HomeMy WebLinkAboutSub-roofPLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Koch Roofing/William Koch have agreed to be
(Company Name/Individual Name)
the Roofer Sub -contractor for Mark Richard/Focus Homes, LLC of Florida
(Type of Trade)
For the project located at
(Project
or
(Primary Contractor)
i
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.
CONTRACTOR SIGNATURE (QeaMer)
Mark Richard
PRINT NAME
32666
COUNTY CERTIFICATION NUMBER
StateofFlorida,Conatyof Brevard
The foregoongmrtroouu,twassipedbefiore me" 1-dayof
fit) J 20 , by Mark Richard
who is personally known -)(,or has produced a
u idenhrv{lion.
%' .. STAMP
s4patureerNotan ab6c
�___�
Priat Name of NJ.
_
K ee+ REBECCAWEITZ
MY COMMISSION #HH080345
•r,ao; EXPIRES: March 16, 2025
Bonded Thru Notary Public Underwriters
Revised 11116C016
, e 01A', � ��;
SUBCONTRACTOR SIGNATURE (Qualifier)
William Koch
PRINT NAME
26419
COUNTY CERTIFICATION NUMBER
Slate of Florida, County of Brevard
The foregoing instrument wu sigued before me"1, day of
1!G)yi 20_by William Koch
Who is penomlly knowu Xor has produced a
as idFBtlfi a iiou`, .
O
Signature of Nyary Pu6B{ STAMP
Print Name of Notary PabGc
9upa"n'ew.e''mn=----�---maw
�;;., REBECCAWEITZ
' ..••• ••��g�'V MY COMMISSION # HH 080345
"� � EXPIRES: March i6, 2025
c"°L"•P' Bonded Thru Notary Public Undenvrilers
PERMIT # ISSUE DATE
COUNTY
R-E o.-'H -
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Koch Roofing/William Koch have agreed to be
(Company Name/Individual Name)
the Roofer Sub -contractor for Mark Richard/Focus Homes, LLC of Florida
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Adaress or Property
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.
czw Ef ,
CONTRACrOR SIGNATURE (Qualifier)
Mark Richard
PRINT NAME
32666
COCINTY CERTIFICATION NUMBER
State of Florida, County of Brevard
The foregong msfromeotwassgaed before medd, lz)dayof
G%,% Zo 4by Mark Richard
who is personally knowa_)(-or has produced a
as identirreation.
STAMP
S' mre ofNa Pobse
Priat Name of Notary Public
REBECCAWEITZ
€, ' MY COMMISSION A HH 080345
/nZ EXPIRES: March 16. 2025
' 'O' Bonded Thru Notary Public Underwriters
.y,:P`
Itcwised II/162016
ct/J?�
SUB-CONTRACrOR SIGNATURE (Qualarcr)
William Koch
PRINT NAME
26419
COUNTY CERTIFICATION NUMBER
State of Florida, County of Brevard
The foregoing imtrumeat was signal before we this t'_� day of
NO') 2o—,21by William Koch
who is penonaliy known Xor has produced a
as identification.
STAMP
Sigua ure or Notary Public
df
PrmtName of Notary Public
�`«+ MY COMMISSION#HH080345
E.,_, p�:' EXPIRES: March 16, 2025
°r "° R Bonded Thru____ Noiary P�hpo Undenyrilers
PERMIT #
ISSUE DATE
COUNTY_
F L, ,D R E O A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Koch Roofing/William Koch have agreed to be
(Company Name/Individual Name)
the Roofer Sub -contractor for Mark Richard/Focus Homes, LLC of Florida
(Type of Trade) (Primary Contractor)
For the project located at LgLe a 3
(Proiect Street Ads
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.
CzW — , -_
CONTRACTOR SIGNATURE (Qualifier)
Mark Richard
PRnYT NAME
32666
COLTNTY' CERTIFICATION NUMBER
State of Florida, County or Brevard
The foregoing instrnnat was signed before one, this of
of
Ai✓J 2dj6by Mark Richard
who is persona known -)(or has produced
as idendl a io
STAMP
Swal*,3pomotwy Poo e
Prini Naote of Notary Pubkie
REBECCA WEITZ
U'
MY COMMISSION#HH 080345
EXPIRES: March 16. 2025
."'FpFP�P`•' Bonded Thru Notary Public Undomritors
Revised I I/I&C
/, 1A a,, iZ
SUB-CONTRACTORSIGNATURE(Qaak'ifi r)
William Koch
PRINT NAME
26419
COUNTY CERTIFICATION NUMBER
State of Florida, County or Brevard
The foregoing instrunentwas Biped before me tki day of
,,A-)'•%-) .20 _3 b, William Koch
who is personally known _Kor has produced a
as identification.
_ STAMP
SipPuPnntNaneo".f K.t.,ta�Y PabGc
EN
``;P\T, Sondatl Thm Notary Puhl e U denv5ritors