HomeMy WebLinkAboutUPDATED SUB-CONTRACTOR AGREEMENT - Plumbing 7.30.21 PERMI
T# 190
_ ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
` ' ' �fi Building & Code Compliance Division
RECEIVED
BUILDING PERMIT J U L 3 0 2021
SUE-CONTRACTOR AGREEMENT
St.Lucie County
Perreitting
C l7 Ci C; <;' have agreed to be
(Company Name/Individual Name) C
the f ) IA t,b 6- Sub-contractor for cd J�j a( I��i Cl S
(Type of Trade) ll (Primary Contractor) Q
For the project located at S e p l OL f 41 C(Ce [U Z
(Project Street Addrltss or Property Ta5e 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) SUB-CONTfaCTOR SIGNATURE(Qualifier)
5qJVC'hr s o lvc der 6- CiCC(' -'
PRINT NAME PRINT NAME
0 whet(
COUNTY CERTIFICATION N BER COUNTY CERTIFICATION NU BER
State of Florida,County of c/C.r State of Florida,County of'C '
The foregoing instrument was signed before me thiZo y of ,I The foregoing instrument was signed before me this y of
20c�.�by /'�-+ 20a 1,byK L116Q I/ •r7 YO A-1
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who is personally known or has produced a who is personally known_or has produced a 1) C
as identification. as identification.
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STAMP
STAIDfP
Si atu of Notary Public Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
YP ,, KAREN S. NIELSEN
Lr��
LN
N State of Florida-Notary Public
_. •_ Commission # GG 207484
�;Sblic84 j�OFF�O MY Commission Expires
June 12, 2023
7, es
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Revised 11/16 l�