HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
BUILDING PERMIT
St. LucB County
SUB -CONTRACTOR AGREEMENT
A Preferred Roofing have agreed to be
(Company Namellndividual Name)
the Roofing Contractor Sub -contractor for Southern Standard Builders
(Type of Trade) (Primary Contractor)
For the project located at 12811 NW Cinnamon Way, Palm City, Florida
(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
filing of a Change of Sub -co tfactor notice.
CONTRACTOR SIGNATURE (Quaafser)
Forrest R Smith
PRINT NAME -
CGC1511294
COUNTY CERTIFICATION NUMBER
State of Florida, County of �
The foregoing Instrument was signed before me this, s ey of
30.E • 2OX by fiO rre R; I�tc>� SfN� `i'�A
N
who is personally known _or has produced a
ray.•+v �. AMANDA J MARDEN
{+%•sy:%,, Notary Public -State of Florida
`y'' V jpI Commission 9 GG 316859
my Comm. Expires An 27, 2023
Bonded through National Notary Assn.
Revised I1/I02016
SUBCONTRACTOR SIGNATURE (Qualifier)
Forrest R Smith
PRINT NAME
X
CCC1 k8294
COUNTY CERTIFICATION NUMBER
State of Florida, County of & RTTr
The foregoing instrument was signed heron me this .20day of 11
SO-n' ,20-26by Korm�- Wlipg.. bryw rh
who Is personally known _or has produced a F L W
-------------
r1Vr ir'y,, AMANDA J AAROEN
Notary Public - State of Florida
t'A' Commission AGG 316859
``�o'iy v my Comm. Expires Mar 27, 2023
Bonded through National Notary Assn.
STAMP