HomeMy WebLinkAboutSub-Contractor Agreementr
FFPERMIT#
— ISSUE DATE
the
For the project located at
PLANNING & DEVELOPMENT SERVICES
Blliltling & Code Compliance Division
r
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(TiL
Name)
have agreed to be
Sub -contractor for &4t) ten n t Aeei e— /aa/ti
(Prim Contractor)
Street Address or
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 SIGNATURE (Qualifier)
rJUAI NAAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of, L.yc
The foregoing instrument wa§ssipgu�ed before me tbis of
who is personally (mown—Kor has produced a
asidentilication.
f i STAMP
Wgaature ofNoteryPublic
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PrmtNome ofNolaryPublic
O RACTORSIGNAT (Qualifier)
PRINTNAME
i_ / / `�
COUNTY CERTIFICATION NUMBER
State of Florida, County oftA\Q. .� ��
The foregoing instrument was signed before me thisd'(dap of
2Me�y JQ\)3J $,U 115 bos
Who is personally Imown jLor has produced a
as identidentification.SU ta
a® STAMP
&�c Print Name of Notary Pubne
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
13MDING PERMIT
SUB -CONTRACTOR AGREEMENT
Comfort Control oT St. Lucie County, Inc. have agreedtq'be •.
(CotnpaityNatrxe/fndividual Name)
the HVAC Sub-contractorfor Wynne Development Corn,
(Type of Trade) (Primary Contractor)
For the project 16cated at 4N•-\
'(Project Street Addressor t'
Tax ID
It is understood. that, if there is any change of statu& regarding our participation with the above mentioned,
project, the Duiiding and Code, Regulation Division of St. Lucie County will be advised puisuant.to the
filing of a Change of Sub -contractor notice.
coNTAAcroB ATURE (Qualifier}
Matthew Lyle Wynne %S-r uberman
PAINT NAMF, - PUNT NAME
08898 8288
COUNTY CERTIFICATION NUM33ER COUNTY CERTIFICATION NUMBER
State Of Merida, COtmty Of .LV �+ \�µ� Stai!of Florida. County of� • \,V G��
The fo ho lastramiatwassignedbeforemethis_dda of Thefi of instrument was i1E`g,0� g y A.;re>: �' ai8oed before me this dey of
^x4 of .y0�hy .0 � ZsaN.•r'--cc
who is personally (mown Jor ball produced a who is personally known ✓r he$ produced a
as identfiication,
iV,t;1.t.•aA axio Raa-L STAMF•
Signature, orisrourcume
MY COMMISSION # GG 030145
EKPIRES:October 2, 2020
Revised 11/16/2016
as identification.
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Signature orNotary Pnbl
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Print Name ofNotary Pulaue
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