HomeMy WebLinkAboutLot 7 - Roofing SubAgreementPERMIT # ISSUE DATE
COUNTY.
F L -0 , P. I I? A -
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
St. Lucie Roofing/Jeffrey Hampson
(Company Name/Individual Name)
the Roofing
(Type of Trade)
BUILDING PERMIT
SUS -CONTRACTOR AGREEMENT
Sub -contractor for PB Built
For the project located at Lot 7 - 132 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
Sub -contractor notice.
CON ACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of tt- Wa,
The foregoing instrument was signed before me this 4— day of
20 ti by
who is personally known ✓ or has produced a
Cidentficaton
5 g ure o Notar blic�
'fin Naan k De
me of Notary Public
SLB-CO: RAC bR SIGNATURE (Qualifier)
Jeffery Hampsom
PRINT NAME
CCC1330816
COUNTY CERTIFICATION NUMBER
l
State of Florida, County of � � C4
The foregoing instrument was signed before me this day of
0Ctb�Yi1
who is personally known 1/ or has produced a
as identification.
pgwz
STAMP STAMP
Signature of Notary Public
Constance Proulx
Print Name of Notary Public
a2i2:
NIFER DAVERSA blic •Stateof F�orierssion �HH 05635'. Expires Oct 22, 2G24 h National Notary Assr.
Revised 11/16/2016
�PPYpU��i CONSTANCE PROULX
State of Florida -Notary Public
*_ Commission # GG 258328
My commission Expires
''+ma September 16, 2022