HomeMy WebLinkAboutPlumbing sub aff for fowler bathroom, 3 4 , 2022547PERMIT* ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
(Company Name/Individual Name) -J
have agreed to be
the
(Company
(Type (Type of Trade)
Sub-contractor forJ^V fo^H Ht^fr>g Ht^^^'^. ^ f\r
(Primary Contractor) '
For the project located at S^^QI A\AP,r>V>g
(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.
CONTIL\ r^R^ir.NATLRE (Qualifur)
RIM NAML
COUNTY CERTIFICATION M MBEI BER
State of Florida, County of In/j i/? fl fS) VB^
The foregoing instrument was signed before me tliis day of
who is personally known\j/_or has produced a
as identiflcation.
STAMP
Print .Name * Notary Public
Notary Public State of Florida
* Jennifer M Richmond
«3K S My Commission GG 294491
Sj.tf Expires 05/21/2023
Revised 11/16 2016
SUB-CONTRAC'IOR SIGNAIliRE (Qualifier)
PRINT NAME
COUNTS CERTIFICATION NUMBER
State of Florida, Count) of lrtfi>«\ ^tUg<"
The foregoing instrument was signed before me this day of
who is personally known J^^or has produced a
as identilication.
STAMP
Signature of Notary Public
PriSc.Koi MafiAe
Print Name of Notar> Public
PRISCILLA MARINE
Notary Public • State of Florida
Commission # HH 156753
My Comm. Expires Jul 21, 2025