HomeMy WebLinkAboutSteve Frontera Sub Contractor Agreement - Polhemus Garage_7 PERMIT # aO05 _ DO �9 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Co iun�J77}_ y 1;nmGllntlividual Name)
the
(Type of Trade) --
BUILDING PERMIT
SUB -CONTRACTOR .AGREEMENT
have agreed to be
Sub -contractor for HOMECRETE HOMES INC
(Primary Contractor)
For the project located at 3532-503-0030-000-6 11001 S INDIAN RIVER DR
(Pl(icci Street Address or Ptoperty'Fax ID #)
It is understood that, if there is any change ot'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
fit n of a Cha g of Sub -contractor notice.
( :' I'R. 'TOR SIGNATURE (Qualifier) _- - -
PNIV' h
COUM1Ti' C W 7CA ,O N'LAI lit K _.
State of Plnrida. County of
The
foregoing instrumentnvs signed before me this a) of
who Is personalty known _or has produced a —
as iidde�nli�fficadon. //,��f
l� NYI 'T � / I L- STAMP
tt'gnfmre of NatanPublic
i�P.�$cri� Sltir�ti 1,(U�n.�
Print Vnme of Votary Public
Notary Pubte State M floods
Ay�Yf_y.�/`R Melisae D ShOurtnan
µ/ CorrlltYaalest GG 2Bd4B5
tiri+r.l 1I o Eo4Ataa 01/[4/2023
4
R -(Or, :1(- TOR sm' ATCRE( —
PRINT NANIF,
sic. i?iUIIOa0
C(IUN'I'1' C'ERTIFlC.4TION NUM1IBER
State of Fluiida. county or S, I(—,LQ,.
l'he 1lveguing instrument n'us signed berure but. this duy ul'
w'hu Is personally kuuwn _or bas produced a
xs idt•ntilicntipn.
STAMP
Signnturi of Votary Public
no e:��L
Pr{ntoNnnsa I ,oY Nntnn Public
Rge
COUNTY
IF:..L
0 R 1
D A"'
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Co iun�J77}_ y 1;nmGllntlividual Name)
the
(Type of Trade) --
BUILDING PERMIT
SUB -CONTRACTOR .AGREEMENT
have agreed to be
Sub -contractor for HOMECRETE HOMES INC
(Primary Contractor)
For the project located at 3532-503-0030-000-6 11001 S INDIAN RIVER DR
(Pl(icci Street Address or Ptoperty'Fax ID #)
It is understood that, if there is any change ot'status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
fit n of a Cha g of Sub -contractor notice.
( :' I'R. 'TOR SIGNATURE (Qualifier) _- - -
PNIV' h
COUM1Ti' C W 7CA ,O N'LAI lit K _.
State of Plnrida. County of
The
foregoing instrumentnvs signed before me this a) of
who Is personalty known _or has produced a —
as iidde�nli�fficadon. //,��f
l� NYI 'T � / I L- STAMP
tt'gnfmre of NatanPublic
i�P.�$cri� Sltir�ti 1,(U�n.�
Print Vnme of Votary Public
Notary Pubte State M floods
Ay�Yf_y.�/`R Melisae D ShOurtnan
µ/ CorrlltYaalest GG 2Bd4B5
tiri+r.l 1I o Eo4Ataa 01/[4/2023
4
R -(Or, :1(- TOR sm' ATCRE( —
PRINT NANIF,
sic. i?iUIIOa0
C(IUN'I'1' C'ERTIFlC.4TION NUM1IBER
State of Fluiida. county or S, I(—,LQ,.
l'he 1lveguing instrument n'us signed berure but. this duy ul'
w'hu Is personally kuuwn _or bas produced a
xs idt•ntilicntipn.
STAMP
Signnturi of Votary Public
no e:��L
Pr{ntoNnnsa I ,oY Nntnn Public
Rge