HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT MECHANICALPERMIT# 12107-0115
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUnA)ING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the Sub -contractor for Paul Jacquin & Sons, Inc
(Type of Trade) (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.
INO
CONTRACTO SIGN URE (QueliQer)
Michael Jacquin
PRINT NAME
1 S4(v 3
COUNTY CERTIFICATION NUMBER
State of Florida, County of ( �
The foregoing instrument was signed before we this 2q day of
who is sonelly Imow ar has produced a
as
Identification. '� p "�
�i� I hiAAAA.J STAMP
Signaluro of'Notary Public
yclu le J , bavis
PrintName ofNotaryPublic
Notary Public State of Fkmda
Valerie J Davis
- p: My Commission HH 078199
�a,sC Expires 01106Q025
Revised 11/16Q0
S ONTRACTOR SIGNATURE(Quallfor)
dynes F- ���mte-c
PRINT NAME
V4,9?(
COUNTY CERTIFICATION NUMBER
State of Florida, County of l—L 1 e, Vyk
The foregoing instrument was signed before me thiep6 day of
7blaat� 20�,J by t:ZiYeCF� _[;1Y/Mef
who is personally knownY-- or has produced a
as idea r ation.
STAMP
"-,,signature of Notary Public
�rcSG-n aY/7C�/JE'Si/`u
Print Name of Notary Public �—
rr'y',y SUSAN MONTENEGRO
?` MYCOMMISSION#HH00SSS4
-s' •` EXPIRES:AP617.,2025
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