HomeMy WebLinkAboutPlumbing Sub FormCO
NTY
F L 0 R I D A
— - __ -.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Jennings Mobile Home Set Up LLC
k1,vu1Na1'y I-qame/Inalvlaual Name)
the Plumbing
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Thomas G Jennings
For the project located at 7702 McClintock Way
(Primary Contractor)
krrcJect mreei Acaaress 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 (Q alifier)
Thomas G Jennings
°RINT NAME
IH1025176
COUNTY CERTIFICATION NUMBER
State of Florida, County of POLK
The foregoing instrument was signed before me this 17th day of
March 2022, by Thomas G Jennings
who is personally known _x_or has produced a
STAMP
�•T:i.e?.•-'..!?x:A�'.',�•vkJ>h'?5�93=.tSC`.2L'Sf.53T�:]TY��il.T:TiH°^w4:T.l_
KIMBERLYWAWNS
' r = MY COMMISSION # GG 2387E5
EXPIRES: January 7, 2023
{ Bon led T''uu r,1.cYafy Puulir. Undo ryjrI"Nr
Revised 11/16/2016
_Aat�_ 2_12� —
SUB -CONTRACTOR SIGNATURE (Qualifier)
Thomas G Jennings
PRINT NAME
IH1025176
COUNTY CERTIFICATION NUMBER
State of Florida, County of POLK
The foregoing instrument was signed before me this 17th day of
March 2022 by Thomas G Jennings
who is personally known _or has produced a
as identifidtion-
�' i �s''• KIMBERLY WA i KINS
klY COid3MISSION # GG 288786
y EXPIRES: Jarniary 7, 2023
&: ,nr<,a Thru Notary Public Undervidters