HomeMy WebLinkAboutSubcontractor Agreement I
PERMIT* I ISSUE DATE
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(PLANNING& DEVELOPAII[ENT SERVICES
. Building &Code Compliance DI,Aslon RECEIVED SEP 12 0 7017
BUILDING PERMIT
SUS-CONTRACTOR AGREEMENT
LL(fc. 7f, c- have agreed to be
(Cgopaay Name/Individual Name)the C� lec-T r,z ek / Sub-contractor for CA,)-y_,i e)e c,,e— f cyv/h r?.i fo e;,9
(Type of Trade) (Prim 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,vall be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) O RACTORSIGNATURE•(Qualifier)
.1 Ca. -f"7 e- -e 1/ 5 T;It L hf
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of Ly(- � State of Florida,County ofs6A Z
Th foregoing instrument was signed before me this�'day of The foregoing instrument was signed before me tbi,\ +da `off
by ��UJ��11�CQ 1U �
who is personally known-Kor has produced a ;1;. :;. who is personally known_or has proAaced a
as identification. as identification.
,�f mot•t� a " Lt C `-'r _" STAMP STAMP
Signature of Notary PnbGc Signature of Notary Public
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Print Name of Notary Public Print Name of Notary Public
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'No1aFY Publlc Slate :Fbnda ,:;;:'?g4; LAURA R.CUt3BEDGE
Item BlldKa: �_Cornmissiorl#GG 022076
MY C-OMMISSIMFf 978543 ,,;Expires Oslober2l 2020
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FLAMM&DEVELOPMENT SERVICES
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RECEIV-D SEP 2 0 7017
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iii�rldl<ntg& Codes i omplfance Dlvlisfon
--- - ��C;DYi�T�%•P1FiGT RECEIVED.
oritTRA Ta a i E ivr SEP 2 6 011
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Cot fort. Cimtrol •of St. Lucie Inc.. haveagreed'to'be
(Company Nhme&&vidW N e)
the H-VAC Sub=b-bkft etorfor Wyxtne Deve.lojm�ent 'Corp.
(Type of Trade) (Friaiaiy Contractor)
For the prdject Ideated at
'(Project Street Address orPfteW Tax IDS)
It is understood:that,if there is any change-of status.(regarding our pardoipation'with the above'montioned•.
wojeot;tkle Buildi ig sand Code Regulation Division of St.'Lucie County will be advised pursuant.to the
fling of Change of Su'b-eeiitractar notice.
CQN'IRACTORS)<GNATURE(QuaiiSier). '�L`O. - - 3GNA�'[JItE(Qusiifier) .
-M:at zhe.w LYl.e Wynne ;erman
PRINT NAME PMT NAM
C01MYCERTMCATIONNUMSER COUNTY CERTIFICATION Nt)blf3ER
State uc'6tori�a,Coamty of ST, c t' State of Iffili :County of S cci
Th f TL fore¢ai�insh+imen:w9s ed beforre me t5is da of
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who is personfll[y.knowA�Y LBs proi3uca8 a who is peYsenaltg known_!6r ria$prodaced.is
Ao iiieutifioatian as idedtiScatiDn. •
51`AMP STAM
Siguatnre oTNot lslic— Sisguature o Notary
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hidNauto of Ndiny Public PrintNaiue ofNouryPublic
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" '' SUB=G(fI'VTRAC"�OR AG�2E�MEN`T' '
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T.r'easu `e Coast: Ro' fx;:ng:: : .have agree�l.:to<be
• (�ompan5'�1kTam�lltdiuicital,�+famej::. .
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If>< ur�dersto'citi;a ha#;.:i there is:+;ate°e ar g o€ atus reg� vctg o!ir particip4,ioll vM tlhe above.
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