HomeMy WebLinkAboutsub agreementPERMIT# aIQI — of-79 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
John Groza
(Company Name/Individual Name)
the Roof
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Groza Builders, Inc
(Primary Contractor)
For the project located at 2825 S. Brocksmith Rd.
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.
CON CTOR TGNA UR ( ualifie V
John Anthony Groza
PRINT NAME
16814
COUNTY CERTIFICATION NUMBER
State of Florida, County of �l .Ulci
The foregoing instrument was signed before me this _Lt day of
_ bt-(, ALJ, , zo zi , by Alultw.aa
who is personally known ✓or has produced a
as identification.
Iu&STAMP
Signature of No ry Public
V.e.tty fi�tltu
Print Name of Not ry Public
KODY F1016Y
opVC,
Notary Public
Revised 11/16/2016 State of Florida
Comm# HM082506
yExpires 1/19/2025
Z'6_44
SUB- CTO SIG 7 RE (Qualifier)
J , n Groza
CCCO57012
COUNTY CERTIFICATION NUMBER
State of Florida, County of .54-ULI-1 0-
The foregoing instrument was signed before me this 2-q day of
EC , zo 2l , by ;�`i L, 6*oz r
who Is personally known ✓r has produced a
as identification.
Signature of Nota zlyublic
1Z"c. ifnlul
Print Name o `otary Public
Keily Finley
d os Notary public
a State of Florida
$ Commit
HH082506
faro f lelro Expires 111912025
11912025
STAMP