HomeMy WebLinkAboutPlumbing subcontractor agreementPERMIT # 2106-0224 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
bi �� / tv C_ have agreed to be
(Company Name/Individual Name)
the 6YeL"A Sub -contractor for Hanna Design Group Inc.
(Type of Trade) U (Primary Contractor)
For the project located at 4892 N Kings Hwy, Ft Pierce, FL tax id# 131323200010004
(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.
1
C09TRACTOR SIGNATURE (Qualifier)
Jason Mick
PRINT NAME
32472
COUNTY CERTIFICATION NUMBER
State of Illinois, County of Dupage
The foregoing instrument was signed before me this
July 20_ by Jason Mick
who is personally known X or has produced a
as identification.
7th day of
a ah STAMP
Signature of Notary Public
Teresa DeJong
Print Name of Notary Public
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TFpE$AA OfJONG
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Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5 i L wOw
The foregoing instrument was signed before me this t 2 day of
��-20A, by
who is personally known _ er has produced a
as identification.
c � ✓�--�ST�-MP
Signature of Notary Publi
A J L__s
Print Name of Irv
ry Public
,.
KRYSTLE DOUGLAS
Commission # GG 967262
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Expires March 9, 2024
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Bonded Thru Budget Notary Servim