HomeMy WebLinkAboutSub-Contractor Agreementr
PERMIT# _ ISSUE DATE
a�M
PLAMXWG & DEVELOP1►JI]ENT 'SEOVICES
Building &' Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
5 �4_ 61-11 4�_ / if C. rr ! C_ have agreed to be
(CO pany Name/Individual Name)
the t sec- T r , -z e. / Sub -contractor for t4_-J � ri g., e-
(Type of Trade) (Prim*. Contractor)
For the project located at
(Project Street Address or
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)
PRINT N
COUNTY CERTIFICATIONNUMBER
State of Florida, County of �V
The foregoing instrument was``sggi��gn``ed before me this day of
A
who is personally !mown �.Kor has produced a
as identaication.
if'( _" E, d� r� Ci"/C"— STAMP
Signature of Notary Public
Print Name of Notary Public
'2L.
�1 O I-CTUR SIGNATURE (Qualifier)
L C-"./r -f"7 L -e V
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of_ �•i-Q,
The foregoing instrument was signed before me this day of
who is personally known -or has produced a
as identification.
STAMP
ASign,re ofNotary Puhlic
Print Name of Notary Public
` Fbrida '
art r Put?Ilc •`�+.'
,�. "::,, LAURA R. CUEBEDGE
Kerd S 00% F 978543 _,;: .; Commissiolr# Gt; 022076
< My. CommissioF, FExpires Octobar2l' 2020.
0,0 Revised 11/116 o'� Expires OW54020 -
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PEI,M17# ISSUE DATE
L+DF'1VitNT`S�T�VT�ES
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ui�df>dig ` 'CW, e i omplYalaee 1Visfanl
. SYi$�Ol�TRA�TOiI; AGiiE���N�'
Co�i#ort Q0.ntra]. •of . St. 'Lucie -Caunty, Znc..
have agreed to'be
t�.vmpany ivameruiaivio•uas i�amtej .
the H-VAC Sub-c6Aftot6r.-for Wyane De:v'elomm�ent 'Corp.
(Typ$ OfTfaale) (Fririiaiy Cantraetor) -
For the projeet located at _-•- _ ., . .
This uriderstb6d:thai, if there is any ehangD'Ofstatus regarding Qmi� patdoipation with the above montibned .
projects the Building and Coda- Rejolatioxi DiViSian of St: Lucie County will be advised pursuant. to the
filing 6f u Change of dub-eoiitraetor notice.
coN7<ZiACrm $)':GI1tA'S` m' (etie ser).
-Na.,t:thaw Lke Wyhme
PRIIgTNAME -
COUNTY*CERTIbTCATION NUASEP.
Brae ornourida, county of 5- . e, E
The foregoing Imsfr*ent wrs siEhea before me this ;, flay of
.20�, by��ig`
who is permunuy known ✓r has prbitucea a
as idem iaation.
STA141f'•
signature orNoury u�c
grr2;a`�11:1.lLt21�iV ;SASKt,a
l'riat'l�aoie oflVotary"1'ubiia
< : eti;Z•., DOROT.HYANN BASKIN
MY COMMISSION # GG 030145
EXPIRES October 2, 2020 .
''Foy �iti?;.BQtId2dThNN0131yPUQl(C•.Ufld2hVfItQfS '
Revised ll/i�/2016 . .
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COIINi" i'' CERET iEA- 0,ON N[ 5MM
State of Florida; County of Si &L,c�=
The foregoing iuslru"ment wts sited befolre me thb\-k ' ilay of
as 2 UW enb azN .
Who it permully Known Zor rice produced.11
as ideritillmdon,
t.Q�P STAU{
Signaiui+eofNotary C ,
Amu
Print'NameofNota yFebHe
;;�q: ••: �.;. DOROTHYANNBASKIN
t_" MYCOMMI$SION:#Go030145 ,
'� o` ' EXPIRES.Odober2 2020
+$n� ;?Q:. BordeO Drum
WPaibfk Unde!N?$ef5.
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