HomeMy WebLinkAboutSub-roofingPERMIT # 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 S LID
(Project Street Address or
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.
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CONTRACIOR SIGNATURE (Qualifier)
Mark Richard
PRINT NAME
32666
COUNTY CERTIFICATION NUMBER
State: of Flo Ada, Cauuty of BP6Vafd
The foregoes instrumeat was signed before me this day of
rO,od 2od-� by Mark Richard
who is pers¢aally koowu _)( or has produced a_
ss tdeafifieafion.
.... STAMP
Signature ofN _ ubsc
Prim Name ofNota REBECCA WEITZ�
MY COMMISSION#1.111080345
i,
EXPIRES: March 16, 2025
Bonded Thou Notary Public Underwriters
itevised 11/162016
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SUBCONTRACTOR SIGNATURE (Qualifier)
William Koch
PRINT NAME
26419
COUNTY CERTIFICATION NUMBER
State of Florida, County of Brevard
The foregoing instrument wan signed before an, this t �dsy of
IQLu) 2U6�fby William Koch
Who is penoually kn w Xor has produced a
i eatifteadoa
Sigmtu oCNo 6Se SIAhIP
PnutNL.7
BondedBondsd Thr�_,_, tindenvriter,