HomeMy WebLinkAboutSUB-COMTRACTOR AGREEMENT - PLUMBINGPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
PALM POOL AND SPA, INC have agreed to be
(Comp an Name/Individual Name) N1h'L\'
the ��W-VA nG Sub -contractor for Y' &Z
(Type of Trade) k (Primary Contractor)
For the project located at 2436-702-0002-000-4
(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)
PRINT NAME
?SL2�2
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The o/re�goinginstrument was signe before me this day of
V"-'gi20
11'110 is personally known —or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
KRYSTALCOURCNENE 1h�
MY COMMISSION # GG 227945
EitPiRES: Qgloer 12,'20�2
�? r,ondedThruNotaty Public Undervriters q
Revised i lli6
SUB -CONTRACTOR SIGNATURE (Qualifier)
04
PRINT
?22242
COUNTY CERTIFICATION NUMBER
State of Florida, County of _Tt -_
The to going instrument was signed before me this _X51hay of
20by
who is personally known has produced a
as identification.
STAMP
Signature of Notary u lic
V V\-,A C—Iz_ (I 1_�A a
Print Name
, KRYSTAL COUP.CHENE
r , ` My COMMISSION # GG 227945
EXPIRES: October i2, 2022
i;onded Thru Notary Public Underwriters