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HomeMy WebLinkAboutSUB, PLUMBINGPERMIT # ISSUE DATE COUNTY F I. Q R 1 D A Amed-Tech Plumbing, Inc. PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division (Company Name/Individual Name) the Plumbing (Type of Trade) BU E DING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for Bela Vista Contractors, Inc. (Primary Contractor) For the project located at 8402 Citrus Park Blvd, Fort Pierce, FL 34951 (Property Tax ID # 1301-608-0033-000-3) (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. A Z - � :arcio TRACTOR SIGNATURE (Qualifier) C. Silva PRINT NAME 31942 COUNTY CERTIFICATION NUMBER State of Florida, County of Broward The foregoing instrument was signed before me this 27th day of January , 2021 by Marcio Silva who Is personally known for has produced a as ide et STAMP 'Tg>iratu>'rfof lYatar}• Publi Hudson Lopes Print Nameof Notary Public A!, NF": HUD$N ROPES MY COMMISSWN # HH 1134T76 EKPiRES:.1t►Fy T, 2R25 .. . Etrrrlded Tln NoWv Pubic Underwriters Revised II!1Cl20i5 SUB -CONTRACTOR SIGNATU (Quaifier) Mark D. White PRINT NAME i • J COUNTY CERTIFICATION NUMBER State of Florida, County of 6bA n� The foregoing instrument was signed before me this GIs dap of c�Q.illtA.�XtJ , 20�., by 1.t 1'C_� who is personally known �ar has produced a as identification, STAMP Signsj/7 oof/7N Orr' Public 07A�C4._ tLL�0 !1] Print Name of Sotary Puhlie Nobly Public State of Florida Gary R Mouteon zYMY . COmHH 106790 miseion Expiras 0312412025