HomeMy WebLinkAboutLot 20 - Plumber SubAgreementPERMIT # ISSUE DATE
COUNTY
.F L O R I D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
CA YWYV\�6W)
Name/Individual Name
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
co :L,nc -
the n � U vv� In -I rta Sub -contractor for
Tom( ypype of Trade)
For the project located at !CA 10 - d
ej-
(Primary Contractor)
Project Street Address or Property Tax ID #)
have agreed to be
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
filinLY/6f A Change of Sub -contractor notice.
SIGNATURE (Qualifier)
Jr
PRINT NAME
3 soy
COUNTY CERTIFICATION NUMBER
State of Florida, County of �
The foregoing instrument was signed before me this t ""day of
2OD(( by a2gcelo 1 GEC p
who is personally known , / or has produced a
as i tification.
STAMP
Signs a of Notary Vic
Print Name of Notary Public
JENNIFER DAVERSA
Notary Public - State of Florida
Commission # HH 05635
My Comm. Expires Oct 22, 202a
Bonded through National Notary Assn,
Revised I I/16/2016
44-0-le-
SUB-CONTRACTOR S16NATUkE (Qualifier)
AoP r 1 e�
PRINT NAME
F C, tC125 (6(-,)
COUNTY CERTIFICATION NU}MBEy�R.
State of Florida, County of L
�L.wlt°
The foregoing instrument was signed before me this '� day of
ba --1204,by AUnifI L�L-4\IC\
who is personally known �_/ or has produced a
as identification.
STAMP
Signat o Notary Public
ICGV I-f � '(A V-1 V Ct>ruA
Print Name of Notary Public
o. W Pua� Notary Puh!ic State of Mrida
w Javier Santana
y c` My Commission GG 23974a
a` Expires 07l1b:2022
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