HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name/Individual Name)
the pool plumbing
(Type of Trade)
BUILDING PERMIT R Iw C I V 0 D
SUB -CONTRACTOR AGREEMENT FEB 17 t'_2u-)
ST. Lucie County, Penriitting
have agreed to be
Sub -contractor for CRYSTAL POOLS
(Primary Contractor)
For the project located at 8204 S OCEAN DRIVE JENSEN BEACH FL 34957
(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
CONTRACTOR IGNATURE (Quali er) SUB -CONY CT R SIGNAT (Qualifier)
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PRINT n NAME J' f PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICA ION N MBER
State of Florida, County of _APO ��L "hl ,, wA_ State of Florida, County of vil—
The foregoing instrument was signed before me this L day of The foregoing instrument wVsignedefore me this day of
20�/ by ,20 Z
who is personally kno n or has produced a who is personally Im n or has produced a
as identification. as identification.
STAMP W STAMP
Signature of Notary ublic Signature of Not ry Public
Print Name of Note c..• JAMES ROUAN Print Name of Notary Public
a V
$4;� aotary °'.:sic ' State of
<l Con r. -ssior = HH 55034
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My Comm. Expires Nov Florida4, 2024 0 ., DAMES ROUAN
:arced through National Notary Assn. •er' Notary Public - State of Florida
Commission k HH 55034
�. My Comm. Expires Nov 4, 2024
Revised 11/16/2016 y'f oc�ced through National Notary Assn.
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the
C:CcAm�-�
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division7FEB
)
BUILDING PERMIT SUB -CONTRACTOR AGREEMENT
iriitting - — --
Sub -contractor for
(Project Street Address or Property Tax ID #)
have agreed to be
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 4.Z1m)de of Sub -contractor notice.
CONTRACTOR SIGNATURE
AURE((Qualifier)
YrYV1r �
PRINT NAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of �r 4 A_
The foregoing instruments was signed before me this 15 day of
2( F
who Is personally kn rr_,4r has produced a
as identification.
Print Name of Notary Public
:oirAY v'�BG : JAMES Ro",'
? •= Notary Public -State o` Fiorida
41. Commission # HH 5503� ".yFof oMy Comm. Expires Nov 4. 2024
Bonded through National t.otary Assr.
Revised 1
COUNTY CERTIFICATION NUMBER ,
State of Florida, County of
e foregoing instrument was si d before m this day of
20 by
o s persona known _or has produced a
as entilication.
STAMP STAMP
Signature of Notary ublic
P� •,, FRANCES DON2A
Print Name of Not 6 c ;,; SSIAN # HH 111471
EXPIRES: July 27, 2025
bPF�?p� Bonded-MruNotary PubllcUndetwriters