HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PLUMBINGPERMIT # ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�� i►•s��/�- �L�� ��Pt� S(°�v ✓,,G�Fa /�C have agreed to be
(Company Name/Individual Name)
the�,7,� ��.� Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at 2. q 15 Ry& S FT ` , �.�, r—L at,a1 y 7
(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.
V�,, opf —,-t
O RACTOR rICNTTURE (Qualifier)
t t
P T NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this ` e day of
c+-'r , 20§ I , by
who is personally known _or has produced a
as\identification.
STAMP
Signature of Notar f -Public
p 6'%ve ,n S
Print Name of Notary Public
,��ar°��.• DEANNA GIVENS
Notary Public • State of rrlorida
•�g Commission # HH 086359
oc�cF�,..V My Comm. Expires Jan 28, 2025
Bonded through National Notary Assn.
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SUB -CONTRACTOR SIGNATURE (Qualifier)
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PRINT NAME
Fe- /-9C)04g4-:?
COUNTY CERTIFICATION NUMBER
State of Florida, County ofC77 I- C / Ci
The foregoing instrument was signed before me this —V day of
CTbiZ; 20 Z! by�/,
who is personally known _f/o'r has produced a
as identification.
STAMP
Signature of Notary Public
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Print Name of Notary Public Q Q- 16V 0 2p �FA �0���
Z: N O TA R Vn
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U: PUBLIC
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