HomeMy WebLinkAboutGallo Voc's�'"E�11� NTNG & DEVELQ�PIV�EI TSERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUIS -CONTRACTOR AGREEMENT
have agreed to be
( any Name/Individual Na Franco Construction Inc
the Pk unY b Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at 6000 Petticoat P1, Fort Pierce, FL 34982
(Project Street Address or Property 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 Cha e of Sub -co actor notice.
Co yS3-CO R SIG4ATURE (Qualifier)
T U
3,CtSIGNATURE Qualifier)
NAME
4c,19 -t+ C (,r -t 51 al \1
COUNTY CERTIFICATION NUMBER
State of Florida, County o • 1 yy
The q/foregoing instrument was signed before me this d � day of
who is personally known has produced a
as identification.
STANIP
Si ature of Notary Public
RAV PUBS 3ENKAL. F4ZANC0
o slon # GG 326779
Print Name of Notary Public r �* expires AP6129, 2423
N�9pFo�F�°e° Bandadihn,BudgetNota7Nic"
Revised 1 111 6120 1 6
171\v1a�c-
PRINT NAME
0055
COUNTY CERTIFICATION NUMBER
State of Florida, County of . 0 {� y
The foregoing instrument was signed before me this i` Imo' •day of
2libyLvtc�
who is persaually known &or has produced a
'dueniilication.
STAMP
Signature of Notary Public _._.
Print Name of Yatary Pu `� r
p ftp ,Sii`11��
PTRMT #-
OUNTY
D A
ISSUE DATE
PIA NG &DEVELOPPENT SERVICES
Bu ddbg & Code Compliance Divisi0t)
BUILDtNo PF�VMIT
-SUB-CONTRACTOR A(;RFXMVW
I vc ug -
la !reed to be
SOmy Namv1ftdMd=1 Nam)
n-, q,
thefaze Franco CWWUCtion InC
(Pn=ry C , unmom)
(Typr of Tmd�)'
For the project is ted at 6000 Petti�at P', Fort P'L'=' FL 34982 -
i proj&-i F&,vt -.kdJn-vt 4w Propaty T= I D
It i,-, gaTg Our parti.;ipati*,n with o bove ntioned thuuaun&mtood that, if there is any change of S TCdi-a
sw�LL
project, the Building and Con Divl$
o& Re of St. Lucie, County will be adNiscd PtWzu=t to the
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