HomeMy WebLinkAboutPLUMBING SUB PERMIT# iSSUIr-.DATE
PLANNING & DEVELOPMENT SERVICES
'-` Building & Code Compliance Division
BUILDING PERMIT
SIB-CONTRACTOR AGREEMENT
Aqua Dimensions Plumbing Services _ have agreed to be
(Company Name?'Individual Marne)
the Plumber sub-contractor for Homecrete Homes Inc
(Type of Trade) _ (Primary Contractor)
For the project located at 3409-505-0014-000-5/1408 Lone Pine Dr
(Project Street Address or Property Tax Ill )
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
fia'age of Sub-contractor notice.
C1.A PURE(Qualifier) SI'B CONTRACTOR SIGNATURE:(Qualifier)
.-�( Robert Ludlum
PRINT NAME, PRINT NAME
18628
COUNTY C'F.RTIVICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of3-s—y°t &R- St Lucie
State of Florida,County of______.,_
The foregoing instrument was signed before me this Jefty of The foregoing instrument was signed before me this ._16 day of
zI?t ,by II-�n 0.t� �P n l�__ A Ust __,.__.4,zo21 b� 20 Y_ _U u l n
who is personally known or has produced a_•., � who is personally known-9—or has produced a
as identification. as identification.
STAh1P _._
~Y Signature of Notary Public.
Si nature rrtar� !ubtic �' ��stia
lt�c�,._ ,._-���1�4 `�9•�1
Print Name of Notary 'ublic Print`came of Notary Public
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State of Florida
owman 3. Tn GG 294495Qm/2023Revised I!%f(�-2tF3 o y w o --
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