HomeMy WebLinkAboutSubcontractor Agreement RECEIVED SER 0 2017
PERMIT# SSUE DATE
nOVENSPLANNING& DEVELOPMENT SERVICES
2' $'' Building &Co&Compliance Di*ision
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_- BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
eA fir. 7f, c— e-- have agreed to be
(Co pany Name/Individual Name) n
the L l ec:.,r s,-z e. / Sub-contractor for LeL-�!y_,1✓► U� f c ► r' �c�/f
(Type of Trade) (Pn ry 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) F&IJ34COWRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION.NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of l.�t..�t State of Florda,Coonty ofi2.
The foregoing instrument was signed before me tbiss!�daybf _ The foregoing instrument was signed before me this day of
200 by `\ \Q :,��c��.� v�!W(v��; 0 ' 'zo),by
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who is personally known—y—or has produced s ;., who is personally lmown or has produced a
as identification.
/ as identification.
u t STAMP S uri♦�,N1Yli�
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Signature of Notary Public Signature of Notary Public
Print Name of Notary Public Print Name of Notary Public
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malow Lyle Wynn@ . Robit Udium
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DOROTHYANN BASKIN
MY COMMISSION#GG 030145 '
EXPIRES:Octobet2,2020 s'j wagmmtn GOW20
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RECEI�,"�-0 SEP, 2 Q 20V
pmm i ISSUE DATE
'' �`' �u�ridti�ag�-�rd��CompY=mace DI�I"rsfa>n
Sft_611 1CTRA TOR AGREEMENT
Comfort ep►pt;rgl of St, Lucie -County, Inc.. have agxeed'tole
(Company N�me!lnilividtiaT I�Tai�,e) , . .
the H-VAC Sub-06 tfittor-for Wtrrt:ne Dey'a-lo m-ent Cora.
(Type of Trade) (Fr3aiaiy Ce7ntractor)
For the prdject located d __ �j ' • C,
'(Project Street Address orProOdW Tax ID*)
It is understood:that,if there is away change'of status:regarding oxlr pariiicipation'with the abovc mentioned.
proper,the Buff irig and Code Regulation Division of St.Lucie Cotdty will be advised pursnnt to the
filing df•a Change of ftb-contractor notice.
CONTRACTOR WNATURE(42ii&Mcr). :GD IGNA, 1(JI E(Quitlffier)
M:atthew Lil.e Wynne B.a. `e'rman
PPXff NAM PMTNAW
COUNTY CERTIMATIONli1M E& C0U7V`fYCERrIWATIDNMWER !I
$tnte os''Ftnr1a3,C0%mty of - , c r State of HdAt x;County of SZ— c-a-
Therot going idstrudaentwss dpued berore me this��tiay of The far 'oiaE instr1imentt was signed berafre me tLie�—` 'days of
2Q`. 1 bye_ CLC a��e+nt2�Vv�Q(�
who is person OY known�r hes prbiditeed a W8o is pdistinsilty known�r has produCed.tt
as fdebiifieafiom as identification.
5igostnre ott�ota<y_..blic 3ign�ftirc ofNoiery e '
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I'titttlYae}e of1V62ary1'iuhiie Print NOW of Nowiypohlfe
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S1, ,fa MY COMMON -'��� MYCOMMI$SIONGG030t45
s' �o;' EXPIRES,October 2,2020. _`*': t-
BondedThryNotary:Pu¢licltadei}vrifers Oetober2,2020
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Revised I U1612016
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RECEI
C SEP 202017 •
:PERMIT#: iS'SU5: ATE:
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'.r.:'�asux G :a'si: Rdf: :n:g:.: : .� veageeto<be
�Qmpan�:l�7amelliidividuai,�Jame)::. . . .
tli Ro�• �ng Sub= iifxaetr:for Wynne D.eveopmerrt
(T�pe of`7Yade) � (Prii��ry�o�t�cto�rj
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.so ect; t�+eet:Address�='Pto`e •Taar ID.#. . .
It is utaderstood Ehat,,ithere is;ay ciig `4 slvs�regargoxir partpatiidn the abQve:rntine :
project,the Buri±3 ;: rd: title: gut �n.Z 1 i x o t.Lucie Cou Y-W-1 ii :adu sed•. t>rs>3a�it to`E
t�tg of:a.:�laange�of:S�t�:-�onit�rr��ti�e .
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eor> ,cro Sr ru t ¢ u �; sv o rRac°ror:. . NAT.
I�atthe:w��s.L:yle Wynne. . .. .. ... ... . ...,. . Bt. an •.N�a�:o��� ,i ,
���`TY CERTIItI�'T,COI�i 1�'�tltn$F,�. .. .. .. � CQL{t�1�Y:�ERTI�iCATIO3V.11�[J�IBER`
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aJio:isporwiml-lyiinowa. or;tigs:prQc�q.0 lta;: :.•:::, wtio"�s.per�oina�iylmbwri- U'i- oduced.s;
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DOROTHYANN BASKIN
MY COMMISSION#GG 036145 DOROTHYANN BASKIN
EXPIRES:October 2,2020 -.• MY COMMISSION#GG 030145
OFF�� Bonded`rhrutyotaryPubGc Underwfbm :; a EXPIRES:October 2,2020
Kevisgd lUtS/2015
BondedThruNotaryPublic:Undeswlttg
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