HomeMy WebLinkAboutSubd PERMIT# — ISSUE DATE
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PLANNING& DEVELOPMENT SERVICES
Building &Code Compliance Division
a
w5 BUILDING PERMTT
mp SUB-CONTRACTOR AGREEMENT
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if eC.. r r, have agreed to be
(CgRpamy Name&dividual Name)
the L leGT r, z e / Sub-contractor for =i,?n Aec,e—
(Type of Trade) (Primary Contractor)
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For the project located at
(Project Street Address or Property Tax ID#)
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It is understood that, if there is any change of status regarding our participation with the above mentioned j
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) S&DWOWRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County oI CVt'_1rp� State of Florida,County ofi •t c i Q. h
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
an u r aoa by�lNc' �- r'Jq 20a by vJd 2�CA � b
who is personally known Y—or has produced a who is personally known_V_or has produced a
as identification. as identification.
ix,�l�t� y �t C`-'i v �— STAMP STAMP
�g°ature of Notary Public
Signature of Notary Public
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Print Name of Notary Public Print Name of Notary Public
vsv Notary Public Sate oJ:Fbrida ; , LAURA R.CU6
Kerb 130Ka - BE.D(3E
< My-Commiss1afl FF 978543 ,*,:;: r. mmission'#GO 022076
Revised 11110016 Expires o52sraoao ;�'o►�to?A Expires Ostober2l;2020
',,,„.• BontledThruTroyFainlnsur�nealpa385.�p19 .
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PERMIT# ISSUE DATE
.� PLANNING & DEVELOPMENT SERVICES
r =, f`_ Building & Code Compliance Division
s �
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
pr-v I c,e S c. have agreed to be
4�Xompany Name/Individual Name)
th
Le M h contractor for1W [n ri£ m P
(Type of Trade) (Pry 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) SUB"CTOR (Qualifier)
W L obe l.0 d l AA�IVG NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of 5T. Ct N_ State of Florida,County of A-Is C.1 e__
_21
The foregoing instrument was signed before me thisZ day of The foregoing instrument was sign d before me this � ay of,
who is personally known or has produced a who is personally known or has produced a
as identification.
(//Q��� y/n6�� � /�1] � � as identification.
A
a. 'V L/w/�w�. STAMPRJAO - STAMP
Signature of Not Public Signature of Notary Pub6
JOka-,. t`I Aly'%) C �
Print Name of Notary Public I Jidt�N... Notary Public
DOROTHY ANN BASKIN
MY COMMISSION#GG 030145
. Rgi-€®R9�°. IvAEI J8542_97
.
:�<c EXPIRES:October 2,2020 2°AV?osZ,,
:m: •'
%FOF 6�° Bonded Thru Notary Public Underwriters "" i
=• "c MY COMMISSION#E
EXPIRES January 08(d07) '? 0153 FloridallotaryServic�.c
PERMIT:9 ISSUE DATE
'!4R
pLANPhIG &DEVELOPMENTEVPMENT SE�'vt+cEs
IN _
Ruiilding&Cod#.Camplufrlice Divisia>a '.
IIU D)*G'PERIVIIT
SITB-CONTRACTOR AMEF.:N1 ENT
Comfort Control -of St. Lucie County. Inc.. haveagreed'to'be
(Company Natne& ivi"N=o)
the, HVAC Sub-contractarfor Wynne Development Cora.
(Type of Trade) Primary Conttaetor)
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For the project Ideated at
'(Project Street Addressor Property Tax ID 0)
it is understodd: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 w the
filing of a Change of Sub-contractor notice.
CONTPtACTOR SWNATM(Quamer). C4 IGNATUPtE(Quafifler)
-Mathew Lile Wynne Bar erman
PRINT NAME — PRINT NAM
08.8.98 8288
COUNTY CERTIFICATION NUM>ER COUNTY CERTn7ItrATION NUMBER
Slate of r iorwa,Coaxltyy Of S , e E n State of Florida:County of STLm C.
The foregoing iustrunieut was stirred before me this y of The foreZoing instrument was signed before me this; `'day of
se 2Onby�����_.� u�u�v-�. �n�3c,M .zonbr?�cc�'
who is grrs =uy.known�r has produced a who is personally(mown✓r has prodaced.a
as identification as identiBeation,
• i
C�a.. STAMP' STAW
Signature of Notary "bTc Signature of Notary tPe
0..02:o 1 1: iy AASKta �1 v. o`T7•[.`/ i` NN �,�}SEC�.J
Print Namc of Notary Public Print Name of Notary PubUt
DOROTHYANN BA KIN. ��� DOROTHYANN BASKIN q*R MY COMMISSION#GG 030145 ;g=''�'��� '
EXPIRES October 2,2020 MY COMMISSION#GG 030145
.Fo ,gP• Bonded Thru Notary Pubric Underwriters Pg= EXPIRES:October 2,2020
Revised I1/1612016 '%oF F�o, Bonded Thru Notary Pabric Underwriters•
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L66-d ZOOOf ZOOOd VLO-i 999L8L8ZLL d,l oo su i p i n8 auuA -WO�j g L:Z 4 9 6 60-Z
PERMIT`# ISSUE-..IJ TE:
y � �,..,�� �, PLAN�IIN� & D�VELOPNMEI�TT SE�'S�ICES
u>lYd ng& Code ComWfalace Binsialn
,
BUIE,DINCrPERMIT.
>:.: ,:, ;::. ' SUB=CONTRACT'ORAGREEMENT
.Treasure Coast Rooflyg_: have agreedtobe
(company Namelnddvidyal i�Iame)::
the Roof?ng Sub Writ><&6T.for. Wynntr ._Deve] op7aent Corp,.
(Type of:T"xade) (Primary�ontractor�.
Foicthe pFojodt.klcated::At:.
{P*ect:Street-Addressor Property Tax;ID )
If is understood. hat,if there; s aily`ciange:of status l egazduig oral parttripatlon with:the above menlontrd:
project,the Bti><itilitg and Code Regulation Division of St Lucie County wUbe ad-"eertttoe.......... .
fiXntg of:a_Change of Seib�oritras�tornotice.
CONTRACTOR SIG�fATUIt> (QnaLSer). SUB-COA1TRt1,CTQR:. lYA _ aalfier� •
.Maloney
P>�INT NAME PRINT�fAcME'
CQ"TY CERTIFICAT,CQN Nt M$Eli COUNTY CER-mC-ATIb�c.N[TA4BER
State of Florida,County of sT�to r state:od'fbnda;Cou of G!C
°t?' ST�u
1. ^-�. `IN
the foregoing�pslrnment�vpss�gaed.before;me this�_day of The toregq�nginstrameritwassigned before=me ttns::C� dsyaf.
r\%Ja icy e\Qn
wko:is persppally kpowp ✓or Gas praduce+d<a. who is:perso"Uy.-kpown✓or ha'proddced a''
oaileutisatoe, ;as;identfcatlon.
:STt►W
Jgaatpre of Nnta i'u#i1►c SigiiaW6 a of Notary uDlic:
PriintNatne ofNotary.Pub6c PnfitN46 of:NigtaryPOblik
DOROTHY ANN BASKIN
tg MY COMMISSION#GG 030145 �•20,,• ,��.,: DOROTHYANN BASKIN
i°a• a EXPIRES:October 2,2020 =,• •,? MY COMMISSION#GG 030145
�L/H� '•;oFF�g.' Bonded.Thru NotaryPublic Underwriters ;; o, EXPIRES:October2 20 0
.I�CVF$ed 1��1 Wc016:" • '4FOF FAQ�• Bonded Thru Notary Publie.Undenvnterg
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