HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# _ ISSUE DATE
PLANNING.A. DEVELOPMENT SERVICES
1;uilding & Code Cotmpiinnce Division
(Co pany Name/Individual Name)
the E1ec-1" .r , -z e /
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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have agreed to be
Sub -contractor for -i ti n t l%&
(Primary Contractor)
For the project located at \\Q) ,--
(Project Street Address or PwIlerty 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!�—�� • �v �� ��
The foregoing instrument was signed before me thiscK-13 day of
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who is personally known --se/or has produced a
as identification.
STAMP
ignature of Notary a lie
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Print Name of Notary Public
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s MY COMMISSION # GG 0.30145
. EXPIRES: October 2. 2020
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O RACTOR SIGNATURE (Qualifier)
PRINT NAME
IaFZrt/0?_
COUNTY CERTIFICATION NUMBER
State of Florida, County of�U Lve
Three foregoing instrument was signed before before me thiQ da of
g
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who is personally known _V or has produced a
as identification.
STAMP
Signature of Notary Public
PrintName of Notary Public
!AURA R. CUbBEDGE
:,;Commission # GG 0220T6
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PERM17 # ISSUE DATE
j} t PLANNING � DEVELOPMENT SERVICES
OR
ro:
Building. & :Code Compliance Division
9UMD*G-PERMrr
SYi$=C4IVTRACTR AEIV'Y`
Comfort Control a'f St. Lucie County, IAc. haveageedtobe
(Compan�,Name/lndividtiai N=e)
the HVAC Wynne eveowent Cori).
('Type of Trade) (P' blmy Cohtramo
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For the project located at ,S
(Project Street Address or dr�pTax'ID #b) '
It is understood.: hat, if there is any change of status re„ Arding our participation with the above rnentibned
project, the Building and Code Regulation Divisibn of St. Lucie County will be advised pursuant to the
filing of a Changd of Sub -contractor notice.
i
CID - ACTOR SX #—TU E (QnaGfier).
Matthew Ly a Wynne
PRINT NAIVE
08898 8288
COUNTY (CERTIFICATION NV=RTi COUNTY T=TWCATZ01►T NUMBER
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