HomeMy WebLinkAbout120 Blue Grotto Subcontractor Affidavit Dave HPERMITS ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
T Building & Code Compliance Division
•
• BUILDING PERM11'
SUB -CONTRACTOR AGREEMENT
Dave Hlewiki (Streamline Pools)
(Company Name/Individual Name)
the Specialty Pool & Spa Sub -contractor for James Squires
(Type of Trade)
For the project located at 120 Blue Grotto
(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 Change of Sub -contractor notice.
1
James Squires
PRINT
CGC1507339
COUNTY CERTIFICATION NUMBER _
State of Florida, County of re Our' i is*
The foregoing instrument was signed before me this day of
who is personally known _or has produced a
as identifiestion. ,,� ,�li/
1 (207 L -zx_ &w , STAMP
Signature of Notary Public
(lon,m Cm-e-S
Print Name of Notary Public
MONICA OATES
u4t:Notary Public -State of Florida
Commission d HH 183646
My Commission Expires
Revised 11/162016 October 09, 2025
SUB-CON OR SICNA'TURE (Qualiriery
Dave Hlewiki
PHLN 1 NAME
CPC1458528
COUNTY CERTIFICATION NUMBER
Stale of Florida, County of1aCL%(kr d
The foregoing instrument was signed before me thus I S�day of
Noyemyt-r z0gjby�VPw�i�
who is personally known _or has produced ■
as identification.
STAMP
signature or Notary Public
iYlon�cn, Q�te S
Print Name of Notary Public
,�•' Y�. MONICA OATES
;p Notary Public -Store of Florida
Commission 1 HH 183646
,� My Commission Expires
'�" October 09, 2025