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HomeMy WebLinkAboutSubcontractor Agreement EIT:# — ISSUE DATE r .. PLANNING&DEVELOPMENT SEgRVICES Building & Code Compliance Division a BUILDING PERMIT SUB-CONTRACTOR AGREEMENT MAY I ? 20-V PERIJHTTiN::^ St. Lucia 7r, e— have agreed to be (Co pany Name/Individual Name) the L lec-T r,z e. / Sub-contractor for Qe e e- f ewv^ (Type of Trade) (Prima&-Contractor) For the project located at �� C C , (Project Street Address or Property Tax ID#) It is understood that, if there is any change of status regarding y S ga g 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) O RACTOR SIGNATURE(QuaNer) nP pm�w& PRINT NAME COUNTY CERTIFICATION NUMBERCOUNTY CERTIFICATION NUMBER State ofFiorida,County of State of Florida,County of- i ve. The foregoing instrument wassAigne^d before me this day of The foregoing instrument was siggned�before me this`'day of O 2 A_I by who is personally(mown Y—or has produced a who is personally known-\�_-or has produced a as identification. as identification. STAMP Signature of Notary Public STAMP `Sign_ature ofNotary Public Print Name of Notary Public Print Name of Notary Public ` offb,ide ru Notary public ?e...r: ; i; `;7, ;,�LAURA R.CIJa6WGE �i Kern BLIOKd. My co ,' Comm,ssfon#GG022876 rnmisslgi!FF 978543 Revised 11/10016 ;f Expires OW51? ZO.- Ait QCtoF nr � �I 9 PERMIT# ISSUE DATE P'I.AN1VY' G& DiEV,EE4PMENT-SEYtVICES b . . ..ding& Code+Compii >ace Division _ — - - $YDY3�iG'PERIVIIT SUIR-Ct1N'TRACTOR AGREEMENT MAY 4 9 01 a PER!'t111T-11.'G , St. Lucie CoL!nty,'FL' Comfort Control o'f St. Lucie County, IAC. have agreed-to (Company Name/Individual N=e) the HVAC Sub-coittraotorfor Wy.nne Deve_lo--nment Cora. (Type of Trade) \ (Frima�y Cox►ttaetor) For the project located at '(Project Street Addressor? opdW Tax ID*) it is understood:tha> if there is any change of statum regarding our pairdoipation with the above 1xlenti6ne'd.. -plraject,the Building and Code Regillation Division of St.Lucie County will be advised pursuant eta the filing of a Change of Sub-contractor-notice. CONT"C'r0R SIGNAL URE(Qua ficr)• CO GNATUILE(QuaYdter) Matthew Lile Wynne .-- S.ar erman PRW NAME PR11VT Np11fE 08.898 8288 COUNTY CERTIFICATION NUMER — COUNTY C P.TWCATION NUMBER State orhtorida,Coa�aty of S i, e,F State of Florida;Canuty of Si ui The foregoing instrmtent was signed before we this day Of i The foregaing instrument was signed before toe this� day of 20 b! \,�Q SkAL� 2U,�,by �c`�CIA �U�e e—V2 aV-\ who is personally known nor has produced a who is personally known✓r has produced a as fdenilficafion. n as identification, STAW �a� STAWIP Signature of Notary "ft Signature ofNot4ry nn'e �l ,Q:.u2o�t'>rl_x �v �ASKra �1 a.�o'T7l.y HNN. Print Nagle of Notary Public Print Name of Notary PubHe oi�:V PY;�•, DOROTHYANN BASKIN . ' '.; MY COMMISSION#GG 030145 .,,Zgz'�:�E; DOROTHYANN BASKIN EXPIRES;October 2,2020. *:. •:. MY COMMISSION#GG 030145', %g���?P••'Sonded Thru Notary Pubric Underiyriters EXPIRES:October 2,2020 Revised 11/16/2016 ° Bonded Thru Notary Pubra underwriter's. ' L66-d Z0OO/ZO44d tL4-i 999L8L8ZLL dA O0 su i p l i n8 auuAM -Wodj 9 4=Z L 9 6,-6Q-Z 4 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Buldin & Code Com liance Division 4 BUILDING PERMIT . MAY11(' SUB-CONTRACTOR AGREEMENT PER!'di rrTI iV G St. Lucie C�our;ty FL a ('V I Ge S C- have agreed to be Mmpany Name/Individual Name) the 1M b � ub-contractor for yn e R (Type of Trade) (Prim by 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) SUB-C CTOIt SIGNATURE*(Qualifier) W L � obe�-� l.0 d l u nn NAME —� P NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of 51-. Gr.e' State of Florida,County of St-LL-1 C,j e, The foregoing instrument was signed before me this\ �day of c� The foregoing instrume1nitwas signed before me this\> da/y_of 20 byy�'\Q\ �$.WI.�Y�>� MQ 20kby © C �� �V�` who is personally known or has produced a who is personally known or has produced a as identification. as identification. t�G�lY1/CJi'1/�M I�JA,a. STAMP STAMP Signature of Not&Public Signature of Notary Pubfi Print Name of Notary Public Pridt Name of Notary Public n„A, DCROTHYANNBASKIN t ►. MY COMMISSION#GG 030145 4. ��®�®� @-Ali-ERTY 5 EXPIRES:October 2,2020 ;r°t?t" A''� ' ��- s Bonded'ThruNotaryPublicUnderWriteis :�: &� �IYCOMMISSION#EE854297 r EXPIRES January 08,2017 an, (407)3i?8.0153 FloridallotarySeryic3.com I ^.PERMIT#' ISSII : A'1 : . •.�eKv��.Y�til� W� ;�t� .� .! a. • k�� Olilp li ILC4�1 vlSldll %i ��E_i SUILDIIIT("r EER1Yf1T MAY 11 "T$ :- SUB-C�NTCT�R.AGR�E3VIEN`T PEPf',AITT ,:G St. Lucie!:o.cnty, :=1_ J%Tr ea.�.e • Piave=agx�e�::t�<bIr �Caitnpany;I*Tam�l�itdiu�d�al,Name)::. . tle: R s ct£ g: S = inctraetox�>for:: Yn:ri .D �T�e o��xarTe)� :tPria�ary�oritiacrOrj � . \\ \\o:Foy. p>" fie �, ;:Iae e T af::. . Cl^ ..a,, , .._..:,.,...'�; �......:...,...._:,.. ; �r.gazsb our par6t,�ipa>rton the above:inexizond • .pr je i : B Burldin� an i r c�c e;I gut: iau Di�is>an o S.,.Lucie Count.w.ril tb:at uised.pur aut tome fi rag of a. hag cf:S - vntaor notzc . .. .:........ . CUN 4CrUTtS< i {1`rt {i�ualife#�. 17, t1A1T1YAMR: .... X Ion, OtJ1VTi CE1UAi ER CA77iabkN.U,�ISEI�' ;Siatgo�.Ploriiiay�ouaty Qf< etc State of Fio�ada`COu -of• G/C fieforegoingiins#ra�nent;Rvas: igge :beforul >t6is; day off: :: Theforeaoiria'.:.. upieritwAssi ltl before iuC:ttiiS:\C at1[o:is:ge�spgaUYif�own:. ,:Qrhassprudu.SRt1a:_ .. :: wtiois_per5oua�Irkti�owa.✓,o�;lia `prbduceS:s' °.Bsidenbficafia�. 3S i��inplicuhOh: STAMP .....hfti."' Poo! ':.. o. P.t�.. . �hl�,:bf.,. � �:5'1 taatuYCO$�O.t$Yy ublte... . �10.►2:o`i�.� .14nr►+> d.7A-SJ��.n� .. V�:2 a"r7-�y..�}-NN lJ�4SK�a Eraut�l�iriritesufl�4t>ii•v:PiibHe :... Pri6f:i\�anc:bt��fsryFubtie�• DOROTHYANN BASKIN , MY COM MISSION#GG 030145 zot' '°•�ei�.; DOROTHYANN BASKIN EXPIRES:October 2,2020 -,: ,_ MY COMMISSION#GG 030145 'a';SdFC�".••' B=W',ThruNotary_PublicUpderv��s -.,;; p F EXPIRES:October2,2020 itevisedTU1.6t2atG> .F••••o,. :,o�� BorWed,ThruNotaryPublic:UrldenVrtm