HomeMy WebLinkAboutSub-Contractor Agreementr
PERMIT# ISSUE DATE
< +fyr n - PLANNING & DEVELOPMENT SERVICES
as Bui Rding & Code Compliance Division
(Co pony Name/Individual Name)
the eleG /" r , -z r./
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
, L -. 1e—
have agreed to be
Sub -contractor for &E..) -i rl n -e ,Deg e l ^ ew-
(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)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County le�� Q:11.�n �
The foregoing instrument was tsigned before me tbisdt3 day of
who is personally known _N/or has produced a
as identification.
\ignature of Notary a lic STAMP
1Jo 34o-rw y "YJ &A -Selo)
Print Name ofNotary Public
E.,
DOROTHYANNBASKINMYCOMMISSION# GG 030145:;: EXPIRES: October 2, 2020Revised 11/16/2016 ",•`; BondedThnr.NotagPublicUgderxv1M
U RACTOR SIGNATURE (Qualifier)
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PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of ! O 4 u •Q•,
The foregoing instrument was signed before me thiQ da of
Vg!) by J(W y
who is personally known_V__or has produced a
as identification.
STAMP
Signature of Notary Public
icy
Print Name of Notary Public
��:�",,• LAURA R. CUB
KEDGE
Commission # GG 022076
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DOROTHYANN BASKIN
MY COMMISSION # GG 030145
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PERMIT # ;
ISSUE DATE
PLANMW G• & DEVELOPMENT SERVICES
building & Code IComplauce Division
11UWD1*G PERMrr
SU)R-G16X—TR-A AGREEMENT
Comfort Control of St. Lucie Conr
tv. Isic.
have agreed-to'be
the HVAC Sub-contractorfor Wynne Deivelo merit Cori).
(� of Trade) (Prirnaty Coxa 'tractor) • '
For the project ldcated at
(Project Street Address or Ptoperty Tax ID 0)
it is understood.fiat, if there is any change of status. regarding our pWacipation with the above mentioned.
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
Fling of a Change of Sub -contractor notice,
CQN'I')6tAGTQR S)< AS'URE (QpBTiS�er). '
I O I�1!TA,`I [J� (Q11815fier)
Matthew Lyle Wynne merman
PRIIV r NAME PMT:3gAME
08898 8288
COUNTY CERTMCAiION NF01► 1rYt COYJ]V! Y Caff-1 'TCATJPN, NUMBER
State of)Florlda, Coamty�of ����, �� Stat8lof Florida. Cotiaty of �� C✓ �'�
T e foregoing iustrumat t•ttvas signed before me thi tray of The foregoing instrument was sighed before me thiQ &-aly of
who is personally known; has produced a who is personally Mown a : or has produced a
asldcnt cotton asidentMeation,
STAMP- I � STAW
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I'ritrtName'ofNota I'ub1"c FflntNameofNotaryPnblie
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MY COMMISSION # GG 030145 "�Yd''
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EXPIRES: October 2 2020 ? MY COMIIS$ION #GG.030145
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