HomeMy WebLinkAboutAC SUBPLANNING & DEVELOPMENT SERVICES
` - Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Lindstrom Air Conditioning & Plumbing
(Company Name/Individual Name)
the HVAC Mechanical
(Type of Trade)
have agreed to be
Sub -contractor for HOMECRETE HOMES INC
(Primary Contractor)
For the project located at 3469-505-0014-000-5 / 1408 LONE PINE DR
(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
fifing of a Change of Sub -contractor notice.
Al�b
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
11,
01
COUNTY CERTIFICATIONN� N--U''M11BE'R
State of Florida, County of�e
The foregoing instrument was signed before me thisnJLadat_
y of
20 �, by C� l p�
who is personally known'V Or has produced a
as identification.
_ STAMP
SienatureoT Notary Public
I��5'-'z1'- T_�Jcto_lmc
Print Name of Notary Public
will be advised pursuant to the
SIGNATURE (Qualifier)
JeWey C. Lindstrom
PRINT NAME
CAC056971
COUNTY CERTIFICATION NUMBER
State of Florida, County of Broward
The foregoing instrument was signed before me this 16 day of
August 20_ Jeffrey Lindstrom
who is personally known. roduced a
as identification. Lbix
STAMP
Signature of Notary Public
Lisa Gibbs
Print Name of Notary Public
�M"xr 0 Notary Public State of Florida LISAGIBBS
Melissa D Showman �� ° MY COMMISSION # GG 198185
My Commission GG 294495 '- ;: *=
Expires Ot/24/2023 ;��` EXPIRES: Apri12Z, 2022
Revised 11/16/2016 gg,ftg" 9onded Thru Notary Public Underwriters