HomeMy WebLinkAboutSegundo Sub FormEPERMITp I -- ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMEff!
AL ROOFING SYSTEMS THE METAL ROOF EXPERTS INC.
have agreed to be
the ROOFING Sub -contractor for SEGUNDO MALDONADO
(Type of Trade) (Primary Contractor)
For the project located at 5141 NW DUNN RD FORT PIERCE, FL 34981
(Project Street Address or Property Tax ID N)
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 veil] be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualiner) "">>'' �'� CTDR SIGNATURE(Qualifev)
5oa f4 0 i/a 1010 1,' CJ `� DULCE B. LARA / CCC1332346
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1444r_1/7
The foregoing instrument was signed before me tbisa)� 2" day of
eta '� mat by _9�eandO Alalt- x9 /o
who is personally known)C_or has produced a
as identification. / —\
Signature of Note it (/-
_f�eeevek. 34:�
Print Name of Notary Public
q>e` <o THERES:Notary
Revised 1111617 6s?f`�,\¢Notary Public da
=.• `y4 Comrriwon
`!or rs My Conlm. Expi22
Bonded through Natiossn.
COUNT CERTIFICATION NUMBER
State of Florida, County of MARTIN
The foregoing instrument was signed before me this day of
leW-V� •mil, by Aurce Li Ltt.f�i
Who is personally known !\ or has produced a
as ides 'Rutiaa.
STAMP
Signature of Notar pu t
�ercsa Jae.
Pnut Name of Notary Public
THERESA JAFFE
Notary Public . State of Ful Ida
301
14 CamM, Expres Apr 1.?W2
fiontied through Natlonel Notary Assn.
STAMP