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HomeMy WebLinkAboutSubcontractor Agreement R.ECEWED•EEB 0 9 2017
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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
, ;
} Building Code Compliance Division
- SUffiDING PERMIT
SUB-CONTRACTOR AGREEMENT
t L'c.. 7f f t- T have agreed to be
(Cgppany NamelIndividual Name)
the L. tec-r,-,z / Sub-contractor for -i A A. Aee&e-
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or Properly Tax ID#)
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It is understood that, if there is any change of status regarding our participation with the above mentioned
p;oject,the Building and Code Regulation Division of St.Lucie County will be advised pursuant to the
f1ling of a Change of Sub-contractor notice.
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CONTRACTOR SIGNATURE(Qualifier) qWtOff RACTOR SIGNATURE(Qualifier)
PRINTNAW PRIlU NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of_ •i2.
Tb�e foregoing instrument was signed before me tbi7�A\day of The foregoing instrument was signed before me this l day of
\ ,
20A �1 \wio is personally!mown-Y_or has produced a ;>; , who is personally!mown f or has produced a
asidentification. as identification.
� STAMP of Notary Pu STAMP
Signature of Notary Public Signature blic
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ILA d-tl�(0` T_ Cis c
Print Name ofNotary Public Print Name ofNotaryPublic
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r r j Notary Pub11c State a:Florida :,,1,117;:"••;,,IAURA R� C�US p(3E
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Revised 11/162016 ��•�. Exp)tes 005I2020, ���„?a t?".��BondedTlwTroyFa►nfn6yranoeaUD38S70}9
RECEIVrD FEB 0 9 2017 •
PERMIT# ISSUE DATE
^ PLANNING & DEVELOPMENT'SERVICES
Y {` Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
0` Men I onz LI.M n!I C.e S c. have agreed to be
Oompany Name/Individual Name)
the YY1 h ub-contractor for n e, ��2 Y 'D m 2 C,O.R 1a
(Type of Trade) (Prim Contractor)
For the project located at C��Qy�
(Project Street Address or Property-Tax ID#)
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It is understood that if there is an Chang;of status re ardin our artici ation with the above mentioned
Yg g p p -.
project,the Building and Code Regulation Division of St.Lucie County will be advised pursuant to the
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fling of.a Change of Sub-contractor notice.
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CONTRACTOR SIGNATURE(Qualifier) SUB-C CTOR SIGNATURE(Qualifier)
Sinn e_ ]P 6ber4I Lu d l uRINT NAME
M
o lslsG 13
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida;County of 5-r-L.C_e - State of Florida,County of St.Lt,La
The foregoing instrument was signed before me this \- day of The foregoing instrument was sign d b(,e�fo,,re me thl* of
20\1,bY O13e(j1 /1.uT�W_,.
Who is personally known or has produced a who is personally known or has produced a
as identification. as identification.
STAMP *re
STAMPignature of No Public Signotary Publi
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Print Name of Notary Public Prijit Name of Notary Public
Baud
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RECEI'VED'.fEB 0 9 2017 • •
PERMIT# ISSUE DATE
ar PIANTIY"o A DX OPAI-ENT SEHVTCES
jitih tag&'Cddii iCompr%anlce'DiVEgion
BC {DYNG PER1VhTi'
Comfort CS�.ntrol of St. 'Lucie
County, Inc.. haveagxeed'ta'be
(Comvm Namellndividtiai Naiae}
;the HVAC . Sub-contraetorfor Wynne be�elaDmrrnt 'Corp.
(Type of TWO
(Primary Coxattactor) —
For the project located at
. (Pmject Street Address or Property Tax ID 4)
It is understood:that,if there is any change-of status:regarding our participation with the above mentioned.
Iprojeot;the Buildift and Code Regalation Division of St.Lucie County will be advised pursuant.tothe.
filing of a Chango of Sub-contrictor-notice.
CON'y"CTOR SIGNA`i`M(Quamcr).- CO iGNATiJIiE(Qualifier)
t•hew Ll.e Wynne erman
PIN'!'NAME — PMTNpM
COUNTY CERTIFICATION 1tN MP.1t COUNW CETtTWCATZQN NUMBER
State ofp'kollea,Comy of Si, e E State of Fltirids:County of f3i: eti
The foregoing instrudeut was siEued before me this*- da of +' The for of inst mment was ed before me this ' 'da f
y + nE y o
1 )4 20�,by�e�AQ �1 Z.w:n ��_. 20L by a ,M2�'W1�(,
who is personally.known_�Lor has pr0a,ced a - who is-penonally known✓r Las produced-a
B idenlcation as identification.
�.. [Ut7tdL' • STAlV»E'• t o STAW
SI.V-Sture ofNQotary ..we Signature omot9ay e
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