HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PLUMBINGl
11 PERMIT # 1 /'706 — 6 6 4 1 ISSUE DATE 1 11
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�)Iv�l"qqal"V c
0 (CQ a y Name/Individual Name)
the 7�U Sub -contractor for '�_A r--(.
(Type of Trade) i (Primary Contractor)
For the project located at
9(, a0 6_
i
ave 0-,-r
(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 a Change of Sub -contractor notice.
COUNTY CERTIFICATION NUMBER
State of Florida, County of,c-
The foregoing instrument was signed before me this
,�day
, of
1 20_a by �Q V-10
who is per" y !mown or has produced a�
as identification.
Print
Revised 11/16/2016
SUB- ONT R NAT (Qualifier)
PRINT NAME
/,W��'
COUNTY CERTIFICATION
`NUMBER
State of Florida, County of _- L 1;e e
The foregoing instrument was signed before me this _2- day of
fit 2017, by
who is personally known 4or has produced a
as identification.
STAMP AAV.,k-
STAMP
Signature of Notary Vdblic
'----KELLY MOLLOY
Notary Public, State of Florida
Commission# FF 161331
My comm. expires Sept 18, 418
_ ZL ,(�.- &&
Print Name of Notary Public
61
;- RHONDA LAFFERTY
MY COMMISSION # GG058720
EXPIRES January 08, 2021
PERMIT# 1706-0644 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Native Electric Services, LLC - James A. Phillips have agreed to be
(Company Name/Individual Name)
the Electrical Sub -contractor for RFC Homes, Inc.
(Type of Trade) (Primary Contractor)
For the project located at 9620 Enclave Circle
(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.
C W, RACTOR SIGNATURE (Qualifier) CONTRA OR SIGNATURE (Qualifier)
i
PRINT NAME PRINT NAME
C��b�2—
COUNTY CERTIFICATION NUMBER
State of Florida, County of J r
The foregoing Instrument was signed before me this �� day of
V 20 7 by /�/6E,e-1 C I- 4 , o.4L-
who is pe na /Imo or has produced a
as identificati d
' STAMP
Signature of Nota ublic
Print Name of Notary Public
KELLY M PHILLIPS
]�( €
I•AY CO.AIr1'SSIC; 7 rFFOd3972
EXPIRES Sepiember 29. 2017
(407) 398-0153
Florid allotaryService.com
Revised 11l16/2016
COUNTY CERTIFICATION NUMBER
State of Florida, County of_s� C LQ
Thforegoing instrument was signore me this day of
�41�
who is personally Imo or has produced a
as Identificatt
S
Si re o He
um
Print Name ofNota >; °4%, DEIDRE VONDERHAAR
Notary Public - State of Florida
Commission # FF 945146
My Comm. Expires Dec 20. 2019
un,a