HomeMy WebLinkAboutSUB-CONTRACTOR AGRREMENT ROOF PERMIT# I I Z .— O `� D- ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
,COUNTY
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Eu(?" !1 kof,,()q have a reed to be
�', g
(Company Name/Individual Name)
the Rooffing Sub-contractor for Treasure Coast Home Builders,LLC
(Type of Trade) (Primary Contractor)
For the project located at 6504 Bayard Rd. Fort Pierce, Saint Lucie County FI. 34951
(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.
CONTRALTO SIGNATURE(Qualifier) SUB CONTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
N
State of Florida,County of J! f�� State of Florida,County of- &e/
he foregoing instrument was signed before me this 13iday of It foregoing instrument was signed before me this( y of
who is personally known_o✓r has produced a bo is personally(mown_or has produced a
identifica' identification.
0 e..+"? SANDRAC.KERR SAND
uvrrw
MISS16fi#I987109 R
Signature of Notary Public '� P;= EXPIRES:June 7,2024 Signature of Notary Public �* OMMISSION GG 987109
EXPIRES:June 7,
E?F�t°p Bonded Thru Notary Public Underwriters :,f' •gip?: 2024
//l/!/ Bonded Thru Notary Public UrMenMfers
Print Name of Notary Public Print Name of Notary Public
Revised 11/16/2016