HomeMy WebLinkAboutSub-Contractor Agreementthe
P LIC'�LQ1V.l1'\ALB & DEVELOPMENT ENT SERVICES YCES
Buildmh g & Code Compliance Division
BUMDING PERMIT
SUB -CONTRACTOR AGREEMENT
C_ G
have agreed to be
Sub -contractor for
(Primary Contractor)
For the project located at Q-0 A��Or__
(Co pany NametIndividual Name)
(Type of Trade)
Street Address or ProverZv 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) qp�cofqfmcTORSIGNATURE'(Qualifier)
PRINT NAME
�<:�; <� C(
COUNTY CERTIFICATION+ NUMBER
State of Florida, County of" J • O.y
The foregoing instrument was signed before me this\� da of
who is personally [mown _�"_/or has produced a :
as identification.
6�' &4�_ STAMP
ignature of Notary al line
Print Name of Notary Public
yc1 i„J r
PRINT NAME
.Q_iZ-1-r4Z
COUNTY CERTIFICATION NUMBER
State of Florida, County ofi-e.,
The foregoing instrument was signed before me tbisx) �n_kday�o�f
20)0by
who is personalty known-V.-or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
.eu,,, �MFi1.c
,•�.►;::;a�., DOROTHYANNBASKIN
°�_ MY COMMISSION GG 030145 ,= ;, ••••„ LAURA R. CUBBEDGE
EXPIRES: October 2, 2020
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PERM1,174 ISSUE DATE
PLANNING & DXVFLOPMENT SIERVICES
Building & Code C,6hiplfaxice DiVisl6n
9M-D*G-PjZRM1T
SUB-CIONTRACT00AGREEMENT
Comfort Control of St. Lucie County, I:dc.
the HVAQ !- '
(TYPO Of Trade)
For the project -1< catad at
'(Project
Sub-06fttraotorfor WYnne D!R4v�ejlo meet Corp.
(Frbwy cwactor)
A-
1D#)
It is understood:that, if there is any change of status regarding our parficipation with the above
4 mentioned.
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuantto the,
filing of a Chan9b of Sub -contractor notice.
ZQ—r—MACrOR SWA�TVM (6vifflf —lk-).
Matthew LVIe Wynne
PRINT NAME
08898
6,288
COUNTY CERTIMATIONNUM29)k— COUNTY tiRTMr-ATION, —NUMER
State Of Plorida, Co �011` S—\—\ Vp,
latty. 81144 Morlde, County
dped hef6re, me thk 4#of The
Tht AMMM n for of instrument WAS Signed before me of
04 d ---,;zi2Sjy kru
WAO is personally knoWA or has
produced a
who is parsoWly ]known --e: �-,r has proauce'fs
its IdelifitIMMOR, as identiffeation,
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MYCOJ MISSION #GG030145 DdRbTH�MN BASKIN
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EXPIRE& 2020.
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Print>Ngdiei df N4tary Public
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AMY COMMISSION GG 030145
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MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
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