HomeMy WebLinkAboutSubcontractor Agreement RECEi`:rD OCT 191017 -
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MY COMMISSION#GG 030145
EXPIRES:October2,2020
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RECEIVED OCT 19 2017 •
• I ,
PERMIT* ISSUE DATE
pIyA1 T Y it DEV9LDP'MEW..gP'n ACES
u idilag&Code Compi nmc ' Division
. �17IT;I?Yi�TG PFR}VI•)>,`I' • . .
• $-CO1�TR:�itvTal�AGRE �IVr
C0fort Control. •o•f St. 'Lucie Carunty, Inc.. haveagreed'to'be
(Company Namelindividdal Name)
the HVAC Sub-c6ntractorfor W�:nne Development Cora.
(T Me ofTmde) (Primar3i�t>xltractor)
For the project lticatdd at C,
'(Project Street Addms'' Property Tax ID*)
It is understaod:that,if there is any change-of status,regarding our pamcipation with the above xnentioned.
-project-the Building and Code Regulation Division of St.Lucie Cot- will be adivised pursuant.to the
Ming of a Change of Sub-contractor notice.
CONT"CTOR SIGNATURE(efla ffer). -CO iGNgT IJIiE(Qn9lifrer)
H.a:zt.hew Lil..e Wynne B-ar 'erman
PRW NAM 1P=T NAME
828.8
COUNTY CERTInCATION NUMM Elr COUNTY NUMBER
$fate of morlaa,County of 5-rl-km c,E - � State of Flo�idi:County of Si uF
The forrtgoing instrunieutwos Ached before we tbu\day of + The foregoinz indtruznmt was signed before me this i �•day of
V C�6\—Z t 2& ,
.Imp
who is personally.known-Zor Las prWileed s wLo is person Ity known✓r has Mrodlxced.n
a6ldehlificatiom as identification
n .
O� STAMP- STAlV
SiviltureofNotary* 6lic SfgnatuieofNotary c
__b y4"Tr[.:`/. ANN &SkI10
$riamanic oflVofarylublie FrintlVame of N6ral7pubut
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MY COMMISSION#GG030145 i►=°:�;.; DOROTHYANN BASKIN
EXPIRES;Octaber2,.2020. MY COMMISSION#GG030145,
'•gf�li°? Bonded Thru Notary Pubfie.Urldem term =;'; Q= EXPIRES:October 2,2020
°�;:°.�''• BorxJed Thru Nota P�]bfic Underyrtitets.Revised I1-1-201- ry
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RECEIV-D OCT 191017 •
- $uat�ct�lpi & Code��m 7><ance I�ivisiari
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T.r'easuxeoasa: Rgofa:n:g.: : .Have ag�reedaa<be
' f�om�a�'�amelrndiv[citial,3�tame)::. .
the 12oa£�rig: Stzb= iitctor;for n� I7ewe :amerit or_ . :.
T. a of`7rade . .
{i�i+�;jest.Sffeet:Aitlressor`PFop�rt}F•Ta�ID:�.�). '
Its:un clersfocd<�hat,.xf there:is ar►�ciarg ' €:stasis_ egarg oir p dpatiion'uiiil :the above;:mi#i4ned
• :..>"a'ec.:t Burldi
Lucfe Couza>Ly... be.:advised.pursuant t the:
fi'ig of:alxange;cf:StYi- QntiFaea>irritce.
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CUt!iT1i�CTU)It STGg.`CtTR) (fualifek)' S[JE�COO�ITI€AciCI . . i�FA.. ..: .r : alfyer.;
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CUtIL�`fiY CERTIIZICrlTXOlY i�'U141BE$.� . .. . ... "; CUiINTY�ERTJFlCAsT101�f 113UA4BER- �� .
,hY {FlQrida;.Gonn.. Qf:JT L o
tY C `n^ Statedfi ii:--_.0 '(• ` :,::�, i1arCouriwoi'- GIC
3eforegoinernshvmgnt:was:signed:tiei?orem ;.f>Sisay:ot. Ttie;Qr�goiri�iiti�tieuAieuYw'sss�gnte before=die:itu5 .of.
2... hy� °u�,G..�•WI.T� l`�.C�� 2(�„J,by�C\QED ���`lA, -@.�
al[ .a;u:p�csuua)tytipowa. .:ordss:Qroduc�rla;----._. :•:. :. :..:; whois.persanali.:
�knoivn_✓rtiaspraaucefl:a:
Qs.id4nfiiicatialu, a Venu ica6oh
""S(.LL'�" STAMP
S�7'e1;,NiP
tgnature�of NQta' P6bLc � ''SiauatuYe'of�oft ublins:.. ,,QQ . .
�a.('Wlr7.t�/..1-tNN /JRSK�
�:P.rititNBri�esuf�NAtSttv.Pu$Gc � ;. .. . Triuf i\°ame'of:1"tifary Public '
DOROTHY ANN BASKIN „�P••
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s,: •fit: MY COMMISSION GG 030145 ��o,.• o�;;, DOROTHYANN BALK'N
"s;• ,ate; EXPIRES:October 2,2020 MY COMMISSION#G t4EXPIRES:October2Bonded?hruNotaryPublic:U
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RECE1�r-D OCT 1'9 2017
i
PERMIT# ISSUE DATE
FLA►NNING & DEVELOF1d NT SERVICES
Building & Code Compvaace Division
g►. D'
]BUILDING PERMIT
- SUS-CONTRACTOR AGREEMENT
have agreed to be
(Co puny Name/Individual Name)
the L/ec T ,z e.r / Sub-contractor for n -d Ae cl e- .l cl A
(Type of Trade) (P mn a Contractor)
For.the project located at G�
(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) O .. RACTORSIGNATURE•(Quafifier)
PRINT NAME PRINT NAME
i
COUNTY CERTIFICATIONNUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of f State of Fio Ida,County of i a s c'1-e.
`1k1r` \ 'h^
�cT�he foregoing instrument was signed before me this day day of .,:.�� The foregoing instrument was siggned,before me this, iday`of.
V ,2� I,by `�v\ a �1 say Q, �h ��7CV�2� ;2(�1 ),by I�SAIJJ�QI�CQ � s
who is personally known Y—or has produced a who is perso ally mown�or has produced a
as identification as identification.
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STAMP STAMP
Signature of Noffiry Public `Signature of Notary Eublic
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Print Name of Notary Public Print Name of Notary Public
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LIIURA R.CMADGE
Kerri BL08-, Commission;#GG 022076
My Commie t F.978545 a� Expires October 21,2020
512020.
Revised 11/16/2016 o� Expires 05►2 `' �>tdad7114T*FAhurante84 3&>019 '