HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE 01aTE
I'LAl\l�'ING & DEVELOPMENT SERVICES
Building & Cede Compliance Division
- BMLDINGPERNIrr Sc ANNED
SUB -CONTRACTOR AGREEMENT BY
St. Li Ir,o County
have agreed to be
(Company Name/Individual Name)
the Roofing Sub -contractor for P&C Construction f the Treasure Coast, LLC
(Type of Trade) (Primary Contractor)
for the project located at 2311-210-0000-000-6
(Project street Address or PropFtty Tax 5 $)
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.
CONTRACTOR SIGNATUI.tE (Qualifier)
Cheryl Jacquin
PRINT NAME
CGC 056649
COUNTY CERTIFICATION NUMBE��R����
State of Florida, County. or �±J�-
The foregoing imtrumcut was signed before me this dd'y or ..-�
who Is personally known \or hue produced e
stdeuf eodon.
`� SrA4t2
Signature KNotary Public
�,lLb C'svFlw
Print Name of Notary Public
R192D
State of FloridaionGG 189140Revised 11116R016R022
stirs-Coh SIGNATURE(QualNer)
irp
Paul Jacquin
PRINT NAME .
CCC 056636
COUN'M CERTIFICATIONNUMBER
State of Florida, County of
The
(�for�egoi�ng instrauu:atwas slisnned before me this( 0 day of
Y�r�JI�V�l1. ,201dtit''l.e,byM..�l '>AC00 1
who is personally kuut}~f ,jLr has produced a
a. identf� V \ _ I/\ STA117P
Signature of Notary Public
Print Name orNotury Public `
R
x Fires 02/22/2022