HomeMy WebLinkAboutSub-Contractor AgreementPERMIT#T I — ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
the Llec-Ir,ze.
(Type of Trade)
For the project located at
Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for w V rt n - Qc U e'- le^ ew- / co v/"
(P mum* Contractor)
(Project 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) SURLtONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
(,::) <:�;<a
COUNTY CERTIFICATION` NUMBER
State of Florida, Countyof J"� •�v �t/I�',,\
The foregoing instrument was signed before me this day of
\I\A94 12(�S
who is personally known --Nl/or has produced a
as identification.
L4 ^"_^ STAMP
\ignature of Notary'a)
a He
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Print Name of Notary Public
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PRINT NAME
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COUNTY CERTIFICATION NUMBER
� State of Florida, County ofi .: c \Q.
The foregoing instrument was signed before me this5� -day of
zt by �QVJV� ACA U �iIO�JS
who is personally known jLor has produced a
gassy iidentfication. n (� �p
)QA J :'& \ l♦1lrXMLU)lOO STAMP
Signature of Notary Public
Print Name of Notary Public
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PERMIT* I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
)BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Comfort Control o'f St. Lucie
Name)
0
For the project ldcated at _
'(Project Street
Sub-contractorfor Wynne Development Corp.
()dzi Con 'tractor)
>C
It is understood that, if there is any change of status regarding our participation with the above mentione d•.
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuanttc the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier).
Matthew Lyle Wynne
PRINT NAME !
08898 8288
COUNTY CERTIFICATION NUMBER CUU-NTYCERTMCATIONN.NUhffiER .
State ormoriaa, County" of � .Lv�', \-� Sta4lofFlorida, County of7'c
'
The foregoing inatrnmetitwas s�ncd hefotie we this �S-L dayof Thefireitaioe instrument was afgoed before mis� e thday of
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wbo is personally fmown Jor has produced a wbo,ispcma,aylmown ✓or bas produced
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# GG 030145
Notary Public
Revised 11/16/1016
as Identification. p
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Print Name ofNoW7 Publics .
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MY COMMISSION # GO 030145
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I Bum li lig"&CO& Compliance Division
9MLD*b;ktkMHt
SMCCi4 R"E'EMENT
the RoofingWynne Development Corp.
(Type Sub-contractorfor
;d6) -(Primary CoMraMor)
For.the pr qfectlotated . at
It is understood thaY,.if there isanyrchjange'of statusding, gnielpation with regar .ourp vv the above:mentioned'
project; ific.Bun;g and 4�qde, Regulation Division of Lucie County will beadvised pursuahtfo the
-
filing of achangpof Sub -contractor notice::.
CONTRACTOR swxk" (Qd twi
Maifthew:Lyle. W-.Ynne
PRINTNAME
State GrF7QrWa,County or:9-7-- Luc,
Twe foregoingtnatroment was:
signed liciorepe,; is day of
2029b
H.Cwtion.
Irian Maloney
.FRINTNAME
i��W""QN NUMBER
stateiorno,idi; con-ty'asrl-urwiz
The foregoing lifistruineatwassigned before methis\ daplif
d'
Who is personally kno".!prhkgpro jd,
asidimal cation.
SrAMI? 01-vie" idew Je4, STA NIF
Signatuprof Notay@Pabfid sip owture of Ndtatty0ablic
PriatName.of Notary Pubric limat Maine otNotarryPolilk
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DOROTHYANN BASKIN
MY COMMISSION # G;G 030145 DOROTHYANN BASKIN
EXPIRES: October2,2020 My COMMISSION i GO 030145
Revised 11/162016 Bonded ThwNot"YPUWUD`iil
EXPIRES: October2,2020
Bonded Thru Notary Nbuo Underwnim