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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DATE u?w�;7:"r�=S,'�''.r:�;�ssY'� t�oS;u�z�a.1'_.'kfi:yRr ;C•� b PLANNING & DEVELOPMENT �SEkVICES Euildng & Code Compliance Division BUILDING PERMIT SUS -CONTRACTOR AGREEMENT i� a eC. / r �-•� �- have agreed to be (Co puny-Name/Individual Name) the ' l cc_i t , z e-/ Sub -contractor for tA-) ! rl n -e Qa g;, e_ /c- ^ ewe �c s/l (Type of Trade) (Primary Contractor) For the project located at U\?0 Zs '-:-->:s- '? Ct qzz- (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. asp CONTRACTOR SIGNATURE (Qualifier) O RACTUR SIGNATURE (Quamer) PRINT NAME COUNTY CERTIFICATIONNUMBER State of Florida, County of Lyt'-Le-1 The foregoing instrument was signed before me thisN day of .20\1 by`�CII c i +n�`Q ►i1 . who is person any known �or has produced a as identification. r Cur,'_ STAMP Signature of Notary Public 1<1_e-32ru c-, 4 uz) IG PriutName of Notary Public PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of_ r ` � c vq' The foregoing instrument was signed before me this' day of by VJ� �1i�CQ who is personally known _V _or has produced a _ as identification. STAMP *ig,atnreNotary" Public Print Name of Notary Public err. Notary Public S>at8.4(.Fbtida ,,.i�:?:,, LAURA R. CUbBED(3E Itecd Bud.Ka s7854s=*�:mmission # GG 022076 • My Commissta4► F.F.•A :EXpir@S October2l' 2020. Revised 11/10,016 ao Expires11512 202.0„ ��,,°,'NNq° BandedihNTroyF2inGtsunneet(>i+38570i9 i ( ,l 1; PERMIT* ISSUEDATE '.Vac :Y.`iu•• >i.Sil :'. :. S �.5:.: : ^ pan "� i � � �'�Y ♦ :/I%Jfr�i� �'�� i ,��� 1 i�iJ� �iii�ii�irYg: &'Cri'ide �i�oimpY�iarCe Divisfon 1SiW-C NT- RA&GR AGREIE; NT CQinfort..Cgpt r-q1 •of St. 'Lucie -County, Die.. have agreed-to'be '(Compiny Naine&dividdd I-T e) the HVAC Sub-c'oi ta0t6r•fCVr Wynne -DevelaD_ment Corp . (Ty0 Of twe) (P► niae3►'CDXltt ctoi•) For the project Ideated at It is understood :thai, if there is any change -Of status: regarding o& pa doipation with the above mentioned. -project; the Building and Code Regulation Divisibn of St. Lucie County Will be advised p&suantto the fl1ing of a Change of Sub -co -notice. :....:: CONTRACTOR SXGNATM (efuamer). CD IGNA .On (Qualifier) Xa:tthew Lile Wyii,ne .a:r e•rman PRINTNAME PRi1V'T NAM I) � • b �A i i O COiNNMERTMCATION NCiMBIt State of"4rida, C =ty or S''T. c, E The fottigoying instruuientwas signed before me this �` V�\ay of +' .24byU04"�,� L.lu n,Vs� who is personoliy. known �r has pralleed a as f8eniifioation STAW Siguatore oTN'otary lilic , �cintl�TaoieofN6tary�6lie ' •, DOROTHYANN BASKIN qf:: �, MYCOMMISSION#GO030745 =' Lo` E-XP.IRES;Octaber2,:2,0E0. %°f1`:8endedThluNotary,.PublkUndeers Raked I III OW COUM CERMCATION NMER State of Marift. Conuty of Si eci The fore} okc indraioent was sAped befoke me ft\-k�day of who is• pihoneUy known *r has pxodttce� �t asideriti6eation, t. STAW SwaturaofNotfty tre Pr➢nt'Name of Notary PubHe 'qS"� °"4 • DOROTH` MN BASKIN MYCOMMI $SIOO GG 030745 ' �o? EXPIRES: Qetoher2, 2020 �n5 d�c� •Battled Tfiiu No .Plibfic'li . .. ;,u;,,••�,• . . �ry .. ndeiygriters, L66-j MOO/Z000d tL4-1 999L6L UL d,I oo su i p j i ng auuAm -WOHA g V I. 9 L C-60-Z L PERMIT # ISSUE DATE PLANNING & 'DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be lb ompany Name/Individual Name) the � )ub-contractor for � �h"'2,. �• =2 Y Q- O iil ef ii COR'� (Type of Trade) C _ (Prim\ry Contractor) For the project located at (Q \�j' �J (`-\ X- � `L9 e--::,�� (Project'Street Address or Property Tax ID #) It is understood that; if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of.a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qualifier) M'Q_Z� eu�) �P_ NAME —�� COUNTY CERTIFICATION NUMBER State of Florida, County of S" 1- • Gr E ' The foregoing instrument was signed before me this�y day of �y'`n-� 20� bye►" \Q� ��2.1.���c�� who is personally known _or has produced a as identification. Signature of Not& Public _bo'kaTHy /+/V J 64slCer) Print Name of Notary Public ,Il I1Ij DOROTHYANN BASKIN 4: MY COMMISSION # GG 030145 EXPIRES: October 2, 2020 ��iFGFF��� �• Sonded'thru.Notary-Public Under4leis �4uipN, Rev SUB-C CTOR SIG ATURE (Qualifier) e--be lr-� PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of . L - C.1 4a. ��!(� The foregoing instrument was signed before me this\-� day of 'j,"t ,20_U, by ©beak �ucTlc�k-%- who is personally known _or has produced a as identification. STAMP STAMP igrrature of Notary Publi riot Name of Notary Public 11 1, R YONDA LAFFERTY r°s�v,P4e4O - :kr MY COMMISSION # EE854297 08 2017 EXPIRES January 1 Ntl (407)3@8-0153 PloridallotaryService.com e � 'rSsx$��•'.. IRMIT ......... .... T. sug-C 'K TUANUGAS10- CP E_n-LuClC for n 0 4 al ly M or. Ii, w. P*r d. 4 voi'....: DOROTHY ANN BASKIN Act, S MY COMMISSION # GG 030145 Via•tv- EXPIRES: October 2,2020 R0vfsed;T916mw: 1 4 •Bonded 'ThrNotary ub4,vowifiters p4a.b 1hedba .-lgo 0W�Wqb6Ad*edpursu**!hi All, befibre*aw": 4rof. b r. pro umd'A" PA� 16C,4,kt;_ ISTA.W. DOROTHYANN BA% 'KIN My COMMISSION # GG 30145 EXPIRES: October 2,2020 .1c" !jn Bonded-Thru Notary Public: