HomeMy WebLinkAboutSUB-PLUMBINGPERMIT # ISSUE DATE
two
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Aqua Dimensions Plumbing Services
(Company Name/Individual Name)
the plumber
(Type of Trade)
have agreed to be
Sub -contractor for Groza Builders Inc
(Primary Contractor)
For the project located at 797 Woodlands Drive
(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.
C TRACTOR SIGNATURE alirier)
�y1� V-rvz e--
PRINT NAME
1i kili,11-k
COUNTY CERTIFICATION NUMBER
State of Florida, County of ��} La.i.G�•
The foregoing instrument was signed before me this 9—k— day of
20 Ll , by _StW,._who is personally known or has produced a
as identification.
5"I'AMP
Signature of Notaryublic
Print Name of N ry Public
y Finley
Notary Public
State of Florida
Z Comm# HHOS2506
Revised 11/16/2016 is EXPIres 1/19/2025
SUB -CONTRACTOR SIGNATURE (Qualifier)
Robert Ludlum
PRINT NAME
18628
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 25_ day of
H _ St 2o21, by FZO&-Yt Wd
1 Uff)
who is personally known X or has produced a
as identification.
Signature of Notary Public
pis 'H
+l
8
1 Il W�
Print Name of Notary Public
0
�r a
n iv z
o
g
3 3 o
= V n Z
o - Z
r
� A T
a
o ^'
0