HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTE:
PERMIT# ISSUE DATE
ME�1�,,�
]P LArOUNG & DEVELOPMENT SERVICES
Bu riding &(Code Complimee gDMsi®n
BUILDING PERMIT
SUB-CONYRACTOR AGR EEMIENT
have agreed to be
(Company Name/Individual Name) \ C
the _ (-. c %A 0 Sub -contractor for
(Pr
(Type of Trade) imary Contractor)
For the project located at �3 a - a C) c�
(Project Street Address or Property Tax 11),i)
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.
Cor4R,CCTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CURTIFIUAi ION NUMBER
State of Florida, County of ' ('(
The foregoing instrument was signed before me this ID day of
who is personally known Vo Or has produced a
as idcnti
STAMP
c:���t,�rr of Notary Public
i
PrintName oNotary�Public
YP SMERMKELLEY 999216
=° '_commission#FF
:fr°sPiresOctober4,
•E;FZ"1 ExdadThmTsoYFofn um
Revised 111 o �
SU - O CT SIGNATURE (Qualifier)
l+2790PY L MA !'JAJ
PRINT NAME
CCU 20-7a
COUNTY CERTIFICATION ,NUMBER
State of Florida, County of t�
The foregoing instrument was signed before me this 4 day of
who is persona0y knownrn_ has produced a
PERMIT # ISSUE DATE
• PLANNING &DEVELOPMENT SERVICES
Building & Code fCompHance Division
yy}
Aqua Dimensions have agreed to be
(Company Name/Individual Name)
the Plumbing Sub -contractor for Rubin Custom Homes
(Type of Trade) (Primary Contractor)
For the project located at `10--kio Qy`�
(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 R4CTOR SIGNATURE (Qualifier)
�\Qy
PRINT NAME
L=�\7 \RAC\ 0
COUNTY CERTIFICATION NUMBER
i
State of Florida, County of �t LAi
The foregoing instrument was signed before �
�re me this t�day of
20►7 by
who is personally (mown or has produced a
.,SUB c9NTRACToR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER,
�f
State of Florida, County of e;, G—
The foregoing instrument was signed before me this 0-iAday of
who is personally known _or has produced a
'dIc/n�tdri�catioa. •-
STAMP I 1 ) ` 11 STAMP
Signature of Notary -Public ,
••. ' RHONDA LAFFERTY
APrit Name of Notary Public ; y MY COMMISSION # GG058720
o; ,.• EXPIRES January 08, 2021