HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
gLANM. G & DEVE. OPMENH SERVICES
R Building & Code Compliance Division
BURMING PERMIT
SUB -CONTRACTOR AGREEMENT
r4i &LJ e l ec. / r c- 27.4 have agreed to be
(Co pony Name/Individual Name)
the Llec-7';-, z e / Sub -contractor for C1-i ri 17 t Aec .
(Type of Trade) ^ (Primary Contractor)
For the project located at
(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 the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)4MACOkfRACTOR SIGNATURE (Qualifier)
PRINT NAME
(,- �) < �; <
COUNTY CERTIFICATION NUMBER
State of Florida, County of_J� •�y ���L
The foregoing instrument was signed ,before me this �' day of
2oCaw
who is personally known - Z/or has produced a ;
as identification.
d,,, STAMP
ignature of Notary nlie, -
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Print Name of Notary Public
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DORO'FHYANN BPSKIN
MY COMMISSION # GG 030145
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EXPIRES: October2,2020
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of1�)Ai e.
The foregoing instrument was siggnedd before me this, day of
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who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
m... %"' LAURA R. CUb
�` °` SEDGE
Commission # GG 022076
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MIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
$Y7Y>C;DY3VG PERMrr
., .. SUIR-CONTRACTOR AGREEMENT
Comfort Control o'f St. Lucie County_, Inc. have agreed 'tobe
(CompanyiNameAndividnal Namte) .
the H VAC Sub -contractor for Wynne De v e t o me nt C o r .
(Type of Trade) (Thimaiy Cotictor)
I
For the project located at
(Project Street Address or Property Tax ID ##)
It is understood that, if there is any change of status. regarding our participation with the above intentioned .
project, the Building and Code Regulation Division of St. Lucie 'County will be advised pursuant: to the
Fling of a Change of Sub -contractor notice.
CONTRACTOR 509A-TM (Qualifier).
Matthew LY': a Wynne
PRINT NAME
==�=
COUNTY ICERTInCATION NUMER
State of)[Ftorida, Coamty of ��
The foregoing instrument was skned before me this day of
��• Zt�by�� a,,.
who i8 personally known v/0r has prodncod a
a6 identification
STAMP
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DOROTWYANN BASKIN
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Q's MY COMMISSION # GG 030145
EXP`IRES:October 2,2020
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Revised 11/16/1016
$288
Sta ,.of Florida. County of� �v G 1-�
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who is personally )mown or bas prodaced A
as identification.
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pORQTHYANN BASKIN
MY COMMISSION# GG 030145
EXPIRES: October 2, 2020
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DOROTHYANN'BASkIN
ON-# GO 030146
MYCOMMISSI
EXPIRES: October 2,2020
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My COMMISSION# GO 030145
EXPIRES: October Z 2020
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