HomeMy WebLinkAboutSub-Contractor Agreementj ! 1
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PERMIT # — ISSUE DATE
PLANNING & lDEVELOPNMNT SE'VICES
Building &` Code Compliance Division
BUILDING PERMIT
SUBCONTRACTOR AGREEMENT
(Co pang NameAndividual Name)
the E lec-it , z e. / Sub -contractor for
(Type of Trade)
(Primary.. Contractor)
For the project located at`C1C
(Project Street Address or Property Tax ID #)
have agreed to be
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)
PRINT N
COUNTY CERTI RCATIONNUMBER
State of Florida, County of
The foregoing instrumentwas__sggi��gn``ed before me thisx� y of ;.
who is personally !mown --i'Lor has produced a :,•,
as identification.
STAMP
Signature of NotaryPublic
d. ttD ILA
Print Name of Notary Public
SA WtONVRACTOR SIGNATURE (QuaW&er)
PRINT NAME
_1
COUNTY CERTIFICATION NUMBER
State of Florida, County of� L%-f
The foregoing instrumentwas signed before me thl w d y of
20XJby Uhl`(' 1i u
who is personally knownA,/ —or has produced a_
as identification.
STAMP
4S-atu1Ar1A1f Notary Public
Print Name of Notary Public
No� lc`BtAte;4f;Fbrlda;;,•,;4LAURAR.CU9Bt=DGE
Mftli y mmtits lull FF. 978s43 o:. ' r., G?mmissioa_# GG 022076
Revised l 1110016 o�. FXP]Fes 006t2020 •;, o f� P,, Expires October21;.2020.
fth!T=byFain ia,w+noe10a3 70i9.
PERMIT# ISSUE DATE
..VueiY.: 4.'G:.F�i+ui.. �iu•^i l4n G..eV;.%.. ':.
�--. I"LAIlelk i EN '01MW 9S
uil�dfri &erode Comppivysfon
SIM—e lYP1tA&ORAGREE1vx»N'1['
COiiifprt. .qo.ntrol o€ St. 'Lucie County, Die,
harry agreed'to'be
t%.'Qmpsrny, i�amannaiviauas 1Warae1
the H•VAC sub-c'6liftotor-for Wynne .De:Ve7.g::Dment Corp.
Min of rode) n l , (FtsM&Y CO AwRMO
For the project located at
--•- :?Freiect Street /]iaiirecc nr��?rin�eitv'Ta�r Ti');f�l .
It is understo6d.that, if there -is any change -of status. regarding our participatio with the above Mentioned;.
-project, the Building and Code Regtllatioxa Divisibn of St: Lucie County will be advised puisuantto the .
filing of•a Change of$0-contraotor-notice.
cQ1V'1'>6tACTOR S)<GNATiiRE (QitAiiffel•). ''GO iGNAT'UI�E (Qu�ifier)
,Aatthew Lke Wynne
PRINT NAME IyRih1T Ne1111F;
COUNTY CERTMCATION MIG>RE COU'WV CERT1Fi�ATICON MMER
$tateofm6 r!aa, conmty of S?. e, F , Stnte of Florida: Cohuty of si ecF
The foregoing instsuaCeniwrns sFEner1: before we thisd\ay of + The forepiaR iustrum=t wAs slped befoire me tw&\ -k anyof
`7j\.� .20)1 bye
who is persgnal[y. knows �r Les pi�idu�r�d a • WitO is• pef<SOn81Iy known �r has pYodaceds .
aB fdlantitieatiom se tderiti6eatipn.
f 1 n STAMP- (�fivt�en /CJ �_ _PG+ STAIN
fta'atare of -Notary " We Signature ofNotaty Une
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s,'� 4o f EXPIRES' October 2,:$020.. air; ; :*_. MYCOMMI$.SION # GG D30i45
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PERMIT # ISSUE DATE
U_ T
F L O R I D 'A j
PLANNING & DEVELOPMENT SERVICES
Biildimg& Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
p Mumb
mpany Name/Individual Name)
the- incA
(Type of Trade)
For the project located at
(Project Street Addri
have agreed to be
for 1n 2. "'h-e Ye. •o m e-M eo. R
(Prim ry Contractor) p
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)
NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Sir Gt e ' JVK
The foregoing instrument was signed before me thiNIA day of
who is personally known _or has produced a
as identification.
Signature of Noe Public O
�me2crM`f �'Ni•3 �' I�-SKery
Print Name of Notary Public
D6ROTHYANN BASKIN
COMMISSION # GG 030145
EXPIRES: October2,2020
Bonded'Thru-Notary PublicUnde*(ers
Rev
SUB-C CTOR SIGNATURE (Qualifier)
nn
PR NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County off
The foregoing instrument was signed before me this��ay of
,Zoj1,� 0bec4 LItGiIICINi.
who is personally.lmown _or has produced a
as identification.
STAMP
.-
STAMP
Signature of Notary Publi
c . C- r
riot Name of Notary Public
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COMMISSION # EE854297
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