HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT #
000� r
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDIN('F4 PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Wompa �� Namcln '��idual N e
the � 4-Sub-contractor for Gulfstream Building Group, Inc.
(Type of Trade) (Primary Contractor)
For the project I oc at e d at F'nn Aesidence 3405-443-0005-000-513405-443-0002-000-7 5311 youth 251h Street Fart Pierce, Fl
(Ftoject Street Address or 11ropeny 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
%W
CON
a Change of Su
tractor notice.
CROR SIGNATILRF (Qualffier)
Scott Holmes
PRitiT NAME
CGC1 527735
rOtNn' cERTIFIcA-nON ^-I r%,1nLR
male of 1 lnridi, Count -*of St. Lucie
R.
Thr fc►rrga#ug inNtrumcdt v+a5 sij!ard betrrrr me fhi4 dad of
20 21 hos, Robert S. Holmes
bo is personnlly kriovi n X or % produced a
as identifica do
1~MIP
Signature of .Notary Public
Susan W*Ilsc)n
Print Name of Natsry Public
S&WOf FWde
Whan
MY COnA GG 143129
GOMAMV
Revised 11/1.1
SUB-CONTRACTOR tiIGNA'[T,JRE (Quelifier)
:+r1 f g.AI ~r�
P I N-F N A N I U.
tnte of Honda, County of St. Lucie
--
The f o t!oi nur Instrument was %I ned befury one IhN dad' oft 10 11V
as Id en if cn fi ,
i ua tur4&. Ota r i Public
Nrlat Narnc of Notary 1'uhlic
a
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Wr -W -W -
Put)llc S1108
veronics Haines
MY Masion GG g45799
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