HomeMy WebLinkAboutSub, plumbingI F
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ILKLOA
f � J
have agreed to be
F Company Name/Indivi8ual Name)
e?C)A3
the J�*,/l Sub -contractor for � \ GL\ �1�-C
(type of Trade) (Primary Contractor)
For the project located at 6 C Ca � 6�,14-I4 Dc A444%hS'S�r�V7 :J:JejvJ R_3ze q-'
(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.
CONTRA TOR SIGNATURE (Qualifier)
RWW/ 9 `Z(-
PRINT NAME
COUNTY CERTIFICAT ON NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
� 017 Or 204 by A
who is personally known has produced a
as identification.
STAMP
Signature of -Notary PuWc
Print Name of Notary Public
KELLYALONSO
I#Y CWMMISSION # GG 202276
`? EXPIRES: April 1, 2022
.SWWW That NNW PW X Lwem t"
SUB -CONTRACTOR SIGNATURE (Qualifier)
)'44 mil �
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 101J4 H 1 ✓
The foregoing instrument was signed
/before me this) I -_/day of
j
20, , by l�(� o — t tl/ lC r
who is personally known 'for has produced a
as identification.
STAMP
Signature of tary Pub
((�kv NKn:'_:�o -
Print Name of Notary Public
• ,Y. ••• KELLYALONso
'� • ± MY cOMMISSION # GG 20M
;.';o`• EXPIRES: Apri 1, 2022
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