HomeMy WebLinkAboutINSULATION SUBPERMIT # ISSUE DATE
L �Y
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
MER Enterprises, LLC
(Company Name; Individual Name)
the Insulation
(Type of Trade) _
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
. have agreed to be
Sub -contractor for Homecrete Homes INC
(Primary Contractor)
For the project located at 1206 Royal Palm Blvd
(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
filt)'q of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
"' �(r5z+ (2f alv—
PRINT NAME
CGC,oLrla 376
COUNTY CERTIFICATION NUMBER
State of Florida, County of S 1) 1
The foregoing instrument was signed before me this 9L--L day of
20a, by L4_:....:.
who is personally known or has produced a
as identification.
��7..t. ofNot.,y�ftblic
Print Name of Notary Public
r r-�
SUB -CONTRACTOR SIGNATURE (Qualifier)
�I Kk&-aa5
PRINT NAME
COUXTVCERTfFICATr0N NUMBER
State of Florida, County of :�st—Luo- -
The foregoing instrument was signed before me this _ day of
20 by zt
C.
who is personally ]mown V or has produced a
as identification.
STAMP
ifnatare of o Pu hc�
Print Namelof Notary Public r
t� Notary Public State of Florida , r.�, KELLY Lrouw
Melissa D Showman r aw kaa ypubli;-State of flaida
Revised 11/16/2016 My Commission GG 294495 ,^ : :C-,lt, =rG sa!:+=
QN-fi Expires 01/2412023 m.
My Com. Expires Jul 1.2022
Sorded throuYh \aticral \ctary Assn
STAMP