HomeMy WebLinkAboutPLUMBIMG SUB-CONTRACTOR AGREEMENT PERMIT# 2 ` ( Z — O j 6 3 ISSUE DATE Z r --C'z
,• ,;lu J �� Pe :� PLANNING & DEVELOPMENT SERVICES
�� Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
/L le4�c FA- 11 &[ P/ywbil)S have agreed to be
(Company Name/Individual Name)
the Pi ovy%I , n C Sub-contractor for jp y,g�i� '��c Akio
(Type of Trade (Primary Contractor)
For the prof ect located at 90Z S . aa*i 12 r 6 c ed I rL 3y95 7 603
(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) :;XTNA
-CONTRA SIGNATURE(Qualifier)
t
PRINT NAME ME
(' GC [SZZ6-3`-f C /P< /y3 /� 4/Y
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of 0cieie— State of Florida,County of :5"l i_0 tp
The foregoing instrument was signed before me this Z� day of The
foregoing instrument was signed before me this Z/ day of
SWIJOATM4 .20aby abe l- �iC�i'1IS'o►'��_ liW1VN1"�_,2Q�f�,by iGi? ��C1�C1�
who is personally known or has produced a who is personally known_or has produced a
as identification. as identification.
STAMP �� l� �� STAMP
Signature of Notary Public Signature of Notary Public
/to✓,-t1c,/�' /COHy+/Cl/ /1,,"I_, —S
Print Name of Notary Public Print Name of Notary Public
RONALD JAMES NARBUTAS RONALD JAMES NAR9UTA5
.F`�'': Notary Public•State of Florida Kam`'; Notary Public-State f o Florida
tee" Commission#HH 028442 Commission#HH 028442
a n My Comm.Expires Aug ,2024 4`^•'' My Comm.Expires Aug 5,2024
Revised 11/16/2016 ! Bonded through National Notary Assn,
Bonded through National Notary Assn.
PERMIT ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
a. Building & Code Compliance Division
COUNTY
• BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
have agreed to be
(Company Nam /Individual Name)
the -e4Q Sub-contractor for �2Ey�oyA�-iyr� I�ciW?o��c,ieS
(Type of Trade) (Primary Contractor)
For the project located at _� S • Q^-e*40 D r 2X-_�c-v\ $eK►e-ll Pt, :5057 Xt_ 10a3
(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
filin f a Change of Sub-contractor notice.
CONTRACTOR SIGr4ATUI SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
CC C- (5ZZ(3q FU301bc,-7Is
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of coa C State of Florida,County of 0 L-i c'
The foregoing Instrument was signed before me this L) day of The foregoing Instrument was signed before me this O day of
20 zZby P f A1S0/) G �A�Y1Ji14rL .20�7 by 14GQt-IN't 12,4C t-
who Is personally known or has produced a who is personally known Zr has produced a
as identification. as identification.
STAMP STAMP
gighature of Notary Public Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
ii}°•'• RONALD JAMES NARBUTAS � Y°' RONALD JAWS NARBUTAS
ry Public State of Florida '�-~ Notary Public-State of Florida
NotaCommission#HH 028aa2 Commission#HH 028"2
Revised 1 l/16/2016 °t"' MY Comm.Expires Aug 5,2024 °```'` MY Comm,Expires Aug S.2024
Bonded thr
Sorded through National Notary Assn. ough National Notary Assr.