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HomeMy WebLinkAboutSubcontractor Agreement i RECt7 :D FE9 � 9 ?01� PERMIT# — ISSUE DATE PLANNING& DEVELOPMENT SERVICES a� a'`�•t� t••�-'his f�?�` - . Building & Code Compliance Division - ' - - - BUILDING PERMIT SUB-CONTRACTOR AGREEMENT ( r t c- ` have agreed to be (Co pony Name/IndividuaI Name) the c Mc_/ t, / Sub-coritractor for LA,)44,1 n t ,Oe e- /c�/y, (Type of Trade) Q\ (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) 4WICOWRACTOR SIGNATURE(Qualifier) PRINT NAME PRIlV1 NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of Ly��l� State of Florida,County ofs lei e The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of 4�,by C:�Y �H ti a-Q , 20\n by k AW1Jt(JC0 V tA�oCJ,J whlo is personally known Y_or has produced a who is personally known or has produced a .j: P Y I as identification / l 9 as identification. STAMP STAMP Sigbature of Notary Public Siguatare of Nota�Pdbfic���� IC 2( S? a Print Name ofNotary Public Print Name of Notary Public P ` to of: r r Notary Publle S ,., Florida ;.bJ^;'c�'�'¢; LAURA R.CU130EDGE Kerri . 1304 e„�`�•`:'-BCOAQedm #GG0 22076P 9785d3 . M ' Pirea Revised 11/16/2016 oFa� Expires 05961?02o 80dober2l;2020 iNT royFAmvaelD S."19 RECEi'.' D FEB 09 2017 . PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division s r •. ' BUILDING PERMIT . SUB-CONTRACTOR AGREEMENT n- YILIM N I ce S c. have agreed to be ompany Name/Individual Name) the YYi h ub-contractor for Wllinn t,. {Y Q O m e CO R (Type of Trade) (Prim \Contractor) �For the project located at �c�\ _k (Project Street Address or Property Tax ID#) I 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-C CTOR SIG ATURE(Qualifier) i W L p__ s-1 LU 4.1 tt M NAME ]PRINT NAME o COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER SI ate of Florida;County of ST- Cl State of Florida,County of S�- „ILLL' The foregoing instrument was signed before me this day of The foregoing instrument was sign d before in this day of 20k by�!\�\'-A\2.�,.Dk_t >0 ---�:b 1� ,2k'')l� ©bf(4 LL 1L ll&� who is personally known or has produced a who is personally(mown or has produced a as identification. as identification. t.�lt,CQl/at fMn /V0. STAMP STAMP Signature of Not Public S.guature of Notary Publi ']�1 okcr, W-1 l�'N�J �l�SKar� dA{ Print Name of Notary Public Prifit Name of Notary Public •:::�'•• DOROTHYANNBASKIN o' i �=o. Ao•.. =IRE � tCOMMISSION#GG 030145EXPIRES:October2,2020s�'Y"6B'•- RERTY r° ��=BondedThru.NotaryPabiic OndelYrtiieis .*. *' MYE854297=i• ..' .,i�oFF�o: 8,2017�"; com(d07)3:.8 01536 t • ! 1 ,..ii�.'fd�,.t.''�ti'?%1;4:4�,�,.�U`6+Rli°r'::SiC .�_ PERMIT4 ISSUE DATE F'LJANNN &Ia V I,�tJP1V ENT S Yt` . CES dhi i iV,ls10n tide�C lee D vi ���� clitint � u>a �u $Y7IrDYi�T�'PERIVI>4i'. • . . SIM-C AGI&I ENY' . Comfort Control of St. 'Lucie County, Inc.. have agreed to'be (Company NmeAndivitltial W=e) the HVAC Sub-cbntraotorfor Wynne Development Cor•). (Type of Trade) �1 (Thzniary Conumor) For the project Ideated at '(Frgject Street Address or PropaW Tax ID#�) I is understood,that,if there is any change-of status:reg*�g our participation with the above mentioned,. project,the Building and Code Regulation Division of St.Lucie County'uvill be advised pursuant to the tiling ofa Change of Sub-contractor-notice. 1V•>"CTOR SIGNATURE(Qtiamer). t:O iGNAT'U)iE(Qualifier) ,Za:tthe•w Lil.e Wynne H.ar erman PRINT NAME 1P'RINT KAW �'$ $ 8288 COUNTY CERTIFICATION NUMER COUNTY''CERTWICATION NUMBER $ to ofL'iorida,County of Si,km CJ F State of E16Y e:County of Si cl The foregoing instrn ritnt w as signed before me t day of ! The foregoing inshvment wag 8Iped befofr0 me tLis of zoV--),by\40 � \ 1.� �. ��, .xo�1 bra-�ccu z.��v.�sw�ra� . who is personally.known_tL-or his pr*&ced a who is pdbola ty known 2LOr Las prodaceda a identification as ideriti6cation, STAW STA117i goatam of taey 'c — - 9ignatuee ofNot9ry a 1• o::u2.o�t.-�1��/: iV �RSK�a �1 a.�oTH.`/ i�Nn1 Ne�}Sl�I.J_ ' i'rintNauie ofNolary Pbblie FrbtNaftia of NotaryPublft 'i'%Y •,, DOROTHYANN BASKIN, "t�� DOROT14YANN BASKIN ,I MY COMMISSION#GG 930145 1ZI. :tk MY COMMISSION#GG 030145 y�fr �o� EXPIRES;October 2,.20.20. •, off kor. Sonded Thry Notary.PuW.Unde(writeis o,: EXPIRES:October 2,2020 �JFOF.F`QQ�`'Bpfe4 Thru:NoNd. PUhfic'U , Revised 11/lfi/2016 -�,,,, ry ederwritets. • L66—d W00/3600d tO-i 999L8L83LL d,100 Bu i p j i n8 auuAM -Wo8 j 9 6=Z L 9 6 j-66-Z L RE C E I D FEB 0 0 7 r7 • PERMIT`#' 15; UET . :$UI�DI�TC:PE�tif1:T. .`: SUBtCb1�iTG��?RA'G12E��VI,EN`�- T.reas Goa t R`o` f° n:g:: � vea xeet ;jo-sb fannpan3f:IBm �IiZd�rnclual?�Tatne): te:.'It `aa. g: 7 n:rtr+' .Dret:e :toz" . . � Sizb €�ractor::fiir (Type ofTiac e) ft0a'Y 4Qnftgtoxl . j S F*j ec, t�,'i�;jest:�treet:�ifdiest'ar'PFoPeirty:TaX;ID.; ... .. .. . €is ur�dersf 'ad<'�tia;::i7f tee is;a3i °cig `o: stas'. egaxz ourarttlripation nth.the abave<mentt : • .prep t D-1V <a of Sz..Luaie Ca n t':writ lie:ad sed.pur t ariti to die .�iag of a_�ha�pg� �f':Si�-�vntiFa��t�rn�tice . eor>=riro�t'srttasus }. s :e4tcr04-1w A.:. :.. le.. 0- e P$I�i lYAME:' .... g-n: PJMT YAME' ty �OCIIYfiY CEiiTI)t77C��PXf�N Nil�$E��.-. ..... Ca'[31�1`i'Y CER7<'�CA�IO�biUA�S16R`'--.-^ ^: ;s io4 Flortila;'('uugiygt:JT_.c, Sfafe':ofFlOiids•COUriijro�` G!C �_I.e�foregoingrmstrnment;vas:$igne�::tiefonme?#6is;�:dayol'� .,.� Tliet`pcegoi'ri ;dstsuiriehtAvss?3�gi►e�kefore�me:tlu's'�� �a�.bf.• w� � b��_: o ; yc��ca� ca\ forpas:prprlueda;: : : who'iSpMm3Uylauwri✓DM.tiss'prbHuced> ` vit![o:is�ggEsona)Iy Iipowa... ... .._: ��i�;,denti�eatioa:. /1 'as�iacarifcations . S tgRataFe?n#I!fata. Pir N 5rgaatu'2e'of TU.xa►y' ulilir: :Pril�t9�►treufNotBrv:Pailiiic PrintiNaritit:oMfatryl?ubliE �P. yet.,, DOROTHYANN BASKIN +"s3 A MY COMMISSION GG 030145 :,��oS'A'%°BLS.; DOROTHYANN SASKIN 'a; EXPIRES:October 2,2020 a.• MY COMMISSION#GG 030145 o gP•'Rewsed.�If.35/2016' Wded-ThruNotary EXPIRES:October2,2020_Pb ne %. od.€�Q•' Bonded:ThruNoteryPublic:ur.&Wntes