HomeMy WebLinkAboutSubcontractor Agreement RECEIV70 SEP 2 0 7 "�
PERMIT# — ISSUE DATE
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PLANNING&DEVELOPAMNT SERVICES
Building &Code Comipliance Division i
]BUILDING PERMIT
SUS-CONTRACTOR AGREEMENT ;
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( / Z ifC. ??4r, c— have agreed to be
(Co pony Name/Individual Name)
the l�'�- r,Z� / Sub-contractor for tec-J!-4 tm //e ei e- c> �-► .�%�o��
(Type of Trade) (Prim Contractor)
For the project located at
(Project Street Address or Property Tax ID#)
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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.
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CONTRACTOR SIGNATURE(Qualifier) E&JWOWRACTOR SIGNATURE-(Qualitfcr)
PRINT NAME PRW NAME .
COUNTY CERTIFICATIONNUMBER COUNTY CERTIFICATION NUMBER
i.� 61 State of Florida,County of �V�� State of Florida,County of 1xxC%2.
The foregoing instrument was siiggnepd before me thisx� ay of The foregoing instrument was signed before me this \`�day of
Oi 'C� 20 2 b k\ \ e i t.f�s •Z �t. (� Y 'C •20 / 6 /
Y � �. � y �(�IUJ�S`2t�CD
who is personally known Y—or has produced a 1.;.., who is personally known_V_or has produced a
as idenelccation. as identification. p
STAMP
Signature of Notary Public Signature ofNotary Public
Print Name of Notary Public Print Name of Notary Public
to pFFlorida FZ101-41",
. LAURA R.CUBBEDCiE
; ission_#GG a22076
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RECEI'. D 5EP 2 0101.7
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Mfg Dimemlom Plumbing Sorvt >f Im, ��fi3 bg
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Mmftw Lyle vwnno. Robert Ludlum
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Robert Ludlum
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DOROTHY ANN BASKIN
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MY COMMISSION#GG 030145 MONALAFFEW
EXPIRES:October 2,2020
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RECEI`. :D SEP 2 0 IN • : , ` ,'
PERMIT# ISSUE DATE
1"L�AIIYI�I+> Dr�VE ;+DP'1VENT`S .�t ES
�i>l�ld>iYtg�+bode iCompY �tzuce Drvlisfon
CQ`fort. Co:nt:ral •a€ St. -Lucie -Caunty, I.rxe.. have agreed to:be
(Company Nme4ndivi"W� e)
the H',AC Sub-c6ni etor.for Wy�nn b.avel.0:D_ment 'Corp.
(Type of Trade) , A /� (Pt�u�ai3►Canti�ctor)
For the project located at _ _
-'(Project Street A:d&ws'6r1RroperW Tax!DO)
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It is understood:that,if there is any change-of regarding our pmWpation with the above xnen�tined,.
-project,the Du id ng and Code Regulation Division of St:Lucie County will be advised p4suant to the
filing of a Change of$0-vvnt*tornotice.
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GON'x')RACI'OR SIGNATURE(Qua fielr)• GO iGNAT (Gagner)
-Matthew L 1•e Wynne erman
PPXgrNAM PRWT NA11IE
Oasis 828:8 i
COUNTY CERTHUCATION N(=19A COUNTY CERTIFICATION NUMBER
$late aflltprida,Caa>tty of ST, a t' State of Fiftift Couaty of sT F `
The fa tgobig iustrm*t"SL-Aea befdre me tbi5 aay of The fordo instraimet►twasslued befd(re me t5i6,`J�X��y of
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who iS persoaaliylmown or hag ptrad ma a who i pdi<sonarig lmowtt ur ties pxodaced»
as fiierilifioation p as ideritificstipn.
t6f��:w vSTAMk' jL j,. STAMP
Signature orNotawbuc Signature of otary Tgne
_ iV l�lSl�'(�l0'TH•`1 flNn1 NRSkI.J
hint-Nadic of Notaryl'iiblia PriurNeibeofNWrYPublic
.,, DQROTHYANN BASKIN
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'�,°f1ii4Ra•••Bonded Thru Notary Pu>���ndeiviiters .o;: EXPIRES:October 2,2020
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tt e:. Iti �.�sng: dub coin -ae#or.for W'yririe D:e=xr.e?::op>aerrt Cor. .'�
(Type ef:TrarTe) . . � (Irr-ia�ary�oz�tract`ox) � . . .
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;ject.ftet:A dtess:br'PFo Ta C II3: '
If's:uiidersf ad;ha a< thete`.is-any t ang staff s regardiiitg oxI'"i-A. patio i ►it :the above<inentrbnect
t ie Bu i i ig afid_Cvt l gt la oxi D ►i xoi�u> 51 :. uc e. iun y uv 11 ad i sed`.purst ari to flie.
fi�>i>t�g of�a�1�ange�of:S��-cont�� �r.ri�tYc,:e., .
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1'tie•forego..gngrrastrnment:xvas:yigned:l�efo�;me>i6is�•.:,..:day�of. ... ThectareQoiu�_iostYagieutxyassiignedlrefore�me�:ttiis�tl4�;of.�
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aJio.iS:ireesonn�ly�nowR%or:h�s:pr�ilucela: 1 Who, lwown-. oMtiawpro aceda:'
. asi�eutiGcations
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Si`gnatuceof�aitary ub,/li�r'�
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• "? MY COMMISSION#GG 030145 ;•�a���:ai•.- DOROTHYANN BASKIN
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�; ;o�; EXPIRES:October 2,2020 :.; MY COMMISSION#GG 030145
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��rFBFd�°P'�•BonWld ruh(otarypu* ridervmders EXPIRES:October 2 2020
Bon&dThruNotaryPub§o:Undenvriters
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