HomeMy WebLinkAboutSubs, electric and plumbingCOUNTY
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F
L
A R
I D .A -
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
For Him Plumbing, Inc
(Company Name/Individual Name)
the Plumbing
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Agler Kitchen, Bath & Floors, Inc
(Primary Contractor)
For the project located at 9650 S Ocean Drive #203 Jensen Beach, FL 34957
(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 S1GNATUR , (Qualifier] &NTR ft SIGNATURE (Qualifier)
Katherine LaDeene Dodson
PRINT NAME
CBC1260637
COUNTY CERTIFICATION NUMBER
r
State of Florida, County ofi
r77
The foregoing instrument was signed before me this2i !lay of
20 2A byKcfttfLat LAWAPOdm
who is per known or has produced a
as identification.
Sigmiture of Notary Public
11%,11"A'A �t. udnL
Print Nan'e o Notary Public
Revised 11/16/2016
Dale Hammond
PRINT NAME
CFC1428915
COUNTY CERTIFICATION NUMBER S State of Florida, County of yLa [.V—
The foregoing instrument was signed
//before me this 214�-�ay of
20 A by IIVl Q�ilirlor,
who is personally known X or has produced a
as identification.
�1_ a 1h4c.""L
Signatu a of Notary Public
Prin! Name f Notary Public
PERMIT #
M
TYI
D A
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Charles Lowe Electric
(Company Name/Individual Name)
the Electrical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Agler Kitchen, Bath & Floors, Inc
(Primary Contractor)
For the project located at 9650 S Ocean Drive #203 Jensen Beach, FL 34957
(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.
44*im- M-1 '_ - w�'
&1L —
CONTRACTOR SIGNATURE (Qualifier)
Katherine LaDeene Dodson
PRINT NAME
CBC1260637
COUNTY CERTIFICATION NUMBER
State of Florida, County of �Q11
The foregoing instrument was signed before me this � St
of
1 , 2041, by &i W� y_�
who is personally known X or lisps produced a
asidentificatioll.
w
STAMP
Signature of Notary Pu lie
I Y
o
N
Print Dame a otary Public
�=
ob
Revised 11/16/2016
f
SUB -CON -TRACTOR SIGNATURE (Qualifier) —
PRINT NAME
EC 13016 9 q0 1125445
COUNTY CEWfIFICATiONCNUMBE —
State of Florida, County of S
The foregoing instrument was signed before me this 1 1 day of
who is personally known x or has produced a
as identification.
Signature o Notan• Pu lie [j� j�(� j
Print Name f Notary Public