HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING& DEVELOPMENT SERVICES
1 Building& Code Compliance Division
FE
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT APR 12 201?
PEWAITTijNG
St. Lucie County, FL
a eed to be-
(Compare N dividual N e)
the r Sub-contractor for f
(Type o Trade) ! (Primary nhactor)
For the project located at
(Project Street ddress or Properly Tax lU
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.
CONTR�ORSIGNATUREJ(Qyet[fier) SUB-CONT O 1GNATURE(Qualifier)
�•�J J 1
PRINT NAME P AME
COUNTWICERTIFICATION NUMBKR COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of
The foregoing Instrument was signed before me this day of he foregoing instrument was signed before me this r_p�d�ay of�
.20 ,by 20,2 by \1 e 1 IYP[ /AZT!LP O S
who is personally known or has produced a who M 3 ZUVZF&5 is personally known or has produced o f E 29 I(�
as identification. tas identification.
STAMP STAMP
Signature of Notary Public nature to Publk
n
Print Name of Notary Public Print Name 6f Notary Public C�
CASEY D FRENCH
Notary Public-State of Florida
ply Comm.Expires Dec 1,2017
" FF 0699
•� s b "a Commission 24# Assn.
pd� ded Th gh National Notary'
Revised l 1/16/2016501,
W
i
I
PERMIT# i ISSUE DATE
i
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division ,
S;c s.
�- BUILDING PERMIT
SUB-CONTRACTOR AGREENIENT. AUG 0 ��!!
PEWAITTING
St. Lute County, FL
J.A. TAYLOR ROOFING INC have agreed to be
(Company Name/Individual Name)
the ROOFING Sub-contractor for GEM BUILDERS INC
(Type of Trade) (Primary'Contractor)
For the project located at 1621 MALLARD COURT, FORT PIERCE
(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
prn' uildin and Code Regulation Division of St. Lucie County will be advised pursuant to the
I
I
filin<- of a Ch to f Suh-contractor notice.
CO\rR ATURF.(Qualifier SIT-CONTRACTOR SIGN:\TCRE(Vunlifier) —_--
�w KYLE WHITE
1'1 \:\:IF. � � PRINT\:\\IF,
23018
N IN CF.RTIFICA'rION NC\IBF.It COIN"rl'C'ER'riF1C:\PION NUMBER
State of Ilorida,County oft. Stale of Flurida (bnnty of ST LUCIE
54
Thhr rurc�oing instrument ts:ts xigned before the lhis�dm ofof 1'hr foret oink instrument was signed before me Ihic 7th dad of
l�u l 21) by SLAS0i0 aort1 a AUGUST 2017•by KYLE WHITE
who is P erson:div known_nr hats produced a who is personally known XX or has produced a
I
as identification. as identifica inn.
STAMP
Signanu'c of\atan Public Si, a ure of Nutarg Public A\114t1111111(J!/
�`
h1C`aY�G`�� V mN J• NADINE MANRESA _ � y\)�S:�y'•.d'y�����
Print.Name ol'Notan•Public Print Name of Notary Public >�' ;�rpa,11 :. y
y-rb'. OFF 536050
;ot�,t.PUg�'c FRI;19CeS V d0ANS
fAas &+E�(iiR$SSIOVnGGD30D38
Revised 1 P16_01G 9l �O Oc1G er�•jQ20 // \�
6 oe` Son'_ — //UINIIn111\
aF FL .�;nn,e:.dg:t No:ay S:rvicrs
i
i