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HomeMy WebLinkAboutSub-Contractor Agreementp.ER,MlT'#' . . . . . ..... CQUNW :so 9-1. pwqwor� �,Lucge- '00-to qgi� , grego � itm rentwas- .044:mAidsy of PridtN9dit6fN6tArYftW DOROTHYANN BASKIN lw, Y COMMISSION MMISSION # GG 030146 91 EXPIRES: October 2,2020 Bor4W Thru NoWq.Pubk Underwrtlers COI—UN—TV,C The 41, .phigA. e0t*W bvfdrt� eth L 20 by "ac\ as idea :STAW 'Sit (0ed-N6'lfh*78fibJW , DOROTHYANN BASKIN My COMMISSION # GG 030145 EXPIRES: October 2,2020 DWThru Notary Public-Umerviters PERMIT # ISSUE DATE PLANNING & DEVELOPMENT 'SIER:VICES Building. & :Code Compliance Division $YfiMD*G PERMIT SYi Ct'11VTRACT'ORAdREEMENT Comfort Control o'f St. Lucie County_, I#c, have agreed'to'be (CompanX'jNamegndividuai Nariae) the HVAC Sub-contMOtor for W nne De v e l d Jaen* Cori). (TYPe vfTrade) \ o mn Contimtor) For the project located at (Pmject�Street Street or ProperW Tax ID 0) It is understood .that, if there is any change of stab's; regaa'ding our participation with the above -mentioned . project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the fling of a Chan,,& of Sub -contractor notice. GQN'I'�AGTOJ�t 3>< A1!'IiRE (QpnL'ffer). IVI' O IG1VA,� UiIE (Qualifier) i Matthew Life Wynne JJlerlaan PRDIT NAME lyRiNT NAME 08898 sus$ COUNTY ICERTII+ICATION NC)M1r COUN T`i" CERTYFTC T-1-0 ti NUMBER $fate of?Florida, GoRmiq of .�Q 4 Z, v -Z +� J State!of Florida. County of T regoing itl8truntEnt was sinned before me ibi day of The fgregoing instzvmen�t-wwas $Wed before me tGisc of who is pemneuy kno" Vor has Produced a who is peraonaliy known —!!:::or has produced sa as fdenifiication as identification. E7 STAbW- . guatnreoflVoia tiblic STAJt+IIt Signature of Notary PubJ' �O go'Tt Y O&M e� �iV J'ri lVame:oflVota pu119,PriotName ofNota7FubAe' DOR07HYANN BASKIN t : Q MY COMMISSION # GG 030145 �;y;%d4a DQRJTEIYANN BASKIN 's EXPIRES: October 2, 2020 ?'c; MY COMMISSION# GG 030145 ..... Bonded TiiluNot2ry:Puhlic.Underwdter; %::cer EXPIRES:October2,2020 ''•.Fo. Fig.• Bonded Thni Notary Public Undenudiers Revised 11/16/201fi ,' L66-i Z66VZ64Od tL4-1 999L8L8ZLL dJ00 Suip{ind audAM -Wodd 94:Z4 9Lc-69-ZL PERMIT # ISSUE DATE u m x aJC1� V9 11_,1`, �� IW;6, 7JaJ 3 V Y1,V./� 1Vd111V x uxiA0 1®�' V .U Bui fi ling & Cody Clba>Impliance Division BUILDING PIERMTT SUB -CONTRACTOR AGREEMENT Y 6.LJ -e'_ Zec 7r, .c- _17.4 L have agreed to be (Co pany Name/Individual Name) the Efec_7 r , z e f Sub -contractor for t (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 COUNTY CERTIFICATION NUMBER State of Florida, County ofs� • �y �� The foregoing instrument w�as�signed before me this��of who is personally known -Zor has produced a as identification. STAMP ignature of Notary a lie 'ba r2o `i K V 4r'Jr) Print Name of Notary Public Revised 11/16/2016 DOROTHYANN BASKIN ' V. MY COMMISSION # GG 030145 :E:°`` EXPIRES: October 2,2020 '•: J •...' W SorM Th ,.Notary Public Underwriters O RACTOR SIGNATURE (Qualifier) c1 �✓ r -r .-� e i t T% PRINT NAME D_�'4%4r� COUNTY CERTIFICATION NUMBER State of Florida, County of��Li •e— The foregoing instrument was signed before me thi3t `da `of 2tl ` by I�AV�I� Q �C O V � 10 S who is personally known A Lor has produced a as identification. STAMP Signature of Notary Public K Print Name of Notary Public LAURA R. CUBSEDGE Commission # GG022076 .Expires October2t 2020 �'�'Pf�4"••� BonQedTlwTrayFatntnsurSntae00.385701s •.IINI PERIMFT# for' p Mot lomw 9f PLANNING M-miming &' code vjvj§jon jvvg- W, g--4 Ow MY Amp of mmirepirdws Purpowpom wilbiw4bow m@n&N4, Codp A"qgUwjpD 1-)Jvi§jpn Ofst, U09-cgunky walwAdw ggd pww� -tomp flOns of A phanv of Sub-f0mr-mor noom mgmew 410 wynno WOOD. WAW 10-jeo7vy -15 .17i Ali Ofww#v1)w. DOROTHYANN BASKIN MYCOMMISSION #GG030145. EXPIRES: October2,2020 Bonded -Thru Notery Public Underwriters al p q: I ........ ....... ...... mof p Orw CO mily, Ok E-1 - —U! t Olt L Z"TZ, . . . . . . . . . . . Rhonda, Leffarty. '-fARK 04MIDA. LAFFWY w -00OWN ay