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HomeMy WebLinkAboutSubs PERMIT# — ISSUE DATE PLANK NG & DEVELOPMENT SERVICES Bud'ing & Code Compliance Division BUILDING PERMIT SUBCONTRACTOR AGREEMENT 612 L L ec. ? r, c- have agreed to be (Co pany Name/Individual Name) i the Sub-contractor for (A J rl n e.. Aet1 e- (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 SIGNATURE(Qualifier) PRINT NAME PRINT NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of S___�L_� t� State of Florida,Coonty of The foregoing instrument was signed before me this____/�'day of The foregoing instrument was signed before me tbiX1 ay of, V\ ^a 24,2 by` ._ \ \-C' �.a�,T ��s cIvo,--I ;zatl by WJ Z*jCa who is personally known or has produced a who is personally known Vor has produced a as identification. as identification. I STAMP STAMP Signature of Notary Public ' Signature of Notary Public 6 Print Name of Notary Public Print Name of Notary Public [Rijt), =K97rBS4 ;Fbrida ',, :1;J., ;, I AURA R.CU9BED(i E 7as43 •.:Commission W022076 ;�Revised 11/16/2016 -;, oA"A,o77 Expires October 21.2020 . ,„„„ BondedTlu�TrayFainGUunnteE0�385.7019 . I I 77— IT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES a � r Building & Code Compliance Division BUILDING PERMIT SUB-CONTRACTOR AGREEMENT rV i cgs e. have agreed to be 1 a ' mpany Name/Individual Name) I the M M b ub-contractor for 1),P— (-me (Type of Trade) (Prim Contractor) For the project located at (Project Street Address or Property Tax ID#) s understood that if there is an chap a of status regarding our participation with the above mentioned It is , y g g g p p . I 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. (Qualifier) (Qualifier) SU"CTOR (Q ) CONTRACTOR SIGNATURE(Q ) rn W M NAME 1PRINT NAME o lslsc� S COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of 5T. Cie State of Florida,County of_St t-LLJL C.1 f— y� The foregoing instrument was si d before me this` Uay of 'n instrument was signed before me this 3�a of h gn The foregoing g ,_ y g g I K1 ,20�1',b © Cl 1.�I Imo` ,20_,byy�'\�l\ s^��.� �t�r2 — Y l l who is personally known_or has produced a who is personally known_or has produced a as identification. as identification. �, 11ti0 FI7� STAMP STAMP Signature of Not&Public Signature of Notary Publi Jo ka—, Id y 6Q'No .6,4stCi ri t= C r Print Name of Notary Public PriAt Name of Notary Public YP• D6ROTHYANN BASKIN 04! :B(i• r C.Y..i✓' .. 1 ' MISSION#GG 030145 e S .'e MY COMMIS EXPIRES:October 2,2o20 E(407)3128-0153 HONDA LAF17ER-T�Bonded Thru Notary Public Underwriters COMMISSION#EE854297ReXPIRES January 082017RoMallotaryServica.com ..J.i'a, ;;:f:�,C7ri4°.i".tb!`SJr3!'is�s_7;L•:i3:"r":"�•..'.i��.--"—�r.C'e PERMIT# ISSUE DINE PLANNING & DEVELOPMENT-SIER'VICES `` 7 8u lding& C6de Compliance Division COUNTY $'C}I.)C�DYNtG'PERiVIIT • . . SU'B-C6WakTdff AGREZrMNT Comfort Control of St. Lucie County, Inc.. have agr eed'to'be � (Company Naiae4ndividtial Naive) the HVAC Sub-contCaotorfor Wynne Development Cori). (Type ofTrade) — (Primary Colt[Wtor) For the project located at e 0,��LG (Project Street A:ddress'or Property Tax ID#) It is understood:that,if there is any change of statu regarding our participation with the above mentibned,. project,the Building and Code Regulation Division of St.Lucie County will be advised pnrsuant.to the filing of a Change of Sub-contractor notice. CONTRACTOR SXGNAn=(Qualifier). CO iGNAx=(Quawar) ,Matthew Life Wynne Bar 'erman PRINT NAME PRINT NAME 08.898 8288 COUNTY CERTIFICATION NUM91t COUNTY CEi T114CATION NUMBER State omoma,County of S 1, c e F State of Florida;County of Si cif The foregoing Instruniii zt was signed before me this ddy of The fa iustl ument was shied before me tLis ` iisy of 2(E11 by �eRX ��.rev�2Ata. who is personally known_t�'_Or has produced a . who is personally known✓r has prodaeedA as Identification as identification. Pam.. STAW STAMP+ Signature of Notary "tilic Signature Of Notary ne 0.�2o�r�4y iy dJA'SKr� �1 o-TH.`J HNC 44skr.y_ Print Nadio of Notary Public Print Name of Notary Public .•iiA�?;'- DOROTHYANN BASKIN �• "Al er•• DOROTHYANN BASKIN *. COMMISSION#GG 030145 ;,q- ? r Q Jo; j EXPIRES;October 2,2020. MY COMMISSION#GG 030145' •-Y F1.�P•, Bonded Thu Notary Pubwe umer iters i; t-- EXPIRES:October 2,2020 Revised l i/Ifi12016 �••�%� p•' Bonded Thni Notary Pubfic Underwriters. L66-d Z044/WOIOd VL4-i 999L8LRLL d,loo su i p i n8 auurt -W4aA g L=Z 9 6 60-Z I � i i i PERMIT# 18S E DATE': ,.. PLANNING': D�VELOFMEI�TT:SE)��V'LGES Suilc�' iQg& Code Compliance 1)>ivis><aid -� �--� BUILDING:PERiViIT SU'11COI�ITRACTOR.AGREEMEN T .Treasure Gaas:t Roaf ;n:g'.: haveagreei3tabe (CompanyName%Ildnndual Name)::. the Roof 0:9 Stbeontraetorfor Wynne Development Coxp.. (Type of:Trade) (Primary Conttactor) i or-:.. c.pro�ect.taeated;at . .... {Project Sty eet:Ad&e 's or Property T ID r#); If is understood'that, if there`s any`clialige`of staffs regarding our participation with:the above inentloned pr �ect,ttie BttlIng aiid Code Regtlatiori Dl�ision of5t Lucie County w111 be advsed.pursuant to the. filing of a Change o"ub coiltractornOttee:. � CONT1rACTUR SIG�TAT[IRE(Qnoh6e). SUB:CO,`NT..CTOY2:. NA nalifierj' ..att'.kaur:sL,yle. Wynne . . .. .. ... B':rian Maloney PRINT NAME PRINT:`1A1VIE' CO[IrTY CERTIFICATIOl�i nMER COUNTi'CZR-. CATION;N[JMBER Statgol.Florida>.Countyof:c�T__GC State':o(i6kida;COu .01' G/C llieforego�ns_instrnmentws�s:signed.beforemethis yof The:foregoing nstcumedtwassigilydWforet thii\�W y.;o 'SAr.)o 4-4� 20 I who:is:personallymown_gr_6aspcoduced..: whoWpersonstlylmdvm'—ortiaspraduceda �osiiTeuti�cafion;., as ilenti'fcatioh ;STAW igriature,ofNota Public SiaiWture-of:N.otary omit: ,Q ,)'o.go-rk—f l-nra.) (DA-SKl.a �o.ie 0-n-tY..Agin 13,4s r d Print'Nauie#of.NotaryPuhlie PnikNiine'of:Nota jFubfic. i DOROTHYANN BASKIN MY COMMISSION#GG 030145 DOROTHYANN BASKIN -+rP EXPIRES:October 2,2020 MY COMMISSION#GG 030145 12evisedi1Zt6/2016 '4fOFF��� BondedThru Notary Public Underwriters EXPIRES:October 2,2020 '•.;;oc.2�Q.•` Bonded Thru Notary Pub lie Underwriters