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HomeMy WebLinkAboutSub-Contractor Agreement[PERMIT# ISSUE DATE PLANNING & DEVELOPAMNT SE'RVIC:"ES Buffling & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 5 o /ifC. / r r c- -�.� �- have agreed to be (Co puny Name/Individual Name) the E leG T r , z e / Sub -contractor for t ,Qe c e_ fouv^ (Type_ of Trade) run ry Contractor) For the project located at (Project Street Address or Property Tax 1 #) 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 NAME � COUNTY CERTIFICATIONNUMBER State of Florida, County of The foregoing instrument was_sign`ed before me thisN - day of g who is personally !mown -y—or has produced a as identification. C&/C, STAMP Signature of Notary Public Print Name of Notary Public o RACTOR SIGNAT •(Qualifier) PRINT NAME i�/�r� COUNTY CERTIFICATION NUMBER State of Florida, County ofs�•%-e_ The foregoing instrument was signed before me this\_ day of �j ESL : 20XJ by V�l� Q1%CD who is personally known -\,/--or has produced a_ as identification. STAMP 48,atU,reA,f�NZryPuh1i, Print Name of Notary Public ` tecif:Fbdda r l4otary Publ .. , �1s �t`:' ;,_ IAURA.R. CU136EDGE Kern t3udka: F 97e543 ._ t:o My Commissmmission # GG 02Z0T6 < iop F . ,P•�• Revised 11/16/2016 o i XpIres 0612640P.spices October2l 2020. ,„„ 11wTroyFainlntunnceE0D�3B5.7Df9' . ISSUE DATE SIRAVICES & D. MOMM RZ Cddg. Op6hipfian' DiV.191on CO PP M, M_e& idkwT Comfort Cs of St. 'Lucie -Caun-ty, lAa.. have agreed- to 'be _(CoMp9qyN9me4ndivi"XWe) the. HVAC, Sub-c6nitiotor-for Wy-m-pa, Dgme1Q.-nment Cori). (Type, Of twe) Forihe*6jeoildcatedat It is un&rstodd.thit, if there is any change•of status regarding ever padoipation'with the above mentioned. -project, the Building and Code Replati-on DIVIsiOn of St. Lucie County will be advised pursuantto 420 filing of Chang* of SUb-coftmotor notice. w Lyle Wyi ne PPOTNAM& COVMCERTUMCATIONNOMER $tote Ofmorfaa, c6alkwof 5—fkm. i 0- The foregoing iastr*eht"s dped bcfire me Of , 4-�A who is penonAy. knoWA.Zer Woroda'"d a'es i8enf�t`iaafiom. STAW X N11twagie qmdbry Public DQRO*YANNBASKIN , M MY COMMISSION M19SI.ON # GG 03.0.1.4 .6 EXPIRES; October 2,2020 :bonded -Tr Notary Publ.ten ROVIStdil/W2016 COXNW CEP-MrATION NUMBER The forejaimgiudramentwAsdpedbefakame tw&Vk ' any of W6 it p6almay lm6wn or I= Produeeds iL2 STANP -Y AAAM d,4SAe1,,) Prbtfttv of NOtM7 Public DOROTHYANN BASKIN MYCOMMI$810 GG 030145 :EXPI.RES: OdoberZ 2620 qq9L8L8ZLL- djoo suipl!nq auuAM -WOUA g L66-J W00/3000d tLO-i L: z L 91, PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division p MUmb mpany Name/Individual Name) the ► n CA (Type of Trade) 11.3 For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be for qn f- "b-eyQ n nm e-M Co. PP (Primary Contractor) p (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) NAME 1 SUB-C CTOR SIG ATUI& (Qualifier) ober4 Lu d I Lt M PRINT NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida, County of 5T . LU C 411"State of Florida, County of :l1C.1 The foregoing instrument was signed before me this \y� d y of The foregoing instrument was sign d before me this--� day of 20 , by 0.� �2 �-(ivr\�yv�-e , 20V, by ©�}Pt 'E �.l[ d.lt tl� who is personally known or has produced a who is personally known has produced a as identification. Signature of Not& Public . -bo o—i "`'/ a4N+') %j l�SK�rO Print Name of Notary Public DdROTHYANN BASKIN MY COMMISSION # GG 030145 EXPIRES: October 2, 2020 �oFOF s •�,� Bonded Thru.NoteryPublic Unde"iters Rev as identification. STAMP 9"j'aturi r. STAMP of Notary Publi . R&C: i Namiftary Public LAPl-ERT41 s isvaue'. RHONDA r .*r*: MY COMMISSION # EE854297 e r' = "A". � January 08, 2017 EXPIRES (407) 30&0153 FloridallotarySsrvic3•com b NV'ii w. Y':x.�• .....� �c.ec. .t,✓•� CamplincevitsdY SU B-CA T P. A nie w.-Ptio �M.t 4z) C-0 co 44 *x"*-Qf2n—"C of* 04 4. 4.462,4� DOROTHY ANN BASKIN MYCOMM ISSION-#GG030145 EXPIRES: Odtober2,2020 Bondod-TbruRptaryjob4VrqOmftem To. 1";X 9 !p the Above:mezi Lucie Clan V e: n n q3. QQVWCE NuimBEIr 3UW#66*,. 6.ua .. ;4& ll;gj0str6WexitWa0j0k0d beft 40 �Qt\ *lkCL\k--Vl�Jp-U 01mal j� <sTAm A) DOROTHYANN BASKIN 0 My COMMISSION# GG O!J30145 EXPIRES: October 2,2020 Bonded Thru NotaryPubllo:Ur.& mv"