HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Excelsior Construction & Roofing
have agreed to be
(Company Name/Individual Name)
the Plumbing Sub -contractor for Excelsior Construction & Roofing
(Type of Trade)
(Primary Contractor)
For the project located at 13 Majestic Way, Fort Pierce, FL 34949; 1414-701-0172-000-2
(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 Change of Sub -contractor notice.
CONTRACTOR SIG RE (qualifier)
ZeUia/ P. �yt4�?/iASz�
PRINT NAME �-
COUNTY CERTIFICATION NUMBER
State of Florida, County of *1 P,
The foregoing instrument was signed before me this day of
AbWAAelr , 2020, by ,fie!/%y 9,
who is personally kr
as yl tifica on.A
IAI �
�rgnesure or iNorary
M�Ga�
Print Name of Notai
Revised 11/16/2016
has produced a
STAMP
Notary Public State of Florida
Michael A Poslaiko
Wyy Commission GG 957928
Expires 02/12/2024
SUB -CONTRACTOR SI RE ( alifier)
PRINT NAME
99702
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this ay of
(; 20A?a by
� �+fil/JriV /
who is personally known V or has produced a
as
STAMP
Notwy Public Stets of Florida
el A Poslaiko
V` j Expires 0Commiss2/2 24 ion GG 957928
Vyti
the
For the -project located at
P LANNING & DEVELOPWWNT SE RVICES
RuRding & Code Compliance Division
Su"ve, PFJMWf
SUB -CONTRACTOR AMMIENT
bave, agreed to be
S ub- �
contractor. for ,,-ejA , .4 9
Oltm,ty
i I P
It is and er-50odthat, if the is any cbangeof smtusruing otirparticipation with the above ,mentioned.
Project, the Building and Code RegdaSon, j)ivisiori of SL Lucie C=�V, will be advised pursuant, to the
filing of a Change ofSub notice.
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Notary Public State of
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My Commission GG 957926
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