HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division fiELEryED
BUILDING PERMIT APR 121010
SUB -CONTRACTOR AGREEMENT Permitting
ern
St. Lurie Counh
,,TANNED
BY
For Him Plumbing/ Dale Hammond -t I UCIe county
have agreed to be
(Company Name/Individual Name)
the Plumber/Cert#28754/State CFC1428915 Sub -contractor for Cooke Construction, Inc.
(Type of Trade)
(Primary Contractor)
For the project located at ago() S Ocean f)rive Qpt 1307, Jensen Raarh, FI 3d957
(Project Street Address or Property T. 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)
AL-k"'r' C��e
PRINT NAME
29081
COUNTY CERTIFICATION NUMBER
/�/
State of Florida, County of / "�i�1",
4
The foregoing instrumentwassigned before me this u day of
by f\
w is persouany kno has produced a
as
SUBCONTRACTOR SIGNATURE (Qualifier)
DqF 'e-
PRINT NAME
L8"15"f
COUNTY CERTIFICATION NUMBER
State of Florida, County ofrn
The foregoing instrument was ed before me
this ( of �%
F=b Zn �I-'s7e E is 7�c,Wm01,
who is
has produced a
GV v U \ v - / STAMP
i nature of Notary Pubic „ WALTER 0 PAYNE-11 tore of No Publi0111116
c
q �[ ;':ui` „e Notary Public Slate of Florida n
�[ Ij' Y'r- �,WALTERDPAYNE-II
Lf/4 \I C �a .'•_ Commission #.GG 24467 w[7 E v �� 'i` °t Notary Public - State of Florida
Print Name of Notary Public '•n, �. - �,a Comm. Expires Aug 25,5202 _ Commission # GG24467
of ,s , of Name of Notary Public
,e Bonded through National Natary Assn. i; ape Niy Comm'. Expires Aug 25,:2021
Revised 11/162016