HomeMy WebLinkAboutsubPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
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Ameri-Tech Plumbing
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the Plumbing Sub -contractor for Black Street Enterprises, LLC
(Type of Trade) (Primary Contractor)
For the project located at 2101 N 53rd Street, Fort Pierce, FL 34946
(Project Street Address or Property Tax ID #)
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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. .
�ONTRACToh SIG ATURE (Qualifier)
Lionel J Dunbar
PRINT NAME
26256
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
4Tforegoing instrument was signed before me this/- day of
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(2019, by
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personally known is
_or ha p duced a
as identification. x O
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ST NIT 05
Signa re of i otary Public
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Kristina Davis
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Print Name of Notary Public
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Revised 11/16/2016
11 /A4111111194
SUB -CONTRACTOR SIGNATURE (Qualifier)
Mark White
PRINT NAME
19769
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
Th foregoing instrument was signe efore me thi�� day
2019, by
is pejanally known "'or has produced a
as ide ification.
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Kristina Davis
Print Name of Notary Public
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