HomeMy WebLinkAboutSub-roofingPERMIT # ISSUE DATE
COUNTY
f L_.O R I n:&-�...�
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 Marc Richard/Focus Homes, LLC of Florida
(Type of Trade) (Primary Contractor) -
For the project located at
(Project Street
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 (Qualifier)
Mark Richard
PRINT NAME
32666
COUNTY CERTIFICATION NUMBER
State of Florida, County of Brevard
The foregoes instrommtwas signed before me this day of
()4)y Mark Richard
who is Personally (mown _or has produced
as identificadom
Signature of _ Fo6Iy
L
10A'zl,��;
SUB-CONTRACTOR SIGNATURE (Qualifier)
William Koch
PRINT NAME
26419
COUNTY CERTIFICATION NUMBER
Slate of Florida, County of Brevard
The foregoing instrumeat was signed before me ti a 1 � y of
20_2 {y William Koch
who is personally knows Xer but produced a
STAMP I ^'��.
STAMP
Sigoatur .Note
Print Name of Notary Public
RESECCAWEITZ
MY COMMISSION # HH 080345
EXPIRES: March 16, 2025
"oEo1+d ;Y� Bonded Thru Notary Public Underwrlters
Revised 11/162016
Print Name of Notary Pubfic
n: RESECCAWEITZ
MV COMMISSION # HH
s�u'n`O�EXPIRE 080345
,jjF p,,g,., S. March i6, 2025 —a�� d Thru Notary public Unde nvdta(A