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HomeMy WebLinkAboutSub-Contractor Agreement7 PERMIT#ISSUE DATE PLANMNG & D ' EVELOPAONTSEAVICES Bufl! ding &'Cod6 Co 1. nee Divii-si6n ................ . . . . . . . . . . . . . . . . . . ......... . . . . . . . . . . the e— tec-l"t, -z- e. (T31Pd of Trade) For the project located at BUILDING PERMYr SUB -CONTRACTOR AGREEMENT C_ have agreed to be Sub -contractor for tx.) ACe1e__1q1-'1%7 (Prim* Contractor) (Project Street Address or Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned I 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) PRINT NAME � COUNTY CERTIF]CATIONNUMBER. State ofFlorlda, County of ' The foregoing instrumentwai signed before me thisN day of 20\1 t' t t I who is personally known Y—Ir has produced a qM'tOkf R_k4Jf0_R SIGNATURE-(Qualilier) yC- (-✓ V^ -C "7 6 b_5 PRINT NAME - COUNTY CERTIFICATION NUMBER State of Florida, County of_� �UxL%-eL The foregoing instrument was signed before me this. nday of . Vrl -20� by who is personally known—orhasproduceda as fileaffication. as identification. C&ICf— STAMP F'l — STAMP Signature of Notary Public \Sign_ature of Notary Public 6. tfz Prii2t Name of Notary'Public Print Name of Notary Public LAVR&R-CUMEDGE Keni C , Bu0a.. 97s543 `_--PMM1ss10nWGGQ22076 myco MOM. r-ra. Revised 11110,016 FxplrO 0 61;090.- Tf2020. nNqFa!nW PERMIT# 13SUEDATE L FMENT`S CES :. `�, :�� � ��. `': �i�ydfrag. 8r; Ctide iColmp�Y�>rzee •Divlisfan 1 y SM-eOiN`PRA Tf31i` AORE ')ENT CQ" forC Ci�xtt:ral of St,'Lucie County, Inc. haveaglceed'tq'he (Caiitpan�• NamelindividuaT Nye} . the H.VAC sub-c'oitl otor-for WYane De:.Velopment Cora (T* Oft e) jFtvnarji Cax►tractor} For the project located at� GC\ `► ' • ' This Und6rsto6d..1hat, if there is any change -of status rega>idin9 olir pa €icipatio with the above montioned•. 'project; the Sciilditand Code Rejolati-6h Divisib-n of St. Lucie County will be advised purswntto the filing of a Change of ft-contractor-notice. ZU—N iACTOR SIGNATURE (ONARer). -Ka.,tthew Life Wy-?ne PRIl�T'N.1m d$098 COUNTYCERTMCATION AIMSER state ofYS' oma, County of 51 . e 0- . �h The fo► iphig iosteaoht�cva3 dped before me tmm ay of + who ispersonsliy.known _!!�.orhsapiogneeaa as iaebfifieatiom rigo'stnre ot'1�'otasg ` blic Q M Ktr )<!rile 1�aoieofNataryl'itblic • DbRONYANN BASKIN _ MY COMMISSION # GG 030146 i`rr;PF EXPIRES; Octobe[2,.2020.. �'! r�i1'iii��1.��..8b(IdEEI71lN'i`1018QCPIIbIk lll}d2M1Yfl(EI8 Revised l 1/16/21116 , COl]N'[`YCERTE ATIONNUMMER State of m6r1h; County of S-T The foresoinz instrument wis steed bef a me &4f ' , aa\ y of ��Vy.' 2 T� ��,�,, by�CR�C • � ��AtnA2'Vu1O:(, . who iv pek"alty ktaowu _e-or Las Produce&$ asideuti6cation, • ���Gt�, • STA1Vlg Signature of Not* c print 1Vame of Notaty Puhltc ��������"' DOROTHYANN BASKIN :; : ;. MYCOMMI$SION.# GG 030t45 o` €XPIRES:Ootober2,2020 �� FFIO�� ft4edThm Nota� .P�i6(�c Under►grite ., L66-d Z69O/Z9Udd tL9-1 999LUELL d.1 OD Su I p j i n8 euuAM -Wpa j g L: Z 6 9 6 coo Z L PERMIT # ISSUE DATE 1 .NT F L 0 R I D'A PLANNING & DEVELOPMENT SERVICES Biildimg& Code Compliance Division p ompany Name/Individual Name) the- I L 1M h (Type of Trade) For the project located at BUILDING PERMIT 'SUB -CONTRACTOR AGREEMENT (Project'Street have agreed to be for L0\ ftn-,O. ��e YQ o mep caPLO (PrimAry Contractor) or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of,a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qualifier) WL ' � NAME �I - o S$P,13 COUNTY CERTIFICATION NUMBER State of Florida, County of GTr Gt.e The foregoing instrument was signed before me this�lflay of ��uwZ , 20", by0.��2 who is personally known or has produced a as identification. Signature of Not Public Jm.R chi 1-l*-I J+/V rj %j ASKa rJ Print Name of Notary Public DOROTHYANN BASKIN MY COMMISSION # GG 030145 EXPIRES: October 2, 2020 %'F'••"e `'� Bonded Thru Notary Public WeWteis y,CP H!C` Rev SUB-C CTOR SIG ATURE (Qualifier) PRINTNAME COUNTY CERTIFICATION NUMBER State of Florida, County of S� • Lli C,1 +__ ��(h The foregoing instrument was sign d before mme this\-� day of ,vim , 20�,� ©iper1 LuIiut,,� who is personally known _or has produced a as identification. STAMP Rhwd A--M -&U"— — STAP Signature of Notary Publi Zidt�N..iofN)ofteryft�M��� F+�• +•,.a?�;Y�.»'� y";tip' ,� •#.. ....., .'�:+:•:1-• � � !. Iv­ ,�oRr?ua%=RE i i'��T"l _•: EES54297f.Y 08� 20171t407)308.01ic3.com b. r1,��•oA1'i'�.''�C�tii$uS�P�° i"Ad`3,A$`i�:Li�'B. � -a..aoa>..... — ------ t-F--ERMIT#' JS ---i"6oab pog4.th 0#jW* Lucie Caen d.pursuad.'...'.... PEltNTlYAtv13 CO of "POW D ROTHY ANN BASKIN MY COMMISSION # r.G 030145 EXPIRES: Odtober2,2020 0—c!V Bondod-Thru t(ptgy-F!ubUftemq Ur4erw [[t ......... 0. "0 Elie £oregmn� iishaarentwas sagged bieib�-.thlg� ihy.;Df -.j.20L lby --whaasideanGcatioh V iDOROTHYANN BASKIN fe My COMMISSION# GG 030145 EXPIRES: October 2,2020 Sonded.Thru NofaryPubllc:Ur.d.wNnfem