HomeMy WebLinkAboutSub Contractor RoofPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
have agreed to be
(Company Narne/Indi-vidual Name)
the Roofing
(Type of Trade)
Sub -contractor for Jerardo Ayala
(Primary Contractor)
For the project located at -63 12, OF-i acy Aue
(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
filing of a Change of Sub -contractor notice.
A N_ Ttv (Qualifier)
Jer Ayala
PRINT NAME
CGC1530519
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 03 day of
Dfi?Wig8eA 2021 , by Jerardo Ayala
who is personally known
as identification
or has produced a Driver License
STAMP
f-w
ire of Notary Public,Pf/
L)
1 arne cf Notary Public
Jus" Zsvva
Comm.: HH 137563
My Commission Expires:
June.3, 2025
i" OR SIGNATURE (Qualifier)
Ramser Rodrigues
PRINT NAME
elfif
COUNTY CERTIFICATION NUMBER
State of Florida, County ofSt Lucie
The foregoing instrwnent was signed before acre this -L day of
o&MMaE0 20,?L, by Ramser Rodrigues
who is personally known _or has produced a
Driver License
as identification.
STAMP
Si �tof Notary Public
Print Name of Notary Public
A" ZavWa
Comm.: HH 137563
Jn°iiaa
My Commission Expires: -
June 3, 2025