HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT-ROOFING PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Treasure Coast Roofing LLC have agreed to be
(Company Name/Individual Name)
the Roofing Sub-contractor for Bela Vista Contractors, Inc.
(Type of Trade) (Primary Contractor)
For the project located at 5608 Palm Drive, Fort Pierce, FL 34982 (Property Tax ID #3402-609-0158-000-4)
(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.
n
CO CTOR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGN (Qualifier)
Marcia C. Silva Z r
PRINT NAME PRINT NAME
31942 CCC/33 oG 5-J
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of c
The foregoing instrument was signed before me this 30fh day of The foregoing instrument was signed before me this day of
June ,21121,by Marcio Silva ;Tne - ,202', byLyan iz� z!7_'2/r,&zg4
who is personally known X or has produced a who is personally known_or has produced a
as iden.is as identification.
STAMP _ STAMP
ignatare of Notary Public 5' tare of Notary Public
Hudson Lopes
Print Name of Notary Public Print Name of Notary Public
!} ,: HLOSON LOPES - - — --
�; . MY COMMISSION#HH 134718
�yry,cS�� .�y� ,,,,+,,,�. JOSHUA REDHEAD
r EXPIRES;July 7,2U25 `,tiN'Y PUp�i
H>DNcUraferrrlhra ,2o c",Notary Public-State of Florida
_• *_ Commission # GG 311365
Revised 11/16/2016 >FOFa��- My commission Expires
March 13, 2023