HomeMy WebLinkAboutNew Sub-Contractor AgreementIIPERMIT # 12109-0420 I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
COASTAL PALMS CONSTRUCTION LLC
(Company Name/Individual Naive)
the Division 1 Contractor
(Type of Trade)
Sub -contractor for PDKRoofing.lnc
(Primary Contractor)
For the project located at 1914 Royal Palm Dr Fort Pierce, FL 34982
(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 Change of Su cont actor notice.
CONTRACTOR SIG ATURE (Qualifier)
Dee Keihn
PRINT NAME
CCC1331408
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this I �y day of
O CAUlpr2y , 20% 1, by OP —AL KC
who is personally known 3C or has produced a
as identification.
of
LJ- L(y
Print Name of Notary Public
STAMP
ALEXANDERAGUIRRE
MY COMMISSION # GG 234811
EXPIRES: July 4, 2022
Revised 11/16/2016 '°.FOFFti?P'
Bonded Thru Notary Public Underwrlters
PRINT NAME
31099
COUNTY CERTIFICATION NUMBER )
State of Florida, County of J G( ° 1 I ` L" C_ d%^
The foregoing instrument was signed before me this day
1, � day of
C'41 1)Y'� , 2(J, by % / ^ CT f
who is personally known or has produced a
as enti c ion.
STAMP
igna ure of Nota Public
0 e'e-
Print Name of Notary Public
DEE KEIHN
MY COMMISSION 8 HH 15509�
EXPIRES: November 18.?A2b
%..,oi MR•' BondediM�NotteYPublictJndel m