HomeMy WebLinkAboutSub-roofingPERMIT #
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