HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
the
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code. Compliance Division
Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
Sub -contractor for
(Project Street Address or Property
OCT 16 2018
ST. Lucie caune '.—
(Primary Contractor)
have agreed to be
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 SIGNA (Qualifier)
PRWIC'NAME
�s0 aQ <Z
COUNTY CERTIFICATION NUMBER
s
State of Florida, County of
The foregoing
�� Instrument was signed before me this-` _ day of
6U— 20_, by ��� Yet ds ors
who is personally known ""' has produced a
,as identification.
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, Countyof—mati1L
�J,
The foregoing instrument was signed before me this )2� hday of
C6( 20l8,by Glenn rYXJIe1
who is personally known _or has produced a ri-0 L
J4, Je' 'f , I , - as de fifica�
STAMP
S guature of Notary Public
--------------
Print Name of atl'P e, LISA E VASQUEZ
+. `'-'• NotaryPublic-Stateof Florida
Commission # GG 147449
My Comm. EAplresJan 27,2022
Beaded tI n ugh Natiwal NotaryAnn.
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Jensen Beach Plumbing / Lonnie Culbertson
(Company Name/Individual Name)
the Plumbing Sub -contractor for
(Type of Trade)
ED
OCT 16 2018
ST. Lucie County, Ptirn
(Primary Contractor)
For the project located at 9500 S. Ocean Dr, Jensen Beach Bldg. 2- Unit 702
(Project Street Address or Property Tax ID #)
have agreed to. be
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.
CONTRACTO SIG ATURE (Qualifier)
R (C'&40 .
PRINT NAME
3oGoz�
COUNTY CERTIFICATION NUMBER
State of Florida, County of 19
`v
The foregoing instrument was signed beforeme this
,�_day of
OC{-� 2(l by &-(L' dC) A(--
who is personally \
hnow4or has produced a ��qq
as identification.
/ WRE (Qe��
vSUB-CONTRA�'SA�RE (Qo er)
Lonnie Culbertson
PRINT NAME
24654
COUNTY CERTIFICATION NUMBER
State of Florida, County of Martin
The foregoing instrument was signed before me this 1 5 day of
October 20_ by Lonnie Culbertson
who is personally known _or has
as identification. -,
Jaclyn Wilson
Revised 11116n016