HomeMy WebLinkAboutSubcontractor agreement, insulationPERMIT # ISSUE DATE
1
�COUNT�
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A
Gale Insulation
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name/Individual Name)
the Insulation
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Bela Vista Contractors, Inc.
(Primary Contractor)
For the project located at 601 North 39th Steet, Fort Pierce, FL 34947
(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.
A4�za
C 7 &TRACTOR SIGNATURE (Qualifier)
Marcio Silva
PRINT NAME
CG C 1508411
COIL' NI` Y CERTIFICATION NUMBER
State of Florida, County of Broward
The foregoing instrument was signed before me this
February 2021,by Marcio Silva
who is personally known X or has produced a
as ide fi
Signature of Notary Public
Hudson Lopes
Print Name of Notary Public
11th day of
J
SUB -CONTRACTOR SIGNATURE (Quahf"ier)
Paul W. Hash
PRINT NAME
CGC1512179
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
The foregoing instrument was signed before me this 4
February. 20 21 byPaul W. Hash
who is personally known X or has produced a
as identification.
STAMP
gnature of Notary Public
Jennifer Sweet
Print Name of Notary Public
HUDSON LOPES
MY COMMISSION #GGf21027
� * EXPIRES. July 7, 2021
Bonded Thru Notary Public Undermbis
day of
STAMP
JENNIFER SWEET
y0. Ala
• MY LOMMiSSION # HH 047613
EMPIRES: January 29.2025
'•:desi�?, B~"NotaryPuhfiCli ars
Revised 11/16/2016