HomeMy WebLinkAboutPLIMER SUB-CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDINJ; PERMIT
SUB-CONTRACTOR AGREEMENT
For Him Plumbing/ Dale Hammond have agreed to be (Company Name/Individual Name)
the Plumber/Cert#28754/State CFC1428915 Sub-contractor fo r Cooke Constr uction, Inc.
(Type ofTrade) (Primary Contractor)
For the project located at 9960 S. Ocean Drive, #1501, 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 SIGNATURE (Qualifier)
Nathan Cooke PRINT NAME
29081 COUNTY CERTIFICATION NUMBER State of Florida, County of ;l/c�� The foregoing instrument was signed before me this /y �ay of
·--s-J Iv ,2'"?-\,by vJ��V'-Cook� who is.reLany known� has produced a _____ _
STAMP
l.c
l?r�..,.,.,..........,�
, -c.-... WALTER D PAYNE II Print Name of Notary Public Public -State of Florida
1� , ,F Commission If HI-I 32033
\�o,f'.f/ My Comm. Expires Aug 25, 20H
... , ....... Bonded through National Notary Assn.
Revised 11/16/2016
SUB-CONTRACTOR SIGNATURE (Qualifier)
Dale B Hammond PRINT NAME
28754 COUNTY CERTIFICATION NUMBER State of Florida, County of Jft,..A-.: V}, ti. The_foregoing instrument was� bef�re me t�is f 9 day of J 5°Jh/ ,we:\,by �..\e t-f �nI
WALTER D PAYNE II Notary Pub!i,in5.t�f Florida�«......!�V£.:�::__:,::-','�f,,,L-'--��H!ln1iff---Commission ?Hfi' 32033 y Comm. Expires Aug 25, 2024, · d through National Notary Assn.
ty,...._ e.