HomeMy WebLinkAboutSub-Contractor Agreement (2)PERMIT # ISSUE DATE
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 - r -7 o
Street Address or Property ibx ID #)
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 (Qaafifier)
Mark Richard
PRINT NAME
32666
COUNTY CERTIFICATION NUMBER
State of Florida, County of Brevard
The foregoes instrommt wassigoed beforeme this dayof
}ZJ 20i by Mark Richard
who is permoaay known _)( or has produced a
as identirmatiou.
/' 1 _____. STAMP
siguaum of Notary ohfie
Print Name
• ` pAY•Fj'•
_zo;.• • a�n REBECCAWEI?Z
MY COMMISSION # hIH 080345
AEXPIRES: March 16, 2025
Bonded Thru Notary Public Underwriter®
Revised 11116P-016
/'xe�
SUB -CONTRACTOR SIGNATURE (Qualifier)
William Koch
PRINT NAME
26419
COUNTY CERTIFICATION NUMBER
state or Florida, County of Brevard
The foregoing instrument was signed before me this day of
William Koch
who is personally known Xor has produced a
as identification. -----
`STAMP
N Siguaturc otprfPublic
Print Name of Notary Pubfic
REBECCA WEIT2
MY COMMISSION#HH080345
•�' EXPIRES: March 16, 2025
Bonded Thru Notary Puhlic Underwriters