HomeMy WebLinkAboutSelph plumbing sub agreementPERMIT # ISSUE DATE
COUNTY
F I. 0 R 1 D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual NaAie)
the 9i v,Sub-contractor for J �y(0)( 5ao-
(Type of Tra e) (P—rim' ar—y Contractor)
For the project located at �r't�
(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.
CONTRACTOR SIGNATURE (Qualifier)
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PRINT NAME
C pGi q6 �i l
COUNTY CERTIFICATION NUMBER
State of Florida, County of AV'-'
The foregoing instrument was signed before me this a_ _ day of
who is personally mown 4or has produced a
as identification.
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Signature of Notary Public
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Print Name of Notary Public
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Revised 11/16/2016
SU NTRACTOR SIGNATURE (Qualifier)
PRINT NAME
c,-PC(4 7�I
COUNTY CERTIFICATION NUMBER i
State of Florida, County
The foregoing instrument was signed before me this day of
CC U� 20?I,by-"o�^�V�CCUGw C—
who is personalty mmown)6 or has produced a
as identification.
Signature of Notary Public LL
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Print Name of Notary Public u N a c
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