HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PERMIT# ISSUE DATE
P? �s i 1P}LANl�TIleTG DEVELOPMENT'SERVICES
Buil iaig & Cod.•e.Compl an�e YDivi§ioii
BUILDING PERMIT.
SUB-CONTRACTOR AGREEMENT
WYNNE.BU I LDING�CORP. have agreed to be
.(company Name/Individual Name)
the.PLUMBER Sub-contractor for WYNNE BUILDING CORP. ,
(Type of Trade) (Primary Contractor)
For the-project located at- -C` c%���`c��
(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°(QuaLfier)!i 3 SI7S CONTRACTOR, ATiU1tE(Quabfier)
ERIC WYNNE ERIC.WYNNE
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida, ty of ST..LUCIE State ofFlorida,County of
Coun ST.LUCIE
`
The foregoing instrument was signed before me this J day of The foregoing instrument was signed before me this S day of
i_,a 20 A6y ERIC WYNNE A..._ 20A by ERIC WYNNE
who is personally.known V__of•has produced a who is personally Imown 0
p y R% of has produced a..
as identification. as identification.
STAMP STAMP
Signature of Nota ublic Signature of Notary u lic
DOROTHY ANN BASKIN DOROTHY ANN BASKIN
Print Name of Notary Public Print Name of Notary Public
QOROTFIYi4Nld Bl1SKIN NN BA3KItd '*; :.= .MYCOMMISSION HH(>45443 ;•a?"' :, DOROTHY
9�= EXPIRES:Ot4ober2,2024 MYCOMMISSION#kHO45443
�FOFF�0P. .BondedThiuNew.PubficUndenxritets = ' Q;�`,.= EXPIRES:October2,2024.
.. ••kpF F�p.�•.
Revised i,/ 2 6 8"Wed Tku Nataryr pu(rc�'
PERMIT.# ISSUE DATE,
PLANNING & DEVELOPMENTS-ERVICES
Etufld lug & Code Cornpliai nce D>iWsMn
-BUILDING PERMIT
S TB=CONTRACTOR AGREEMENT
ARC MASTER ELECTRIC have agreed to be
(Company Name/individual Name)
the ELECTRICIAN Sub-contractor for WYNNE BUILDING CORP.
(Type of Trade) (Primary Contractor)
..For the project located at
(Project Street Addressor Property Tax #)
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.
°GQ1VTRt1CTOR S)GNATURE=(Qu er)' S -CONY CTOR S NAT. (Qualifier)
ERIC WYNNE CHRISTOPHE JERNIGAN
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of ST.LUCIE State of Florida,County of ST.LUCIE
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me ahis' day of
.20_ by ERIC WYNNE 20___,by'CHRISTOPHERJERNIGAN
who is personally known'4�. or has produced a who is personally immin or has produced a
as identification. as identification.
STAMP STAMP
Signature of Notary b c Signature of Notary u uc
QO.ROTHY ANN'BASKIN DOROTHY ANN BASKIN
Priut'Name of Notary Public . Print Name of Notary Public
�.yp'►5:? .� DOR071IYAtJN BASKIN: EE
?;?t�;.� DOROTFiYANN BASKIN'
RAYCOA9MISSION#HN 045443 Po1YCOaARAISSION#HH 045443
;� EXPIRES:OCtobe[2-9024. c`•' ..EXPIRES OC1pb8r2 2024
;;oFF��• •Bonded7hN' +?�`'�,.BoM1edT11N
Nota)y Nublic Updenvlitors Puw.IgderudrNe�`
Revised 11/16/2016
'.' -EY'r'�gfi 4=�'• ;-ern, `". . NZ
Sefrin
_ �, 0.Vkgtda Ave
972-462-1553 Fax 772-4624no
' -OR
Dafe: Y,
.Cdritrktdr 1Varne: 'MATTHEW L1'LE 11V>'NNE
Business Nawie: �NE:BUILD1fV.G'.CORP.
Address: 800.0 SOUTH US'.HUVY I. SUITE 402
•Cli i- PORT ST LUCIE
Zip Code; .344952 State; FL'
Re: Job Address:
ifi.isYour responsibilitYto complywi h the_provisions.o�Section 469:003;Florida Staftates
and to>lotify-rhe Deparrrient'of Environmental'pr'oteci:i.on.oF any intentions'to remove
asbeslcos when a ieable.i accordance with state and°federal°Iaw.•
Date
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