HomeMy WebLinkAboutSUB CONTRACTOR AUTHORIZATION PERMIT# 21 02-0191 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- - - Building & Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Tesla Energy Operations/Daniel Fonzi have agreed to be
(Company Name/Individual Name)
the Roofing Sub-contractor for Tesla Energy Operations/Nicholas Armstrong
(Type of Trade) (Primary Contractor)
For the project located at 426 Gasparilla Avenue Port St Lucie, FL 34983
(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-c tractor notice.
CONY CTO GNATURE(Qualifier) SUB-CONY TOR SIGNATURE(Qualifier)
Nicholas Armstrong Daniel Fonzi
PRINT NAME PRINT NAME
I
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of.yUa State of Florida,County ofZ1[210�Lc
The foregoing instrument was signed efore me this day of The foregoing instrument was signed before me this Z_-5M day of
F?,b ,20_1-1yby t? HdQ ,20_,by L>awliG (= w—
�
who is personally known'�or has produced a WA who is personally known x or has produced a
as identification. as identification.
STAMP STAMP
Signature of ' ary Public Signature of Notary Public
1AShleA.1 N. Taal a r Ashler N. 721-NI o
Print Name o Notary Public Print Name or Notary Public
v►" ixpires
otary Public State of Florida �.�sr Notary Public State of Florida
shley N Taylor
y Commission GG 149324 % Ashley N Taylor
Revised Il/16/2016 orwP 1010s12021 My Cos iationGG149324
atid� Expires 1010812021