HomeMy WebLinkAboutLot 9 - Plumber SubAgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Le uy G
(Company Name/Individual Name)
the �? \ k )'re V X nq Sub -contractor for
(Type U Trade)
(Primary Contractor)
have agreed to be
For the project located at � C� CA- �LtO 3CCCk Y-\ tSA-G�C-1 c_t) 1JY_lVC
(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
Sub -contractor notice.
SIGNATURE (Qualifier)
PRINT NAME
32 503
COUNTY CERTIFICATION NUMBER
State of Florida, County ofi`� 1 ��
The foregoing instrument was signed before me this ` ` day of
2013 by
who is personally known 'or has produced a
4idesntification.
STAMP
ture o ary Pu is
Print Name of Notary Public
JENNIFER DAVERfA lorica
r`• Notary Pub1u ' State o
commission H'H
My Comm. ExpiresOctt 22. 2C'2a
2.
h National Notary Assr
Bonded throuq
Revised 11/16/2016
SUB -CONTRACTOR SIGNAT RE (Qualifier)
f1 oncy Ley jok.
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of J • Lv t e
The foregoing instrument was signed before me this 0 day of
Qc k�bP e 203.A, by Ill b -n r '( 1 :?.la u!Z
who is personally known ✓ or has produced a
as identification.
Signatu4r-t-dly
Public
is Y 5 an�c V_1CA
Print Name of Notary Public
nnT °ko� Notary Pu"'c State of ibnda
? Javier Santana bt
a , o My Commis:aon GG 239744
9j�oFa°o- Expires 07/t6:2022
mod,
STAMP