HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTIL i I e
7� PLANNING & DEVEL'+OPMENT SERVICES
P" .. ..
Building & Code Compliance Division
BUILDYNG ]PERMIT:'
SlWCONTRACTOR AGREEMENT
.
.
iv
have agreed to be
(Company:Nameftdividual Name).
tlie: ELECTRICAL Sub -contractor for aw,"yd�=' S
(Type of Trade) I (Primary Contractor)
-Por the project.located at. 5-02. 0-0 O1 .
(Project Street Address or Property Tax ID
It is understood that; if there is any change.of status.regardirig our participation. with the.above mentioned.
project; the Building and; Code Regulation Divisk Of St: Lucie_ County will be advised:pursuant; to the
filing ofa Change of Sub -contractor notice:
i
. .. ...
CONTRACTOR SIGNATURE(Qualirter) I_ SUS-C NTRAGTORSIGNAT natiGcr -
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER r COUNTY.CERTIFICATION NUMBER
State of Florida, County of �t ! State of Florida, County aIr !�
The oregoing instrument wassigned "be'foorre'jme this 13 day of The foregoing instrument was signed before me this Ia a day of .
20)B 1 I�.U7l. It & 20
who' oaallytmown �/ or has produced a who is a onall ku wn n has produced a r✓�
as' entif 'on asi icati n
STAMP STAMP
igiwture orNotaryubGc Igaaturo of otary Pn is
FARA D HER.NAND !"u FARA p HERNAND
=� MY.COMMISSION #FF172419 'i:`"
e�; '€ -MY-COMMISSION #FF172419
'}�'Fcrr` •. EXPIRES Ociober 28, 2018 ' ;
(407) 39g 0153 FloridallotarySer ice'xom
'of N PIRES Octotier 28..
(407) 39"153 FloridallotaryServicexom
.. ...
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Individual Name)
the PLUMBING
(Type of Trade)
For the project located at 4 '524-[ S—D 2
(Project Street Address or ]
have agreed to be
for A & G CONCRETE POOLS INC.
(Primary Contractor)
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.
I
CONIOlItFGNATURE (Qualifier)
JAMES T. LEONARD
PRINT NAME
Q1*1t
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST.LUCIE
The foregoing instrument was signed before me this as day of
ee ��20LI$,/by JAMES T. LEONARD
who �ersonaA known Y or bas produced
STAMP
of Notary Public
FARA D. HERNANDEZ
Print Name of Notary Public
FARA D HERNANDEZ
MY COMMISSION #FF172419
EXPIRES October 28, 2018
SIGNATURE (Qualifier)
JAMES T. LEONARD
PRINT NAME
25959
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. LUCI E
i
The foregoing instrument was signed before me this o7oZ day of
,2glb,by JAMES T. LEONARD
who i rsonally known or has produced a
as' en icati
STAMP
gnature of Notary Public
FARA D. HERNANDEZ
Print Name of Notary Public
FARA D HERNANDEZ,
a5
MY COMMISSION #FF172419
2018
•:+�oF�,a�;,�
EXPIRES October 28,
(407) 30"153
FloridaNOtarysLrvice.com