HomeMy WebLinkAboutSUB, ROOFPERMIT#
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
a
- Building & Code Compliance Division
3 Y
BUILDING PERMIT
SUS -CONTRACTOR AGREEMENT
Treasure Coast Roofing LLC
(Company Name/Individual Name)
the Roofing
(Type of Trade)
have agreed to be
Sub -contractor for Bela Vista Contractors, Inc.
(Primary Contractor)
For the prof ect located at 6905 Santa Clara Blvd, Fort Pierce, FL 34951 (Property Tax ID # 1301-611-0046-000-7)
(Proiect 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.
CAgw�
ORSIGNATURE (Qualifier)
Marcia C. Silva
PRINT NAME
31942
[.017frY CF.Rr7FICATiIONNUMSER
State of Florida, County of BroWard
The foregoiug instrument was sign before me this 25th day of
January 2922, br Marcio Silva
who is personally known x r has produccd
as idcntificatin
STAMP
e of Notary Public
Hudson Lopes
Priut Name of ]rotary Public
HUDSONL
4.0
: WY COMMISSION # # 134778
F.MRO: JtAy 7. 2M
9DFldtad Tutu RbNC Uodetwltara
Revised 11 /1 6n 6
SUWCONTRACTOR NATURE. (Qualifier)
Brian J. Maloney
PRINT NAME
29843
COUNTY CERTIFICATION NIdMMER
State of Florida, CoQuty Ufa �-ST; I..,Ie
The foregoing instrument was signed before me this Sday of
20Z Ery_ ri 47r 1,7A4-Pef
who is personally known _,Lor has produced a
asidcntitication.
_ STAMP
S' aturc of Notary Public
&Rffr=fQ _
Print Name of Notary Public
1CSHUA RLDHE=AD
=v �'� f,latary PuE]lic-Stale of Florids
�•- COMMi5sion # GG 37 -365
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MY commission Expires
SF `+.,,,,,,.
Nlareh 13. 2023