HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT HVACPERMIT # ISSUE DATE
Ut''�1T
F L 0 R I V A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/Indiu�ual Name) J
the � Sub -contractor for
(Type of Trade)
have agreed to be
Gulfstrealn Building Group, Inc.
(Mmary Contractor)
For the project located at Finn Residence 3405-443-0005-000-813405-443-0002-000-7
(Project Street Address or Property Tax 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
filin a Change of Su - ntractor notice.
CO RACTOR SIGNATURE (Qualifier)
Scott Holmes
PRINT NAME
CGC1527735
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
The foregoing instrument was signed before me this
August 20 21 by Robert S. Holmes
who is personally known X or has produced a
as identification.
Signature of Notary Public
Susan Wilson
Print Name of Notary Public
18 day of
STAMP
r NOWY I'VOIC State of Florida
'y Susan Wilson
sf MY GemmixsFon GG 143129
os ZX{rtrix 0011412Q21
TRACTOR SIGNATURE (Qualifier)
PRINT NAME
:�k'ALPLI i�
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
The foregoing instrument was signed before me this � day of
2oa by 7as�ne.� Yl eJll
who is personally known ►for has produced a
as identification.
Notary Public
SABRI NA L. BLAC
Print Name of Notary Public
`N SSlofy �'1 /
x
• •,•�����,�VARYz �O� u, .
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#GG 289862
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Revised 11/16/2016