HomeMy WebLinkAboutROOF SUB PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
BUILDING PERMIT
SUB-CO\TRACTOR AGREEMENT
+t.u-c.,_ Wo n have agreed to be
(Company Name individual Name)
the J)UU Fif-\L_ Sub-contractor for HOMECRETE HOMES INC
- (Type of Trade) (Primary Contractor)
For the protect located at 3409-505-0014-000-5/ 1408 LONE PINE DR
(Prqject Street Address or Property Tax ID u)
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
tilin 7 f a Change of Sub-contractor notice.
fCo' AACTOIGNATUR '((Qualifier) SUB-C NTRACTOR$1 NATURE(Qualifier)
I 0 Out
RS E.(C. /
PRiNT V vNIE PRINT NA:
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COUNTY CERTIFICITIOX NUMBER COUNTY CERTIFICATIONMNUMBER
State of Florida.County ortt }(-1 — State of Florida.Count of Ir r�K-1 Ir1
The foregoing instrument was signed before me this 4 1 dad of Thehforegoing instrumeni"assigned before me this Ili da}of
At 20P- he��rf CPA f�l t e t 1' 21�,b} rt._- Eiz rA-fz_
who is personally known✓ or has produced a w ho is personally known X or has produced a
as identification. as id,
nf cation.
` �. STAMP 2fX STAMP
ignaturc of Notary Public Signature of Notary Public 1
M P l i sw h. 0AK.fttc.t-1X f--?_A Al 7►�wTa�,
Print Name of Notary Public Print Name of Notary Public
REED
c State of Florida
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