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HomeMy WebLinkAboutFilled Land Affidavit (2) PERMIT# ISSUE DATE PLANNING& DEVELOPMENT SERVICES x Building & Code Compliance Division ' B P BUILDING PERMIT SUB-CONTRACTOR AGREEMENT i • I l f c 7r i t- X-.4 L have agreed to be (Co pony Name/Individual Name) the Sub-contractor for 64-1'-y n t ,4ec,e- f ayO^ e.4 (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 I filing of a Change of Sub-contractor notice. i CONTRACTOR SIGNATURE(Qualifier) O RACTOR SIGNAT (Qualifier) L= I--, hs PRINT N PRINT NAME COUNTY CERTIFICATIONNUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of LIP t e State of Florida,Coun of The foregoing instrument was signed before me this day of The foregoing instrument was signed 2� before me thisi ay�o�f a A\, p.,Ji .20�1 by ._1Lh!► .7"1(1� C 20S3 by 1�5A11J��1i�CQ � CJ � —1... who is personally known�or has produced a who is personally known,V_or has produced a as identification. as identification. 16 1-( Ct4 �_ STAMP STAMP Signature of Notary Public \Signature of Notary Public ICE 21 6 tcrp 1�—� d� 0.; N Print Name of Notary Public Print Name of Notary Public Notary Public State :Fbrida :'" LAURA R.f:UBBEDGE KeniBUdKa ` `' Commission#G MY commission Ff 97s543 G 022076 Revised 11/16/2016 o'� Expires 051251Z020 o.., . Piris Wober2l 202o t+ : „„''``� Boniiad7ftT*FainE*ura Q8&385.1019 I ----------- PERMIT# ISSUE DATE i �x9 PLANNING & DEVELOPMENT SERVICES I Y - Building & Code Compliance Division COUNTY BUILDING PERMIT SUB-CONTRACTOR AGREEMENT a klimb . CA ervi Le-S n C_ have agreed to be mmpany Name/Individual Name) tl u.Y x ID )1lb-non-tract r for_ 1�•e. (Type of Trade) (Prim r Contractor) For the project located at (Project Street Address or Property Tax ED#) ' I 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(QnaGfieSr) ' UB-C CTOR SIG ATURE(Qualifier) P>u aew�T u n-P t'RINT NAME o UC, 13 COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of Sir. State of Florida,County of St•LLB The foregoing instrument was signed before me this&ly of The foregoing instrument was sign d before jme this k'tlay of by��'lQ� 200 by ©�1 l LttA1U who is personally known_or has produced a who is personally known or has produced a as identification. as identification. O STAMP I InAA. STAMP Signature of Not&Public . Signature of Notary Publi �0Aa,l-cy Aly rJ 4sle., �QXVXL I C r Print Name of Notary Public Prifit Name of Notary Public OS'�Y PUBL.� DOROTHY ANN BASKIN '�.., '"' DIY'.'.'-% ".``•'�.:x`.•:.''...3'..: �.��_.�..�:3' �" ?� MY COMMISSION#JGG 030145 t : l ,, EXPIRES:October 2,2020 ,o{;RY PJB`; R9�®�9® i @-AFI_ERTY i. ''•.Fo °`` Bonded Thru Notary RuWic Underwriters a =• `: MY COMMISSION#EE854297 Rev l �= '' oF EXPIRES January 08,2017 1. 1(407)3,?8-0153 Roridallota SerVIC—COM Y ` , e:r'\ ..,�r# x'; fifin7iiiPl7; AVJr37i �7Ly1:Y :;6 I �' PERMIT# ISSUE oATE PLANMNG+& DXVELOPMENT-SERVICES Euitldfng&Code iCompt neo DW isio><t )3UI.D)*G'PERMTT SITE-CONTRACTOR ACRE ENY' Comfort Control o•f St.. Lucie County, Inc. haveagreed•to'be (Company Naiaeftc ividual Namte) the HVAC Sub-contrr etorfor Wynne Development Cori). (Type of Trade) (Primary Coatraator) �5 For the project lcicated ax u CP _ (Pid act Street Address or l'roperV Tax ID ) It is understood:that,if there its any change of status,regarding our participation with the above Inentibne'd.. project,the Building and Code Regulation Division of St.Lucie County will be advised pursuant.to the fling of Change of Sub-contractor notice. CONT"C'rOlt SXGNAn=(Qualiffier). - IGNAn RE OaeNufier) .,Matthew Lil.e Wynne Bar ._. .. erman PRINT NAME PRINT NAME 08.898 . 8288 COUNTY CERTIFICATION NUM ER COUNTY CERTMCi1TION NUMBER State ofrlurida,Coaiaty of S i, c,F M State of Florida;County of_21di,c .��1 The foregoing idstrnment was signed before me this t1�y of The foregoing instrument was slated before me flies 5 asy of Qc�_'xl z�:A .20\,J by�Q `�.1� lti�•w:nV•� G ,20 b�yy=Q,-U Z U\yveri�AQ(, who is persot,ally.known_!!!�"or has produced a who is personally known ✓or hsS prOdRCEd.a ' as identification as identification, p STAMP- STAY'i Signature orNotarybWe SignatureofNotary 'c n/ . , .Q.�2o�r>~ll: ,v AASKra �a.leoTH.`/ HNn1 �ASk/.J Print Name of Notary Public Print Name of Notary Publfe r;:P;e ,, DOROTHYANN BASKIN MY COMMISSION#GG 030145 .,rqi• ��._ DOROTHYANN BASKIN EXPIRES;October 2,2020. c,r, •••mac. MY COMMISSION#GG 030145 Bonded Thru Notary Pubric Underwite.rs EXPIRES:October 2,2020 Revised 11/1612016 Bonded Thm Notary Pubr�c Undene; rats. i L66-d ZOOO/ZOOOd VLO-'i 999L8L83LL d_ioO su i p[!q auuAM -WOdd S L:Z L 9 L�-60-8 G PERMIT"# 18SUE.DATE PLANI IIl�TG'.8i DEVEL.OPAWN. -T SEIRVICES BUILDI1�TGr P 'RIVIIT SUB=CONTIL4CTOR AGREEMEN`i' , fireasure Goa.`sa R.oaf; n.g.: have agree tabe (CompanyNatnel7ndlvidual Name):.. : tle. � :g Sub-cointlCaetorfbr D .Wynne evelopment Rogf l harp.; (Type of;'1'xadej (Rrimary Contragtor). Foicthe project located:'at. 7 :Z�a (Pro�ectstreet:AddressorP-r rtyTaxID It is utdel-stood:tha�,.if thpre` s any change Of Status xegarcintg our partcipatIou wltl the above:inentiond prct�ect,ttie Bu%l ut and Code Regctlation l3�uis an of St.,Luc e County will be adv se: .pursuant.. tlie. f*9 .3j of.a Change of Sub contractor notice . CONTRACTOR SIG IAfIlRE`(Qua65er)' WIKOVI MCTQR:. M-Tmt. aoli&*. Niatah.ew .,I;Y1e Wyn<n'e. . .. .. ... Brian .Ma1.on,ey PRYNT2AME PRINT NA1VlE' CQ[I1VTY CERTIIzlC+TXON ItiL'MBER CO'VNTY CERMCATl0.?:NUMBER State n[.Flosida,Couafy o> JT G C StatB:of Ronda;County:of ca; Tlieforegorng.insirnmentwas:s�gned befo meths y of The:fore,,mugiustraineuty iis,!A M beforeme.this g� il9yof � I 4 ti -< 20!�Jby \Qn wko:is,personallyknown%rhasprodgceda: who is:persona]lylmown:,✓orliasprQduceda° —�—i as idgntificat on:, as;dennGeatioh `{ A STAMP Q�� S1 AMP 'goatnre of Kota Pufil�c ,.i Sig6atareo£Nofary uti,/li1c: ,Q �!/0.12o�i'W1F f`1'is� YJA-Ski N �c7 2 aTN�/ .f-tNN /J�4SKt� Priut'Name otNotat..Public Phut Name of:NotaryYpWt. I DOROTHYANNBASKIN MY COMMISSION#GG 030145 :,�o :::ec;; DOROTHYANN BASKIN �o• EXPIRES;Octoper 2,2020 ;., MY COMMISSION#GG 030145 ':•••••"•'• =;r, �o` EXPIRES:October 2,2020 RcvisGrl i IY:16/20:16: %R,;.`.°•• 0on,Thru Notary Public Underwriters Bonded Thru Notary Public:Undenvri M 4 Op FI,• I