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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE PLANMWG & DEVELO AUNT SEOICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be (Co puny Name/Individual Name) the Sub -contractor for i'itJ tl,,? -e 4&c, e— 1c ^ ewe eo,/-7 (Type of Trade) (Prim °: Contractor) For the J ro•ect located at p 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) SAWWWRACTOk SIGNATURE •(Quafier) PRINT NAME COUNTY CERTIFICATIONNUMBER State of Florida, County ofV-,t., The foregoing instrument wag signed before we this day of 20\n b `-AC who is personally known or has produced a as identification. C&/C ._ STAMP Signature of Notary Public PrmtName of Notary Public C4, 4. r -f PRINT NAME j /? COUNTY CERTIFICATION NUMBER State of Florida, County of_�A �C%_t , The foregoing instrument was signed before we this' d y of rJl-) _ ; 20A4 by 1JQW14t.*co gt)�_Y-15 who is personally known -\/ —or has produced a as identification. STAMP \SignnatureofNofary' Public Print Name of Notary Public err r Notary Public State 4tc ;�;; •.".c,- LAURA R. CU136EDGE �''? Fterd BudKa. s7as43 _ ;:=Commission# GG 022076 < My Commissla3l F � r' EX kis ober21;.2020. Revised 11/16/2016 o� Expires �5t2512020o��(.� NN71WroYFenIG�llrsnrst0�38570i9. PERMIT* ISSUE DATE ■I p & D �; P' ENT ` `ICES & Cdd' g. >tnpli� t>rxce Di fsfa►>tr ,:COUNT r t. $X7.11Y(II�YN�7e'PA.IRT �� �O1�TRAtTOii; AGRE�IV'Y' Coiaforlr Cggx rol •of St. 'Lucie -County, lAc.. haveagxeed•to'be •(Company' Ns�allndividuaT Nye} , . the' HVA-C Sub-Corittkctor-for Wynne D'e:*elo: 'men't'Corp. (Tvie OfTsaile) iFtsinaig► Cox►tt cto ) For the project ideated at It is understood :thai, if there is any. 019MgWOf status: r�gardiing our pattiaipation with the above mentioned.. -project; the Bufidit'and Code Reoutioh Division of St. Lucie Country will be advised pursuant to the filing of a Changp of Sub=coiitractorno•Cice. CQNTfEACTOR SI(s�TATUliE (Qii�91'iffer). . -Kattthew Lil.e Wynne PRINTNAME C0UM CERT1nCATION NC11VSRlt $fete ofm4ma, aviv of Si'. e F The foregoing instr*Oht" tiEhed >befcre me tb;9� 42Y of +, who is per"nslly. known ✓r hm-pr* duced a asf8ehiifiaa6on USTAIN'' $igoature oflVotaty � liTtc I'rihtNam'o ofNoiarypirblia • o,,,. DQROTHYANN N BASKI q f; ' s MY COMMISSION # GO 030145 Al. .o� EXPIRES, October 2,:2020.. ♦ Op.FI teixPul�ic'.Undenvnlers Revised l l/]ti/2018 L66-d MOO/Z000d tL0-i 999L8L8zLL COUNTY CERTlNCATION NUMBER State of b7dx4dg; Connty of Si cci , �a , Tho fore�oiuE inslrn'ment wo$ sfgtted befOfb me tttit�� ticia\ y oY ' whois•p6PaonsBpkndwn �rlhaspxodttcedA ' as ideutiruation, STAND ftOture Of Notary e I .a .o`-l.y i NN 4.4Skl'o Print Naiv of Not"y Public S:.': icy- DOROTHYANN BASKIN i;. t:. MY COMMISSION: # GG 030t45 ' , -EXPIRES: Oetober2, 2620 SPrtdedThNNbt�ryPaibr Underyv�te{s dJ00 su i p[ i n8 auuAM -WOUA 9 L:Z L 9 L C-80-Z L � � f PERMIT# ISSUE DATE ..... . . . . . COUNTY F L ,Q R I D 'A•' + PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division (� Mmpany Name/Individual Name) the- umhInG (Type of Trade) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be p for . o �-eo ye- m e-M Co• R P' (Pr' & �n'e...ry Contractor) For the project located at Nit> Cat LSL \Z.i! (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) o 191sp 1 COUNTY CERTIFICATION NUMBER State of Florida, County of Sr . C g The foregoing instrument wasssiig�ned before me this\4 d y of ` who is personally known or has produced a as identification. Signature of Noita Public . -boko'i 14 A.'V0 /3A-SIC'fry Print Name of Notary Public uu (! a :;a,DOROTHYANN BASKIN ;- t, MY COMMISSION # GG 030145 .:< EXPIRES: October 2, 2020 Bonded'T6ru.Notary Public Underwriters . u1HM. - Rev SUB-C CTOR SIG ATURE' (Qualifier) Lu d I Lt M PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of �� • L.! >LC.I �� The foregoing instrument was signed before me thisw day of , 20U,� ©berg LUTING-� who is personally known _or has produced a as identification. STAMP STAMP tgnaih of Notary Piblit. riot Name of Notary Public =30-8-0153 DA LAFi•E�T�lMISSION # EE854297 4 ES January 08, 2017 r.oridallotaryServica.com'1 7.''a lei' �iirP1 iO3Z5��.i���'at Build Sbb- It 44, .:0h11.40geof'st.at lregard ::o ur :1 01.1 vn :the a bov. fqenfi� edpursuan�*1ha. colmmPIRT roblid AtinfNamoMotgryAblid ra DOROTHYANN BASKIN W COMMISSION4 GG 030145 EXPIRES: October 2,2020 'N" Bond0d:-Thru R o4rj_.pub4 Lkr4vmLm GO NMER' 00W.....6 a.:w cfC Tli V-so". 00"i"t"d beflbreftms��Ihlvf. 4aa,k!"°"`7 ai4m 600kt;- WAW signsw DOROTHYANN BASKIN My COMMISSION # GG 030145 . ..... . EXPIRES: October 2 ' 20120 80 Thru NotaryP ubIL-;ur&r%T"-