HomeMy WebLinkAboutLot 9 - Roofing SubAgreement__ .. 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 9 - 140 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
filin of Chang of Sub -contractor notice.
rINT
T S RE (Qualifier) SLTB-CO: TRACTOR SIGNATURE (Qualifier)
Jeffery Hampsom
ME - PRINT NANIE
32 so
COUNTY CERTIFICATION NUMBER
State of Florida, County of&U&a .
The foregoing instrument was signed before me this day of
rel
S ae.- , 20 7A by
who is personally known ✓ or has produced a
as identification.
g ure o Notar blic
Print Name of Notary Public
CCC1330816
COUNTY CERTIFICATION NUMBER
/ 1
State of Florida, County of (i/ 4—
The foregoing instrument was signed before me this day of
Ob�y�'cFFO
who is personally known V or has produced a
as identification.
5TAA1P I
STAiVIP
Signature of Notary Public
'Constance Proulx
Print Name of Notary Public
JENNIFER DAVERSA
Notary Public - State of Florida
My CommComm. Expires Oct 22 52024
Revised 11/16/2016
:or.oed through National Notary Assn.
C 0 N S T A N C E P R 0 U L X
PU91 i
� a���s State of Florida -Notary Public
+; Commission # GG 258328
,,.p�F.,�' My Commission Expires
September 16, 2022
9