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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
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filing of a Change of Sub-contractor notice.
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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
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Print Name of Notary Public Print Name of Notary Public
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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
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project,the Building and Code Regulation Division of St.Lucie County will be advised pursuant to the
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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.
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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
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' MISSION#GG 030145 e S
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EXPIRES:October 2,2o20 E(407)3128-0153
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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
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*. COMMISSION#GG 030145 ;,q-
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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)
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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
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Print'Nauie#of.NotaryPuhlie PnikNiine'of:Nota jFubfic.
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DOROTHYANN BASKIN
MY COMMISSION#GG 030145 DOROTHYANN BASKIN
-+rP EXPIRES:October 2,2020 MY COMMISSION#GG 030145
12evisedi1Zt6/2016
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