HomeMy WebLinkAboutLot 23 - Roofing SubAgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie Roofing/Jeffrey Hampson
(Company Name/Individual Name)
the Roofing
(Type of Trade)
Sub -contractor for PB Built
For the project located at Lot 23 - 139 Ocean Estates Drive
(Primary Contractor)
(Project Street Address or Property Tax ID #)
have agreed to be
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 Chinge of Sub -contractor notice.
�OXKCTOR SIGN RE (Qualifier)
r1r
IfR1NT N IS
COUNTY CERTIFICATION NUMBER
State of Florida, County of . Lt,,L)
The foregoing instrument was signed before me this 4— day of
20_!J by
who is personally known 1__0'r has produced a
as identification,
\ a_ture of No�t�rpPu�blic
Print Name of Notary Public
sLB-CO: TRACTOR SIGNATURE (Qualifier)
Jeffery Hampsom
PRINT NAME
CCC1330816
COUNTY CERTIFICATION NUMBER
1
State of Florida, County of a� (� "-
The foregoi
ng instrument was signed before me this a day of
C 1 .20 (, byy�CFF kp . ' IzY�
who is personally known V or has produced a
as identification.
r
STAMP STAMP
Signature of Notary Public
Constance Proulx
Print Name of Notary Public
Notary Public $
Revised 11/16/2016
r'iP"Y��e"••. JENNIFERDAV.RSA
��' tale'",c''�= CONSTANCE PROULX
<: ` ipPv PUD�i
`; • a• Commission # HH C5o35' ; o ,�. � o i My Comm. Expires Oct 22, 20� , �c State of Florida -Notary Public
Commission # GG 258328
Bonded through National IN
assr. ":
_ 9�.o�f.nP,� My Commission Expires
„u September 16, 2022
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