HomeMy WebLinkAboutRevels Horizon Plumb SubAgreePERMIT # ISSUE DATE
- PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
.l n have agreed to be
(Company Name/Individual Name)
the 2 `U � b ", U Sub -contractor for o15
(Type of Trade) �J (rimary Contractor)
For the project located at 'D '0 2 &�60b�-
(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.
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of _'�-r wr /
The foregoing instrument was signed before me this day of
c
who is personally known_or has produced a
/assiidentificati J
Signature of Notary Public
Print -Name of Notary Public
KATHLEEN G LOE✓�+�iIG
Notary Public -State of F,,•+n ,
�70= Commission # HH 136374 j
My Commission Expires i�
June 01, 2025
Revised 11/16/201
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME '
COUNTY CERTIFICATION NUMBER
State of Florida, County of - � L .. L
The foregoing instrument was signed before methis "- day of
p
who is personally known � or has produced a
as identificati
y
STAMP y
Sigma re of Notary b/lic I
PrinttNNName of Notary Public
KATHLEEN G LOEJR1 a.r o. '
"Os �'.';. N'otary Public -State of mission# HH 13� k , r CoM^ission Exp
01, 2025
STAMP