HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDINbG PERMIT
SUB -CONTRACTOR AGREEMENT
For Him Plumbinq/ Dale Hammond
(Company Name/Individual Name)
the Plumber/Cert#28754/State CFC1428915
(Type of Trade)
have agreed to be
Sub -contractor for Cooke Construction, Inc.
(Primary Contractor)
For the project located at 8880 S. Ocean Drive, #1305, Jensen Beach, FL. 34957
(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 ZSub-contractnotice.
CONTR CTOR SIGNAT E (Qualifier)
Nathan Cooke
PRINT NAME
29081
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed
before me this/" day of
who is personal] k or has produced a
as identification. n
Revised 11/16/2016
�t
t
SUB -CONTRACTOR SIGNATURE (Qualifier)
Dale B Hammond
PRINT NAME
28754
COUNTY CERTIFICATION NUMBER
State of Florida, County ovwuipil_
The foregoing instrument was signed before /me�this7" day f
20V by Imo. �� j7�41Y�'I�JKI
who is personally or has produced a
as identi �catiof n. -
STAMP
gtefl'aG' WALTER 0 PAYNE II
�4 Notary Public - State of Florida
1y Commission # HH 32033
z
`�,.,or n;.. My Comm. Expires Aug 25, 20 �
Bonded through National Notary Assn.
e
Notary Public - State of Florida
—commission # HH 32033
Ay Comm. Expires Aug 25, 2024
6 throt Rh National Notary Assn.