HomeMy WebLinkAboutPlumbing Sub-Contracting AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
40 fe I zo �,J Poo/, 5, _T�Je� have agreed to be
( ,ompany Name/Indivi U l Name)
the ` L U M (8/ /V Sub -contractor for �-�Ille f,Z M,go Z- S
(Type of Trade) g� (Primary Contractor)
For the project located at 5530 P4_�E IN-k le wc FT- l P(;ler,_ iq- 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.
CONTRACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNAT RE (Qualifier)
PRINT NAME
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COUNTY CERTIFICATION NUMBER
State of Florida, County of UL j g
'rite foregoing instrument was signed before me this ��%�dayy of
61C,i1S r 201, by �—J+ 14" i~%
who is personally known or has P-.
ki"�% k( CL" 4�
PRINT NAME
4 ys,fp
COUNTY CERTIFICATION NUMBER
State of Florida, County of s` [ G� C%9
The foregoing instrument was signed before me this � day of
5 , 20 ?1, by jJ4Dt R CL4 ,0- 4A6�7
jvho is personally k�or haspnraduced a
KATHLEEN G LOEHRIJiZa..ture.f asp entifi iNotary Public -State of FloriCommission # HH 1 3My Commission E Aires
Jun*T0VNIP02ignatureo otary ubtic
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Print Name of Notary Public
Revised 11/16/2016
KATHLEEN G L—OE R
Notary Public -State of Florida
Commission # HH 136372
My CommWAMPExpires
June 01, 2025
TH t tUAJ (5 CH L->)
Print Name of Notary Public