HomeMy WebLinkAboutSub-Contractor AgreementFEIT#:
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
S �-t 61,) 6 Z ec.. / r c- X-:4 en- have agreed to be
(Co pany Name/Individual Name)
the L l e- 4 7'.r , z e / Sub -contractor for IAJ n -c Ue el e f vZ,-Ij e,4 % e-c
(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 `
C-) <�;<a C '
COUNTY CERTIFICATION NUMBER
State of Florida, County 44:�� •�� ���'
The foregoing instrument was signed before me thIB day of
v" Qbb���.rt
who is personally known has produced a
as identification.
STAMP
Signature of Notary u Ge
'b'0 i4®7W Y llivy,) �A sl�i aJ
Print Name of Notary Public
..;;e•• DOROTHY ANN BASKIN
V PV
MY COMMISSION # GG 030145
= EXPIRES: October 212020
Revised 11116016
F?t FAQ '' 3onded Thm Notary Public Underwriters
WJ3-tONfRAACT0R SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of � lei Z \ C
The foregoing instrument was signed before me this ` ' day of
v�o auk by
who is personally known 1�_or has produced a
as identification.
Al�� V,, N `4Q STAMP
Signature of Notary Public
Print Name of Notary Public
LAURAR.CUOSEDGE
Commission # G G 022076
Expires October 21. 2020
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'RUPING F-EMIT,
,61M.-CONTRWTOR AGUENFENT
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DOROTHYANN BASKIN
'P" MY COMMISSION # GG 030145
EXPIRES: October 2,2020
ftylsle0vibagib fo' Bonded Thru Notary Public Underwriters
Robert Uidlym
jW.
.00b"R9690 Lydigm
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Rhonda. Laff".
Film Niiii of 16far—Y rpsilw—
PERMIT•# ; ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building &+Code Compliance Division
mm-DIN G PERMrr
SUIB-CONTRACTOR AGREEMENT
Comfort Control oT St. Lucie County, Iric
Name/Individual N=e)
have agreed'to•be •.
the HVAC Sub-cbntfactorfor Wynne De:v'elon_ment Cori).
(Type of Trade) (Primary Colltiactor)
For the project located at
(Project Street Addressor Pr6perty Tax ID #b)
It is understood .that, if there is any change of statm regarding our participation with the above mentioned .
project, the )Building and Code Regulation Divisibn of St. Lucie County will be advised pursuant. to the
filing of a Change of Sub -contractor notice.
i
CONTRACTOR Si ATURE (Qyalificr).
Matthew Life Wynne
PRINT NAME
.1 W.
COUNTY CERTIFICATION N IMER
State ormorida, Cbuxi of J ,`+ `z�
The foregoing idstrudterit was signed before me tbisk day of
20� by�Q
who is personaay known -V Or h" produced a
as identification.
STAMP-
WtrtreofNoU WMC
I '
1 ) a Rom-[ y � � n��v r(7A•SKi n�
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
Bonded Th{u Notary Publicpnderwrltei
Revised I1/16016
COUNTY C=TIFTCATx0N1 NUMBER
Stateiof Florida. COtzMy of� �v � ���
The _oregoing instrument was signed before me this day of
2 02 9 by )a SEA �e�SaA.•cvl�@.f ��
who is perso lly known ✓r has produced a
asidentiScation.
STAW
Signature of Notary Publ'
0 2o` w v 4h6m 04SK,v
)Print Name of Notary PubUt j
••�;�P�KpYo(. DOROTHYANN;BASKIN
A MY COMMISSION # GG 030145
EXPIRES: October2,2020
FOF FAQ,•• Bonded Thru Notary Public Underwriters
L66-d Z000/3000d tL0-1 999L8L83LL
di00 Su i p{ i no audAM -WOdj 9 L:3 L 9 L60-Z L
IPLANNINi DEVELOPMENT S
VICE
.Code e Witte Di sto
have>qgrqed.-4o:, 'be
ft: 001itmdor or W Yn.ne _D a v.e1 v p ine.n.--r (1y0,&Tradi) (Primary Contractor)
For
... le; . .: �Y\�
or'. e prqjtotlot�odat
If is, iff
f - il n . b
'un q�-.s po. lhat,. TC Aog.-O�* 'status r0gar& 1 11
mgourpa: ic�pac o wi the Abovemerilrl ed*
NIP
project,
o' .—C-0-0 Ul Di
ih-el9,u!ldiilbAhd
vision lucie Cotm y will beadvised 'oursuatit --twidie
filing oa.,change.of Sub
-Zot �SIGXNA-�=E tQ CONTRACTOR . 1. :�
Matthew T;y1e. V'yn--n-e.
PRINTNAME
CQUIN-ff':C RTJFICATJQNNUM D...
$4kotmorld-4 County of Qn Luc, c
Tlie foregoing mstrnment was signed before kx
meiWd— Or
2 by\'&
Q2:
- st 1 SO; NOOVillbo
,-D-o..w-o-rN-t Arej &S�ejw
:Pddt NAhiebf Notary Nblit
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
EXPIRES: Odobe"r 2, 2020
'Re -1111612016:
...... tl- Bonded Thru Notary Public UmWmrL-m
lrll-a-n-
COUNTY -CERTIFICATION NUMBIEW
State nd
Tfie:t,6rqgpiiigns:truiiieiit*asiithed bef6rc-ite ts%. day.of
.wb'o ispersonaliy l.nown. ✓ or leastproduced a.-
ao
"44, & .J, STAMP
Pnif Nti&iiif Ndtiiy.-TP0bU
DOROTHYANN BASKIN
MYCOMMISSION 030145
cc EXPIRES: October 2, 2020
Bonded Thru Notary Public