HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PLUMBINGPERMIT# ]2107-0115 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Kemp Krueger 4K Plumbing & Consulting Services, Inc. have agreed to be
(Company Name/Individual Name)
the Plumbing
(Type of Trade)
Sub -contractor for Paul Jacquin & Sons, Inc
(Primary Contractor)
For the project located at 5701 Environment Dr, Ft Pierce, FL 34981
(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.
Ar\
CONTRACTOR SIGNATURE (Qualifier)
Michael Jacquin
PRINT NAME
IsLKO3
COUNTY CERTIFICATION NUMBER
Stale of Florida, County of & I •W (AIG '' Qq
The foregoing instrument was signed before me this � day of
O(, it 20 ,by hA1(,J44.Gi Taeut,�,
who i er ovally known or has produced a
as identification. n . \
V UA �•., �- ��AMJ STAMP
Signature of Notary Public- T
V WLG9 1 e' -�. I/(,'Ji,-S
Print Name of Notary Public
a
ublic State d J Davisanfai0n HH 0F,xprea OtfOg/20T5
Revised I I/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
Kempton D Krueger
PRINT NAME
1001534
COUNTY CERTIFICATION NUMBER
State of Florida, County of _<&I& t4Q
The
,. foregoing instrument was signed before me thisr2 V day of
�1A71HJY.� ,20A by Jt�„P -)•Osti "tAger
w o is personally kn wn or has produced a
as identification.
V1A.1 �(A a JIVAA/ STAMP
Signature of Notary Putblic
y ct wr e T
Print Name of Notary Public
Nota Pubko State of Ftonoa
Valeria J Davis
,a.. HH 078199
MY con"
01106I2025
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