HomeMy WebLinkAboutSubcontractor Agreement PERMIT# — ISSUE DATE
1
PLANNING& DEVELOIPAMW SE�2VICES
EuYlid ng& Code CojaVfl nce Division
lollBUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
j lfc �`�, .� have agreed to be
(Co puny Name/Individual Name)
the Cr f�'c, s z e. f Sub-contractor for �y n U� e- f u,/�/f-� �.-� �c,/f
(Type of Trade) (Primary Contractor)
or.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
pLVject,the Building and Code Regulation Division of St. Lucie County wi.11 be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) 4DWOWRACTOR SIGNATURE(Quail ier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATIONNUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of , l.V t.Q State of Florida,County ofi Z.
Thl foregoing instrument was signed before me this�ay of _; The foregoing instrument was signed before me thi_d�day of
k-k ��c� :'mil a •20\,by 1�AV�1�1 e1S�C0 �
wbo is personally known Y—or has produced a who is personally known_V__or has produced a
as identification. as identification.
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CIL� a u C""` — STAMP STAMP
(�)%
signaturef Notary Public Sigture of Notary Public na
Print Name of Notary Public Print Name of Notary Public
`Notely Pub t of FWrida .•' R.'CUBBEDtiE
I c�Ae. LAURA
keni BudKe. F.yys5g3 =.�. colhmiss3otr-#Gd 022076
its....
• My.Conmllssiatl s,', ?o:''FXp1f8S October 21 2420.
o Expires0$ �►?020, ,o�ito;• BollWT1WTMYAh Vur�uH�s036780
Revised 11/162016 a: HNC`
PERMIT# ISSUE DATE
3 PLANNING & DEVELOPMENT SERVICES
D' ion
Buildin ` & Code Compliance liance ivis
COUNT
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BUILDING.PERMIT
SUB-CONTRACTOR AGREEMENT
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a 'C .wo, rV I'C.e S 7rn c- have agreed to be
ompany Name/Individual Name)
the rn h i ntractor for to ryn e {V Q- t� ' -11d e-M
(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) SUB-C CTOR SIG ATURE(Qualifier)
eW L�� obeME-� l.0 d l AA
01949a S 1btoaE
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
St to of Florida;County of$T-L11 CIA*-, State of Florida,County of St-Lu C,t e--
The foregoing instrument was signed before me thif l�day of The foregoing instrument was sign Ad before me this �ay of
I
zo\�,by0.j \2 0 b?C4
who is personally known or has produced a who is personally known or has produced a
as'identification. as identification.
k STAMP STAMP
Signature of No Public Signature of Notary Publi
1� oR�k•L`� {�I'NiJ �l9-SK�N r: . C . �
it Name of Notary Public 15ridt Name of Notary YPublic
ot"�';?"'• WROTHYANNBASKIN F.Imewnwh 2. S1`.4•�.. -
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=? '.�; MY COMMISSION#GG 030145 1.
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PERMIT# TI8uSUE DATE
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1'LA1T Y�1`�&I�� �►pMENT S��'V�CES
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• � iDYiV'G`Pi';RIVITT .
StM-6ONTRAC'TOR A(AEUMENT .
Comfort Control of St. Lucie County, I11c.. have agreed'to'be
(Company Namedndivicltiaal N=e)
the HVAC Sub-colttM0t6rfor Wynne Development Corp.
(Type Of Trade) (Primary Cnxw Utor)
For the projed located at �� \ C �l via:�c� C
--- 0 rgject Sixeet Address or Property Tax 0#�)
It is understood:that,if there is any change-of status:regarding our pan icipation'with the above mentioned.
•project;the Building and Code Reglrlation Division of St.Lucie County will be advised pursuant to the
filing of-a Change of Sub-coi tractornotice.
COiV•I'RACTOR SIGNATEME(01199fier). '`Co IGNA xJIiE(QuafFfier)
,Mat;-t.hew Lile Wynne B.a.r ertnan
PRINTNAME PMT NAME
08,898 828.8
Ci UNTY CERTIFICATION liir7MER COUN1"Y'CERTIFICATION NUNWR
State ofPtortda,County of S i, c E State of Fl6rids:Canniy of S C. , ,�{
The rorigoing instrument was sighed before me ttus ay of The forezoing instrument was s�giaod before me this lyday of
WC 20 a by\ ar V-� � � 20n by'2�S A Z a,1ttve+✓\A.l�(,
who is personally.known_t:_-5r has produced a who is7 personally known wr has produced a
atl ideat fiication. as identification,
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atnreofNo e ..•Saw STANIIt
tart' Sigoatui'e ofNoisry 'c ,
� n/�Y f/NN
$rthtNautc ofriotary Pubiia Print Name oYNotary Public
DOROTHYANN BASKIN.
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MY COMMISSION#GG 030145 ��°tB�,, DOROTHYANN BASKIN
EXPIRES:October 2,2020 MY COMMISSION#GG 030145
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