HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
For Him Plumbina/ 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 8600 S. Ocean Drive, #1103, 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 Sub -contractor notice.
CONTirACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
Nathan Cooke
PRINT NAME
29081
COUNTY CERTIFICATIONNUMBER
State of Florida, County of
�The foregoing instrument was signed before me this )Zday of
who is personajl �_W ewn�_� or has produced a
as
STAMP
Signature of Notary P lwl7"
Print Name of Notary Public
Revised 11/16/2016
Dale B Hammond
PRINT NAME
28754
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed beforem))e this l L day of
JPC"=t , 20L I, by)J 2 /7,,A. -
who is personally-kxewor has produced a
as identification
kale'-) �
Print Name of Notary Public
STAMP