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HomeMy WebLinkAboutSubcontractor Agreement (2) PERMIT# ISSUE DATE PLANNING-& DEVELOPMENTSEIZVICES Building'& Code CompRa' nce Division p BUILDING PERMIT SUB-CONTRACTOR AGREEMENT ARC MASTER-ELECTRIC have agreed to be (Company Name/Individual Name) the 'ELECTRICIAN Sub contractor for WY NNE�BUI.LDING CORP. (Type of Trade) (Primary Contractor) For the project located of C c�,_>..� ESL �-- (Project Street Address or Property Tax-ID# It is understood that,if there is any.chango 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. QNRACTOR SIGNATURE(Qu' erj s S -CONY CTOR S NAY. (Qualifier) ERIC WYNNE CHRISTOPHE JERNIGAN PRINT NAME. PRINT NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of ST.LUC1E State of Florida,County of ST.LUCIE The foregoing instrument was signed before me thislt�day of The foregoing instrument was signed before me this day of ion by ERIC WYNNE L zo?�by CHRISTOPHER JERNIGAN who is personally Down�4 or has produced a who is personally imown or has produced a as identification. as identification. /6 OI STAMP C STAMP Signature of Notary b'c Signature of Notary a lic DO.ROTHY ANN BASKIN DOROTHY ANN BASKIN Print Name of Notary Public . Print Name of Notary Public DOROTHYANN BASKIN 130ROTHYANN BASKIN MY eWMISS10N#HH 045443 t; MY COMMISSION#HH 046443 EXPIRE&0*ber 2,2024. "y :`; EXPIRES'Ot�obee 2,2024 �:;;OFF��Pd- jIIN�IOtafy.PlfbliCUIId81W111915 •'%pF��n ,.BOfldedT11N.I�1o18(yNbRoUridefNRbm Revised 11/16/2016 -Bundkg. _tC®fie:lke *at O lff Division i �60.�?n��.mla Aire . Fort Plerce,7L 772-462-115-53 Fai 972m462- 4578 Date C6ritraetor-Name: -MATT- HEW L'YL-E WYNNE •6us1riess Name: •WYNNE:BU{LUING GORP. Address:.800.0 SOUTH US.HINY. 'I- SUITE 402 -Clay: PORT ST LUCIE State: FL Zip Code: 34952 Re: Job Address: It:is.your responsibility to complywith-the-provisions of Section 469:003,'Florida Statutes and to notifythe Department•of Environmental,Protection.of'any intentions-to remove -asbestos when ap icable.in accordarsce-with-state 8nd4ederal°law.. 1 - y� nafiu ate - - I