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HomeMy WebLinkAboutSubcontractor Agreement RECEIVED OCT 19,20 PERMIT# ; ISSUE DATE rLANNING&1),EVEILOPNT SERVICES Bu !ding is Code'CoffipHsnee Division " �. 19U.Hanvd rF,'RMYr SUS-COI+t CTOR AGREEMENT I 4s2 6 Zee.. 7r, have agreed to be i (Co parry Name/individual Name) the Ue.c-r r,z e- / Sub-contractor for W-y fi.i c (Type of Trade) (Prim 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 wUl be advised pursuant to the filing a of Change of Sub-contractor notice. ... � • CONTRACTOR SIGNATUM(Qualifier) qPVCORVkACT6RSIGNATURE•(Qualifier) i PRINT NAME PRINT NAME C01W Y CERTIFICATIONNUM BER COUNTY CERTIFICATION NUMBER� �� State of Florida,County of ��PL State of Florida,County of 1.x���i _... The foregoing instrument was signed before me this\ t day of _ The foregoing instrument was signed before me Wisl `� day of A V � , 1,by `��\ n i y�_s���2 ! �h � `9�� ;20 by LOUll'a.1 u who is personalty[mown Y—or has produced a , ;? who is personally!mown_or has produced a .c3^. as identification. as identification. STAMP STAMP Signature of Notary Public Signature of Notary Public JG� Zf�i( c_� 4 _jq � ——((rL > c P'ririt Name ofNetary Public Print Name of Notary Public r j Notary[?ub1lcte.gT10tlda '����"//"'% LAt1Rq R.CUBBEDfiE ''-`'' +'a ' DIN Kern Bu GdKa s7tss4s =.: �_Coritmis$iom' # G p2ZOT6 m65t2Pilia October21;2020 Revised 11/1612016 pA ' ,°,�N;r�� BondedTh►uTloyFai►IlA9utaAcelQa3851019 RECE1-Vc-D OCT 19 2017 . j MINT# PLANMG DELOPWWWr SERVICES 01"HOW9 Cod# Ape`PIrrmim Pfurdbino ford , I% �d� �P1 -AAl�t f�E Ait At.Wynn@ ftypdopftnt 6g pgtjlk-,lpA&i with Am > A :projw;thig B#31djng md cod@1,4-go ip V-ivio Air Pf St, j&,co win IV wvi§W �aam k d l P A f f�l3 �?f�EJ$�r�(l¢Ak1P�€)' �t<IJ3lUi 44k MM#mw Lyle Wynno. Robert LOW mIS 4 yoeFw CNkni�' 'f1hsforw1B$$A;S�,VgmA�fBYAS$ wgir6:11feAj.S EIA of ikRfAF&gA)R$iRFIFRA4R14t AS4}$RBdIIEfAFf.11!&EiZl19� 9� ��G —ter, � . ' Robert ��d�t .. . _ 1A'1�1/1�9�!'sAh(@fllj'�RA�i'1!�9F kft.��►FAI�ARE(�A_ — �A9�3�FE,�9AA�ll�'#14ADYR M,pf fJ85/1F9�k&f¢R ._..� � f FgOFBa�D'Af -- �----------- Rhonda Lsffotty. .. _. f iaf ffiam pt�'014KY priliJf AT'S' DOROTHYANN BASKIPI CM®A LOFEW MY COMMISSION#GG 030145 s . �: o`' EXl71RES October2,.2020 s'`: MYNIMI§§f�A1G7� '�,;;oFF§?.• Bonded-ThiuNotary PublicUndefvrriters t i i R���i�.�� OCT 19 201� PERMIT* I§SUE"DATE PI AWW 1 4p1V E1 T Sl�t€V CES Yldil>ftg&-Co"4P6 p 14 uee-Division h> GRE �NT Cofort 00-ntrol -of 5t. •Lucie 'CaFunty, ZAc.. have agreed'to'be ,(Company Ngmeftihvi&d NMO) _the H-VAC Sub-c'oitt ,ctbr.-for Wynne D'e-ve�:lo; .meat Cor . (Type Of Tie) (!}riaiaYy Cox►tractor) For the project located at �� �:�►� � '(Project Street Andress or?fbpeiW Tax!DO) • I It is understbodfhir,if there is any clZango•afstatus regarding Wit pafioigation with the above mentioned. ! project,-the l eiild ng and Code Regulation Division of St.Lucie County will be advised pursuant to the � filing 0fa Change of Sub-coritractor•notice. CONTUCTOR SI OL Tii> tQfiaGSer} =co 10MA UItE(Qualtder) ;44,.'thew Li'le Wynne gragn PRINT NAM kiffi T Ne1;W j I COVMVERTIFICATIONNUMBA COUNTY CERTWC'e+1TI ON NUMSEB state orP'4wa,Coamty or 5-r.- a E ,w State of Midas Cali*of S—&L4 cci Y\ �\ The ro"hig idstmdteutwas loaned hefore me this\ d&y of C, The fore eiaE iushvment was sTSAted Before me tLig� I "�sy of rr?=Qccu Z� � �! who is persoasliy.taowA�Y has proiiuced a wlio is pelrBomilly lmdwn�r has pYodaeedn as fiielrtiticatiam as ideritiGration. ': j ! STAW of o tilic Signature of Notary e g• i .a�T> AF}SfCrn) �.ti: o'Tl.`/ HNN '&S,rCloJ I'tilut'1�Tad}oofNotary7'ablic Priat'NsmeofNotaryPublic — DOROTHYANN BASKIN MY COMMISSION#GG030145 ��.q:'�'Pr �.;� DOROTHYANNSASKIN Z,'riPo`,c 6XPIRESt October 2,:Z0E0.. MYCOMMINON;#GG 030t45 Thru:u .Puylic Undet►viiters s Q;o,: €XPIRES;Ottober2,2020 .,,.... atd?d11iNNot�!YP�ib(IcUndeiyq�I?t5.Revisea�iris�ioi� yFa�o a L66-J ZOWZ040d VLC-1 889L8L8ZLL d.I oC su i p j i n8 auuAM -wM 9 L:Z L 9 6 I-64-Z 6 I ' RECE11' D OCT 19 2011, ' • • pow -ponip WFISIOt3Y• r .....:.•.:...:...:.:....: ::::':...... ::�..,. :. SiT'$ :�:�:: �•R.AasR'�ElV,FE111`:>�' Trasue" Gsa: :Rof`aft E:'ompany I oft iandt>al miwo .Dev.eme>YtQZ .*.. ' je�t�t�+eet:AcFdress"or�Prop"�z�yT >ID .. .. .. . It:is: rsaat; fa % e `.s �::.>cati 'ease ;ice; .1. ::.:. ~; ' pa�on'w�t�t1�e abo-ve.m�Istion�; ,p o#tlheB >3a1 r c: ui t a :TJ►.:i.. .... ,. an..... Lv .. t., tice`CQny: �l benadus+ed`pursii t 'flrr <'O.1V ' i1TYSTf1T Yi3t2E' uIgc)". .SU)3: i0�' ii�kkTIt:. �`? IT .:. .. 1Ser1: . . . vro F Tl!(A71�E": {COLF`1"yCE i I XQN:1'J, . .. : OWN..- R.',IF�E.Win 1 � ; 3aYgof,Fti►r�d ;. ouaiY"Q :S�=I� t cw C -sta'tetot)r1or, Th 0r. eme iasduT*was g '1>e o ,at org)n- ." . . .. !$a ...<. . dsy of, Tyr;orc4�9idtruideutwas;§%gueil I1ef4re IIit':tTus ►f. a'�o•.!�:!!1;�4t$�3'.Asa"owa:�..�ord�s�:Brp"da.Ciwi:�: :�vho'�sper5.o5�s'ILy:�triiuivo:✓Tr7ias°�iraduc�a:s.'• j �s;.ideGfi,�isafR�: as.:>�Enttentidlt: ►gnatdr ,ofhgis iib)it bygnatdiea£31Tat uiilir: .I pro &S1,w .. :Vint"NBtlilejat N4t�it'v.Piitilic . .... .. 'Fi�int i\Fart��o}:h`iyf9i ji.;'u'tlli��". � � - o<r:?y'e�.,• DOROTHYANN BASKIN MY COMMISSION"#GO 036145 DOROTHYANN BASKIN i •r, �o:= EXPIRES:October 2,2020 ?•• = MY COMMISSION GO 030145 fieviseilTI%1S/2016 ''�' �°.•` BondW7,hniRataiy_PubkUnderv�tbm = �FaF•,o :B. EXPIRES:October2;2020 • ,,,��„•• onded:fhrti Notarypublic:Undenvtilyyg . l I ! I