HomeMy WebLinkAboutLot 23 - Plumber SubAgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Lc u vc.\ � lu m\d5e vcy'i c et) Z n c,.
Name/Individual N
the Sub -contractor for
(Tye of Trade)
(Primary Contractor)
have agreed to be
For the project located at �nk 2. — 3'` Dc eu � � A(A lcn �r'l
(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 hang of Sub -contractor notice.
CO, ACTOR SIGNATURE (Qualifier)
MMi
177"WNAMI E
32 5 �
COUNTY CERTIFICATION NUMBER
State of Florida, County of .. w!zxp—
The foregoing instrument was signed before me this L I day of
CtAf_ 20a by (\,P,(n(atCCG
who is personally known I has produced a
as id tification.
STAMP
Sign• a' f Notary Intic
Print Name of Notary Public
•�wsC����" IENNI1111
RSA
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r,, My Comm. Expires Oct 2:. i�
3ooded through National Notary AS,
Revised 11/16/2016
SUB -CONTRACTOR SIGNATUR (Qualifier)
-Ab the Y
PRINT NAME
C F L L-A
COUNTY CERTIFICATION NUMBER
State of Florida, County of �. _ e
The foregoing instrument was signed
1before me this � day of
who is personally known l/or has produced a
as identification.
.,�z . STAMP
Signatrffe of Notary Public
TGv l-c f Scky-4 u vva
Print Name of Notary Public
ytibtary Pur;,c State of Mcincia
-ovarySantana
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