HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT-PLUMBERPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING 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 for Cooke Construction, Inc.
(Type of Trade)
(Primary Contractor)
For the project located at 8650 S. Ocean Drive, #501 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-cont actor notice.
CONTRACTOR SIGNATURE (Qualifier)
Nathan Cooke
PRINT NAME
29081
COUNTY CERTIFICATIONNN NUMBER
State of Florida, County of{'/fC*✓ 0___ %
The foregoing instrument was signed before me this "ay of
J C ,20Z.�by
who is personally k or has produced a
as identifiextina. I
Signature
Print Name of Notary Public
Revised 11/16/2016
0�)/z
SUB- OR SIGNATURE (Qualifier)
Dale B Hammond
PRINT NAME
28754
COUNTY CERTIFICATION NUMBER
State of Florida, County of /f`/ 9 1-s-
Theffo�or/egoing instrument was at ued before me this fiLy�
„�v�,2p ZlbY �e..l� �G.Ytt it2 tees
who is personally k r haass produced a
fER�PAYd_0 Signature of Notary PublicG
tic - State of Flmc-'a
_sion # HH 32033
cxpires Aug 25. 2024
National Notary Assn. Print Name of Notary Public
STAMP
WALTER D PAYNE It
Notary Public - State of Florida
Commission # HH 32033
'Ay Comm. Expires Aug 25, 2024
td through National Notary Assn.