HomeMy WebLinkAboutleach plumbing sub permit.pdf""'" PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
4 (' 'N\4- e, � Wk � 5� 6, 1 �� �. �c ,� rr.c.� ��c�s�'r,, have agreed to be
(Company Name/Individual Namel
the _N)�t,.e,,." ,` Sub -contractor for T oJM��
(Type of Trade) (Primary Contractor)
For the project located at ��"� 1, 'fj Q)_" 3 Z'cj k"'"' -Q� 67'�A'o
(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.
CONTRACTOR SIGNATURE (Qualifier)
Y`v f_i11C0 MCP f�`
PRINT NA IE
COUNTY CERTIFICATION NUMBER
State of Florida, County of Zell'
The foregoing instrument was signed before me this -1 L day of
who is pemonally known or has produced a
as identificat� L—
i
i 1 f lCk tl° / STARIP
Signature of Notary Public
Print Name of Notary Public
ky �ury Public
St�a� � F��
Traci Velez
My Commission GG 937771
ReVisedli.'16i201erw Expres12/08l2023
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAIME
arc/ Y /i/
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The tbregoing instrument was signed before me this I day of
20,E by f� �T ✓ztCC1,G(N!r�
who is personally latotvn /or has produced a
as identification.�l
Ttf' C , ,� STAINIP
Signature of Notary Public
Print Name of Notary, Public
Notary Public Stets of Florida
Traci Velez
My Commission GG 937771
or w Expraa 12/OS/2023