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HomeMy WebLinkAboutLot 20 - Roofing SubAgreement PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES a. Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT St. Lucie Roofing/Jeffrey Hampson _ _ _ have agreed to be (Company Name/Individual Name) the Roofing Sub-contractor for PB Built (Type of Trade) (Primary Contractor) For the project located at Lot 20 - 1_51_Ocean Estates Drive (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 ange f Sub-contractor notice. CO S ME(Qualifier) SUB-CO: TRACTOR SIGNATURE(Qualifier) etc Jeffery Hampsom PR T NAME _ PRINT NAME CCC1330816 COUNTY CERTIFI ATION NUMBER COUNTY CERTIFICATION NUMBER �l ' . 1 State of Florida,County of�urt� State of Florida,County of yS[W C-44— The foregoing instrument was signed before me this '1 day of The foregoing instrument was signed before me this day of 20:by cc, 0 C+ 20.�_�by7C- FIE who is personally known V or has produced who is personally known / or has produced a a 'dentification, as identification. STAMP , STAMP Sign ure of Notary Flic Signature of Notary Public Constance Proulx Print Name of Notary Public Print Name of Notary Public o�rTY r`oe4.: JENNIFER DAVERSA r?/-� •,; Notary Public-State of F+orida Commission#HH 05635, ?OFF. My Comm.Expires Oct 22,2024 CONSTANCE PROl1t X yPPY P�B'4 Bonded through National Notary Assn, State of Florida-Notary Public Revised 11/16/2016 _• +_ Commission # GG 258328 °P� My commission Expires °`P` September 16, 2022 ua s