractor) For the project located at 1530 Pineburke Lane Ft. Pierce, FL 34947 (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. Gam' CONTRACTOR SIGNATURE (Qualifier) Adam Hall PRINT NAME 32242 COUNTY CERTIFICATIOryNUMBER State of Florida, County ofU wI rn h The f r oing instrument as signed before me this day of , 2U_, by Oda, m ` 41 A who is personally known or has produced a as idfti onjn�t STAMP Sign kture of Notary Public onoo �'Cwa Print ame of No ry Public :�"iiv'v�B., TONYA S. GUEST r`?° • �� Notary Public - State of Florida Commission # HH 048045 My Comm. Expires Sep 29, 2024 Revised 11/16f2016 Bonded through National Notary Assn. SUB -CONTRACTOR SIGNATURE (Qualifier) Adam Hall PRINT NAME 32242 COUNTY CERTIFICATIOV(A BER�/�'State of Florida, County of w'�c-`"" h ThSjoroing; instrument was signed before me this' I day of Ul , 20, by W 01(r l 1 (,"-' a who is personally known _or has produced a V ` S - 6 `^) 1/7� STAMP Si711(� of Notary Public ga tas Zip Print Name of ry Public air a(BG; TONYA :HH048045 Notary Public - Florida '• e` Commission My Comm. Expir9, 2024Bonded through Natiory Assn.