HomeMy WebLinkAboutSubContractor_Plumber_Complete PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
' Building & Code Compliance Division
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--...-.--••v��- 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 9800 S. Ocean Drive, #208, 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-contract notice. LP
CONTRACTOR SIGNATURE(Qualifier) SUB-CON ACTOR SIGNATURE(Qualifier)
Nathan Cooke Dale B Hammond
PRINT NAME PRINT NAME
29081 28754
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of C C State of Florida,County of�n
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The all)foregoing instrument was signed before me this J7 day of The foregoing instrument was si ned beffobefore,me,(this /5 day of/�
a ,20_1f/ r habyy ftk-\0�r— s CC�d1�� 5') 211—�,by 0.-\t Hl;uwvs lk
t who is Personally known /os produced a who is personally know- or has produced a
as identificat' _._. as iden[ifi
STAMP A l
Signature of Notary Public Signature of No ry Pub'c WALTER D PAYNE II
men-
Print ,.
`. No ublic-State of Florida
` mission a Hit 32033
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WALTER D PAYNE II Bonded�
Name of Notary Public t rint Name of Nota Publicrough National Notary Assn.
��', Notary Public-State of Florida rY
Commission#HH 32033
My Comm.Expires Aug 25,2024
Bonded through National Notary Assn.
Revised 11/16/2016