HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Co pany Name/Individual Name)
the C_ Mc_ /" -' -z 'r. /
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
r..../1 G
have agreed to be
Sub -contractor for i rl t ,Or U
(Primary Contractor)
For the project located at \� V �S<7�\_C"
(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) O RACTOR SIGNAT (Qualifier)
PRINT NAME
('_�) <?�_ <i� C
COUNTY CERTIFICATION NUMBER
PRINT NAME
\ COUNTY CERTIFICATION NUMBER
State of Florida, County of:a� State of Florida, County ofs �i'e.
The foregoing instrument was signed
`before me this�_ktf The foregoing instrument was signed before me this f
V� 20 6y 4�C '�.+2w �$l..�L e VO� 20ZIy aW\J-t. U q fD��Y3��
who is personally known _�Zor has produced a who is personally known Jor has produced a
as identification.
&,'� STAMP
Signature of Notary u lie
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PrintName ofNotary Public
as identification.
STAMP
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Print Name of Notary Public
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PERMIT# : ISSUE DATE
PLANNING & DEVEL...OPMENT SERVICES
)Building & Code Compliance Division
BUILDING PERMTr
SUIR-CONTRACTOR AGREEMENT
Comfort Control of St. Lucie County_, Iiic. _have aglteedto'be
(Companyl'Namedndividital N=e)
the HVAC Sub-conttactorfor -Wynne De:velo ment Cori).
(Type Of'ITmde) (Primary Contri mi)
For the project located at
'(Project SIxod Address or Property Tax ID #)
It is understood that, if there is any change of status, regarding our participation with the above rrlentibned
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.
i
CQNTXtACTQR Sk ATURE (Qualifier).
Matthew Lile Wynne
PRINT NAME .
08898 $288
COUNTY GERTIN3dmoNN 1g��IH�p�TF COUNTY Y GERTIFTGATIO�11VuMSE$
State of 1Fiorida, Goamty of .�\ + L.�i, vo, SAt4iof Florida. County bf� �v G
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wLa is personally knowA 6� or has produced a who is personally known �r has produced o
as ldeniification. as identification,
'J T+ av� STAMP•
goature Of NotarcWqic
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MY
Revised I1/16/2016
iTHYANN BASKIN
FISSION # GG 030146
:S: October 2, 2020
Notary Public Underwriters
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MY COMMISSION # GG 030146 ;
EXPIRES: October 2, 2020
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