HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# J ISSUE DATE
PLANNING &. DEVELOPMENT SERVICES
Building & Code Compliance Division
(Co�}parry Name/Individual
the L lec_T .r, z ,-, /
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
t ZC A e—
Name)
5�.
have agreed to be
Sub -contractor for t etJ -i i? rf -e &
(Primary Contractor)
(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) qWtORACTOR SIGNATURE (Qualifier)
PRINT NAME
(::) <:�; <� C
COUNTY CERTIFICATION NUMBER
State of Florida, County of! � • �y ���
The foregoing instrument was signed before me thiscA`3 day of
who is personally !mown _�Z/or has produced a
as identification.
STAMP
ignature of Notary a lic
le7 40-rw y 4NNyo 16�-sue/ aJ
Print Name ofNotary Public
',, DORO'FHYANN BASKIN
,�, �. MY COMMISSION # GG 030145
EXPIRES: October2,2020
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of i lA Q,
The foregoing instrument was signed before me thisogda of
Q . 29� by 1`ftW1Aty c0 � io
who is personally known �L/ or has produced a
as identification.
�- STAMP
Signature of Notary Public
Print Name of Notary Public
•;��:�° •:, LAURA R. CUBSE.DGE
:,:Commission#GG022076
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Rhonda. Laff"..
CWDA- LAFFWY
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Comfort
ISSUE DATE
PLANNING & DEVELOPMENT'SIERVICES
Duilding &Code Compliailee Division
.9UMD*G_PERM1T
rok AW''k EMENT
trot of St. Lucie
m%idividudW=e)
tv. Ij1
have weed- to'be
the HVAQ SO?r
-c6ntractorfor Wynne Deelop ant Cor'p*
6f Trade)
ob=7 coxitr Qtoo
For the project ldcated at
-(Project Street Address or ?Wporly Tax ID
It is understoo&hat, if there is any change of statiis regarding our participatiop fibned.
with the above -mon
project, the 13uilOing and Code Regulation Divisibn of St. Lucie County will be4dvised puiswritio the
filing of a Change of Sub -contractor notice.
CON T"CrORSMATtuft
Matthew Life Wynne
PRINT NAME
08898
$288
COUNTY CERTMCATION NUNMEA-
COUNTY' CIRT—VICATIOtv NUNBER
State of Plorida, Coulity,',of
uty
The-�6!egalng hastrument w48 sjpga before me twQ &-aly of
J
knorm who is parsoually itnown
w4a is ]personally _1/01r has proda'ccd a _Aor has produced a
its Identification as identiffealion,
STAMP-
STANi
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