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HomeMy WebLinkAboutSubcontractor Agreement I , I PERMIT# ISSUE DATE I PLANNING & DEVELOPMENT SERVICES ,a , 177 ry ;:5 - - Building & Code Compliance Division 1 off; N 0 U 1 2017 - BUILDING PERMIT SUB-CONTRACTOR AGREEMENT i have agreed to be (Company Name/Individual Name) the PLUMBING Sub-contractor for A&G,CONCRETE POOLS INC. (Type of Trade) (Primary Contractor) For the project located at 4609 PINE TREE DR, FORT PIERCE, FL (Project Street Address or Property Tax ID#) I It is understood that, if there is any change of status regarding our participation with tl�e 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. I CONrST. E(Qualifi ) SUB- CT SIGNATUR (Qua ter) i .J EONARD JAMES T. LEONARD PRINT NAME PRINT NAME I 25959 25959 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of ST.LUCIE State of Florida,County of ST. L I CIE T e foregoing instrument was signed before me this day of TV foregoing instrument was signed before me this day of 2o�by JAMES T. LEONARD ,20LIy JAMES T. LEONARD I who' pe onall known or has produced a who i e sonally wn_or h s produced a as dentif a' as i enti catio STAMP � I STAMP Signature o Notary ublic Si nature of Notary,Public FARA D. HERNANDE FAR D NERNANDEZ FARA D. HERNANDEZ �o< ....��•;: A HERNANDEZ Print Name of Notary Public may^' C MISSION#FF172419 Print Name of Notary Public Y CO ISSION#FF172419 B EXPIRES October 28,2018 •,�,;' ?gin,,..• 'F r,dt.' EX ES October 28,201 a (a07)3gB.... Florid.K1Marvservice.cam (407)39"153 Florida WWVService.com Revised I1/16/2016 I i i I i i PERMIT ISSUE DATE I PLANNING & DEVELOPMENT SERVICES M= - Building & Code Compliance Division ` BUILDING PERMIT ' tR SUB-CONTRACTOR AGREEMENT NOV 1 2011 iDuo ......,�.........o..... &,L' W eA-Jn er l ecky;(_ tUt) 4�qr have agreed to be (Company Name/Individual Name) the Sub-contractor for A-d-.I1b +P001S (Type of Trade) (Primary Contractor) / For the project located at Lf GQO Nnc�r" 'firtru 1' 34491 0140z-6S- '001- Wo 5� (Project Street Address or Property Tax 4D#) I It is understood that, if there is any,change of status regarding out-participation with they 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. � I ; 1 CON 'RAC'r (Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier) �. G &I 1A008marl'i PRINT NAME PRINT NAME I COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of State of Florida,Count}of t C TI foregoiu instrument ^s si ned before me his day of The foregoing instrument ivas signed I before me this V day of ,20 ZIF 5 b} � �-�-�20 wh is pe son. nown or has produced a who is personally known or has 'roduceda identi c. i n. as i e1 'ti ltion.e STA,19p 51'ANIP Signature of Not-, I ublic i n•tur?of Notary''Public I p I 'DCA V 1 Print Name of Notary•Public Print Name of Notary Public RA D HERNANDE.Z _?: A E(407)398-0163 AVID JURKIEINICZ MY COMMISSION #FF172419COMMISSION#FF99B909 oF"�: EXPIRES October28,2018(407)39e-0153 Floridallotaryservice.com XPIRES June 05,2020 FlarideNnlaryServlce,pom Rceiscd IIl16/2016 I I