HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# I I ISSUE DATE
Buffiling & C®de C®mp➢nnnce Divi
C
BUILDING PERMIT
r SUB -CONTRACTOR AGREEMENT
(Co pany Name/Individual Name)
the E lec r r, z e/ Sub -contractor for
(Type of Trade) 2 (Primary C
For the project located at " J'� _
(Project Street Address or Property Tax ID ##)
It is understood that, if there is any change of status regarding our partici
project, the Building and Code Regulation Division of St. Lucie County will
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of_ ��1% •�v �t
The foregoing instrument was signed before me this + day of
who is personally known _�Zor has produced a
as identification.
STAMP
Signature of Notary l; nl�fie
'ba gn—ryt y vy4NvJ �A'StCiaJ
Print Name of Notary Public
have agreed to be
with the above mentioned
advised pursuant to the
P COStPI`RACTOR S GNATURE (Qualifier)
.G Cam. i-✓d` -f S % bh_J
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County off-�A.l a L f i Q.
The foregoing instrument was signed before me this day of
who is personally known or has produced a
as identification.
Print
of Notary
I
,•<rP::;a .,,� DOROgHYANNBASKIN,.
•,: MY COMMISSION # G.G 03o145 ,. �; • ; LAURA R. CUBBEDGE
EXPIRES: October 2, 2020 i:' Cpmmission # GO 022076
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DOROTHYANN BASKO
MY COMMISSION # GG 030145 -
EXPIRES: October 2,2020
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PERMIT # I ISSUE DATE
Comfor
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
$YimDI *G PERMrr
SUB-CONTRACTORAGREEMENT
trot of St. Lucie
e9ndividwa,( W=e)
I rz
have agreed to'be •-
the Hi1A.0 - Sub-contmotorfor _Wynne Develo meat Cor .
(Type of Trade) (Primary Contractor)
i
For the project located at, N
'(Project Street Address or ProjiV 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.
CQNTItACTOR S A7'URE (Qualifier).
Matthew Lile Wynne
PRINT NAME —
08898 8288
COUNTY CERTIFICATION NUMBER COUNTY CERTSWA- TION NUMBER ._
State 9"forida, Conty of i.���, VQ_ State of Florida. County of 'c �� G �`e—
The foregoing tmstrumeril was signed before me thi9�\ day of The fgreg ing instrument wag signed befort me this
who is personally knowin "0 or has produced a who is personally Imown ear has produced a
as fdentiftcatioa as identification,
DA�
4 STAMP• ! STAMP
'goature of N uhlie Signature of Notary PO
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DOROTHYANN BASKIN
MY Co;MMiSSiON # GO 030145 ; �t+at%d4., pOROTHYANN BASKIN
EXPIRES: October 2, 2020 2 • MY COMMISSION # GO 030145
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DOROTHYANN BASKIN
My COMMISSION # GG 030145
EXPIRES: October 2,2020
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