HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT ROOFINGPERMIT # ISSUE DATE
COUNTY
F
L
O R
MMMEN
I D A
the
(Type of Trade)
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Gulfstream Building Group, Inc.
(Primary Contractor)
For the project located at Finn Residence 3405-443-0005-000-8 / 3405-443-0002-000-7
(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
Ellin 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
Revised 11/16/2016
18 day of
STAMP
Notary Public State of noiide
Susan Wilson
}� My Commisslon GG 143129
or Expirq 09114/2021
SUB -CONTRACTOR SIGNATURE (Qualifier)
NrrN 0I��P tf1
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
The foregoing instrument was signed before me this 1 day of
o by��.Q
who is personally known V or has produced a
as identification.
�-.may-����..r�r. rct'-'i•��iJ�-iva��,/�.ia�.�
S�M�
Signature of Notary Public
Print Name Notary Public
.n 3 0
o. --ow
of
,
co o 0m2
o3mC
6i
A iA -u Q
N O
=' o
o>j21 W
N N
-+ O
_ 0 ?t 'n
N � O
� n
rn �