HomeMy WebLinkAboutsub agreementPERMIT# 2101-0637 ISSUE HT_
COUNT
F L O R I D R
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
John Groza (Y/;>Z� Euli_LrS Znc have agreed to be
(Company Name/Individual Name)
the Roof Sub -contractor for Groza Builders, Inc
(Type of Trade)
For the project located at 509 N. 43rd Street.
(Primary Contractor)
(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.
John Anthony Groza
16814
COUNTY CERTIFICATION NUMBER
State of Florida, County of yr• l _UUQ—
The foregoing instrument was signed before� me day of
l
who is personally known has produced a
as identification.
�4k k.
Signature of N t y Public
era i ivs L A
Print Name of N tarty Public
B-C TRACR SIGNATURE (Qualifier)
John Groza
PRINT NAME
CCC057012
COUNTY CERTIFICATION NUMBER
State of Florida, County of Sit- Wet R-
Thee �f�or"egoin"g' instrument was signedd before me this 9,q day of
zap by 7*6—K &f bzxC
who is personally known ✓r has produced a
as identification.
STAMP Vy �t�st�QT/ STAMP
of
tu Signare of Not rw Pu lic
K.e'll
Print Name of NotakyPublic
Kelly Finley
Revised 11n6/2016 V9/VC1'111;11
Notary Public
aState of Florida
Comm# HHOS2506
Expires 1/19/2025
QjhR q KellyFinley
da °n_ Notary Public
!State of Florida
Comm# HH082506
s�NPE 1910 Expires 1/19/2025