HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
have agreed to be
the PLUMBING Sub -contractor for PF-.D 966L 6a
(Type of Trade) (Primary Contractor)
For the project located at 16 D 1 3 oa p - 862 - ODo- 3
(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.
CONTRACT R SIGNATURE (Qualifier) LC -CONTRACTOR SIGNATURE (Qualifier)
WARREN SIGMAN
PRINT NAME
CPC145 qLp
COUNTY CERTIFICATION NUMBER
State of Florida, County of 4fL44)
The foregoing instrument was signed before me this a b day of
2011 Warren Sigman
who is personally known '�or has produced a
as identification.
STAMP
Signature of Notary Public
� erm— rc, Sisson
Print Name of Notary Public
Public State of Florida
E'NotarY
Kerry A SlssanMy Commission GG 950211Expires 01122f2024Revised 11/16/2016
WARREN SIGMAN
PRINT NAME
CPC145 t
COUNTY CERTIFICATION NUMBER
State of Florida, County of N\Ar `}t O
The foregoing instrument was signed before me this a-19 day of
7o 20 al, by Warren Sigman
who is personally known or has produced a
as identification.
Signature of Notary Public
Kerr r A Sil on.,
Print Name of Notary Public
o,yv Nu Notary Public State of Florida
Kerry A Sisson
y - My Commission GG 950211
n Expires 01/22/2024
STAMP