HomeMy WebLinkAboutSUB CONTRACTOR DEAN ROBERTSPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
t ' J - = Building & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
1 1 �_
UU I F— s if; (� 6o,�d ► fi 61111 AIC� @t�Jc'E. 1 have agreed to be
(Company Name/Individual Name)
the _NV4 � I Sub -contractor for DETAILED ENTERPRISES INC
(Type of Trade) (Primary Contractor)
94C rQ,
For the project located at /2 P;,,e T,Z e Dr_ F/�� �� �j �a CO C7 SO
(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.
CONTRACTOR SIGNATURE (Qualifier)
HAROLD DEAN ROBERTS
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
20_, by
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
Revised 11/16/2016
® SUBS RAC -TOR SIGNJAT'UREEEyy(Qualifier)
PRINT N//A�� ME Cb C/7 .^)0 � "� 3 %
/ /
COUNTY CERTIFICATION NUMBER
State of Florida, cnnnry of The foregoing instrument was signed before me this" Y day of
�/ ,20 1by �Ct. LS 1011 'of
I
who is personally ka -&or has produced a
as identification. i/
� 14 ` - STAMP
Signature of 'otar: tic �4i�lt
Denise Loper
Commission # GG082160
Print Name of Notary Public --.,�+ Bonded thMa AZ 6 Notary