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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Heritage ElectricMayne Garber have agreed to be (Company Name/Individual Name) the Electrician/Cert 2928/State ER0011355 Sub -contractor for Cooke Construction, Inc. (Type of Trade) (Primary Contractor) For the project located at 9401 S. Ocean Drive., Apt 4A, 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. CONTRACTOR SIGNATURE (Qualifier) .IT 516 11y" 60�ee PRINT NAME 29081 COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this > day of �oy�y�.,. ✓ , 20�by /0 Cv� who is personally known _or has produced a as Signature of Notary Public Print Name of Notary Public Revised 11/16/2016 _//� 1'10t� SUB C RA ATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION /NUMBER 7 Cfafa of Flnrirla_ ('nunfv of // � �v� / "{� -/al The foregoing instrument was signed before me this z6 day of 20 % byyIA) 1e— �4r h e✓Z who is personally known _otr r has produced a as �4 PGB,, WALiER D PAVNE II S MW Notary Public - State of Florida Commission GG 24467 y Comm. Expires AUg 25, 20� Bonded through Nati6nal Notary Assrr 9 (}� '�) / Name of Notary Public STAMP :,WALTER D PAYNE41 Nbtarlr Public. - State -of F �J PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT For Him Plumbinq/ Dale Hammond (Company Name/Individual Name) the Plumber/Cert#28754/State CFC1428915 (Type of Trade) , have agreed to be Sub -contractor for Cooke Construction, Inc. (Primary Contractor) For the project located at 1401 S. Ocean Drive., Apt. 4A, 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. d CONTRACTOR SIGNATURE (Qualifier) 29081 COUNTY CERTIFICATION NUMBER State of Florida, County of +ram/ °//'-1 The foregoing instrument was signe�d'j before me thisa"aay of ✓cs^ 201 gby %1/Ciila v` C'L� who is personally known _or has produced a SU ONTRACTOR SIGNATURE (Qualifier) Lg7s�— COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was ned I fore me this / day of ��R' / .20 8 by i o N�►►i h'+ .U(C) who is personally known _ ha produced a as identific as identification. ignature of Notary Public �[ I%/P,A G� Print Name of Notary Public •'""""�. r° i •; %A,F �;•' "" 9Wtt`Alt1 D PAYNE II Notary Public . State of Flot�l� Commission # GG4467 My Comm: Expires Aug 25. 2 220 Bonded through National Notary re of Notary PublW ame of Notary Public Revised 11/162016 +.++• " ".WA RO'AYNE-II otaty Pu ic9tale of Florida Commission # GG 24467 y Comm. �o ' onded through National Notary Ass