HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# — ISSUE DATE
PLANNING & DEVELGPAMNT SERVICES
Building & COfde Compliance Division
]BUILDING PERMIT
SUXCONTRACII'OR AGREEMENT
eC. 7r , X have agreed to be
(Co pany Name/Individual Name)
the L le c- T , z e / Sub -contractor for .6 -i ,l n < 111)r & e-
(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)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of_Jy • �..� ��
The foregoing instrument was signed before me this day of
20byw�`.��,j
who is personally known It-1o1 has produced a
as identification.
STAMP
Signature of Notary l u He
U� rQ®3K �l %y-'N� �A-ScCi rJ
Print Name ofNotary Public
O RACTOR SIGNATURE (Qualifier)
C1. 1i✓ (` 'f ram? G { V b ki
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of bi -e .
The foregoing instrument was signed before me this day of
20;&y(y�rf 2�Co 1�
who is personally knownA�_or has produced a
as identification.
STAMP
Signature of Notary Public
Print Name of Notary Public
�.,,, DOROPHYANNBASKIN ,
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EmISSUE DATE
PLANNYi11'C• & DEVELOPMENT SERVICES
Building & Code Compliance Division
HUM -DING PERMIT
= SUB -CONTRACTOR AGREEMENT
omfort: Control o•f St. Lucie County, Ixic. ha+veagreed'to'be
(Company] Name4ndividuai Nance)
the H VA.0 Suit -contractor for Wynne De-v e l o me nt C o r .
(Type of TWO (Primary Comactor)
For the project located at
-(Project Street Address or Propeq Tax ID #i)
It is understood that, if there is any change of statm regarding our participation with the above mentioned .
project, the wilding and Code Regalation Division of St. Lucie County will be advised pursuant.to the
filing of a Change of Sub -contractor notice.
GONT]RACTOT� SI A�'URE (Qgalifier)• .
Matthew LY'Ie Wynne
PRINT NAME
COUNTY CERTMCATION N MER
State ofnorida, Coamty';of
The foregoing instrument was Oiled before me tbia day of
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woo is personally knowA "/ar has produced a
as identitics6om
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DOROTHYANN BASKIN
;Qz MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
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COUNTY CMTWCATIO14 NUMBER
Statejof Florida. County of� \_v C'
The fIOczaing instrument was signed before me this 2Yikay of
who is personally known —or
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as identification,
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Signature of Notary Pnbk'
Name
MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
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MY COMMISSION # GG 030145
V- EXPIRES: October Z 2020
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