HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
p ompany Name/Individual Name)
the.. kxmbin6
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
\� v Rck
have agreed to be
b-contractor for � n e. �-e Y Q lo 1m e- TI cap' p' 1kT Contractor)
GCL p(Prim C�CJ_- �
(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)
rn� b W �' � W � n n.�
NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5T - C. 'r
The foregoing instrument was signed before me this — yof
20a by�A
who is personally known or has produced a
as identification.
Signature of N6ta Public .
_D090—L14y 'Nri /cJASKe.y
P irit nt Name of Notary Public
;;a4caASKIN
.c MY COMMISSION # GG 030145
�j ` EXPIRES: October2, 2020
sonded•Thru.Notery Public Underm.Keis
Rev
SUB-C CTOR SIG ATURE' (Qualifier)
o'ni 4 LIU d l Q M
PRINTNAMEE
i b�6a-
COUNTY CERTIFICATION NUMBER
State of Florida, County of S • LLet p—' The foregoing instrument was sign d b�� before me this\��!(1� day of
who is personally known _or bag produced a
as identification.
STAMP STAMP
Signature of Notary Sbut.
� C'Ti"C i
riot Name of Notary Public
RHONDA LAFy-EL4297
MY COMMISSION # EEXPIRES Januery 0(d07)3t&0153 flOdallotaryServic3.
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DOROTHY ANN BASKIN
MYCOMMI$SION#GG030146
EXPIR ES:Odtober2,2020
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STAW
DOROTHYANN BASKIN
My COMMISSION # GG 030145
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EXPIRES: October 2,2020
Notary:Public Ud,�
PEkMIT# ISSUE DATE
. . . . . . . . . .
PLANMNG & D ' EVELOPNMNT SftVJCES
BuBdin& g . Co& Coiipfisnee Div.ibi6n
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
I� 14-1 C-c- lec. 7r, -c- X-.4 have agreed to be
(CoRp;*y Name/Thdividual Name)
the7 Sub -contractor for CA--1!4 ri ,7 -e e )e :., e— ew.
(Type of Trade) (Prima6. Contractor)
For the project located at \\AC�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 (Qualifier) . . . . . . . . RACTOR SIGNATURE (Qualifier)
PRINT
COUNTY CERTIFICATIONNUMBER.
State of Florida, County of
The foregoing instrument wai signed before ethisNday yof
h t ti
20\1
who is personally known LY or has produced a
as ideaffication.
iy, � &<_ STAMP
Signature of Notary Public
,k1_J?e,rc.,t &.- 6- uz) r_iq
Print Name of Notary Public
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, Coqutyof_- L_uLve_.
The foregoing instrument was signed before me thfs)'L�L day of
7,20A4by
who is personally kno wn AL -or has produced a _
as identification.
STAMP
Signature �uf=ry �ftbfic���
Print Name of Notary Public
Notary LAVRA6 R. WbSeDGE
Wary
:!S'C*1M1i310nW GO 022076
Kerr! BU
My COMMISS r-.F 978543
Expires 0 202.0:. kisWder2t2020
Revised 111162016
PERMIT;# ISSUE DATE
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Sft-60IVTItACTORAG.RE E,N:T
Cglftfort Cog rol -of at, 'Lucie -County, 1rzc.. have, agreed tole
(Co3npan� N�eltniliviatial N�ae} • ,
the, HVAC Sub-coif&0t6r--f0r Wynne be'vielo<Dment 'Corp.
(Type Oftri0e) �Primaiy G�x►tt ctor)
For the project ldcated at \� cL�
It is understood:thai, if there is any ohanngD'Of MIX regarding our pudoipalian with the above montibned .
project; the Buildift and Code Reg tlati6h Divisiali of St. Lucie County will be advised pursuant to the
fling of Change offt-contractornotice.
CONT"Ci'OR SIGNATtsts afieSer)•
-Mat�t'he.w Lyle WYIl.ne
PRINT'NAME
iCO1Wff CERTiHC&T10N N %ME1t
$fate oflE'torida, County 4f 5-rkm., er
The foregoing iastradfint was spned befSre me tbis dsy of + •
.200, by�g.�a
who Ys permiolly. known -!!!L'jpr hopraudaced a
as Ydenfifiaatiom
STAW
Sign"sfnre ofl�i'otaiy�li�ic Q ,
PkintNanio ofNotaryPublic
,,.�q• e�c,,,. DQROTWYANN BQSKIN
MY COMMISSION # GG 030145
PA EXPIREV 0.dober 2,;2020.
Tnru Notary PpbIiC.Uttder►Qriters
Revised 11/16/2016
L66-d 3400/Z009d VLO-i 92MLELL
COUNTY CERTI fCATION NUMBER
State of Florida. County of si cci
The foreeiuE iuslsaiment wss sl�gtied befarn me tGis' aay of
Wh6 Ys' pihoogy known ✓r has produced.$
as idmitiffution,
t.� S VIP
Signatuee ofNot9ry nne
�.a:iooTK. y Amu N,C}Skwo
PrintName ofNotary Public
qi�••: %; DOROTHYMN BASK.IN
*;. MY COMMISSION # GG 030145
EXPIRES: October$ 2020
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