HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PLUMBINGl�
PERMIT # ISSUE DATE
-- PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(C m ny Name/Individual Name) /
the �/� G, Sub -contractor for ZQacele_l-)
u
(Type of Trade) (Primary Contractor)
For the project located at —6 9.2 e�a/J ! Af 2 0 r
(Project Street Address or Property Tax 1D #)
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.
Z�4
Z'_
r0NTR`XM6R SIGNATURE (Qualifier)
PRINT NAME
0o y /
COUNTY CERTIFICATION NUMBER
State of Florida, County of '�
The foregoing instrument was signed before me this 7 day of
20'_L, by L6 Z�J
SUB -CONTRACTOR SIGNATURE (Qualifier)
4-23 14XJ
PRINT NAME
S'D/
COUNTY CERTIFICATION NUMBER
State of Florida, County 017E9�e"
The foregoing instrument was signed, betfoorree me this /7J day of�
20 � ,, by �//d�
Who is dsonally know r� has produced a who is p sonall 'o"" has produced a
Zntification _ as id ificatio .
STAMP STAMP
jgnaturc of ary Public 'nature Notary P lie
Print Name of Notary Public
o,�av au�i. SHERRI KPILMAN
MY COMMISSION # FF 10W0
l * * EXPIRES: March 14, 2013
Revised 11/16/2016 �tpOPf�pP`°e BondedThruBudgetNotarySerdces
Print Name of Notary Public
aot°a.p;mo�
SHERRI FEr ILIIaN
MY COMMISSION # FF 1000)
*
EXPIRES: March 1!, 201t3
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