HomeMy WebLinkAboutRoofer sub permit completeFRMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code
1 fcos gyre Coasf pay; i nc,
(Company Name/Individual Name)
the Roof ),I C
(Type of Tr
For the project located at
al, de.
Division
PERMIT
R AGREEMEI
have agreed to be
for -)(3r;a✓r Lean
(Primary Contractor)
or i'roporty'I aY U) N)
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.
C RACTOR SIGNA U e SUB -CON CTO (Quailrier)
d�ric.rt
P l y]N/hA/M�nR/J^
COUNTY OERTIFICAT
State of Florida, County ON R r �l 4
foregoin 'nstrume-n�ttlwas si befpr e t tX, d of
ilh�—v 20, by
who is personally known or has produced
identification.
STAMP
Public
of Notary Public
RACHEL ANN VOSSEN
i•� �'• Notary Public- State of %le'ida
F +.
My Comm.Erpires Aa'c. 2022
Revised 11/1612 fi;"'��--"aoudad throu9b National Notary Assn.
f f;a✓1 A0, )Of'ry
PRINT NAME
ccc 1 3
COUNTY CERTIFICATION NUMBER
State of Florida, County of L tic L
The foregoing,instrument was signed before me this �; day of
Oaf c6er ,202,by
who is personally known or has produced a
as identification.
JIe�' if (I STAMP
Signature of Notary Public
thefer G AlTtfi ZiO
Print Name of Notary Public
E�CVictor O Altedzio
NCYtlkry Public, Stan of Florida
mmbalon Expinq 11/ll6/2022MMISSIOn No, OG9 274292