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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMTPERMIT# ISSUE DATE . . . . . . . . . . . I PLANNING, & DEVELOPMENTSMWICES Building & Code Coifipliance Division BuiLDiNGPERma � SUB-COPCTOR AGREEMENT V1-'- (Co ppany Name/Individual Name) the e— .1ec, r,-, -z- e. Sub-coritractor for (Typo of Trade) For the project located at (Project Street Address or (Primary Contractor) G Q� G Tax ID #) have agreed to be 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) EVKCOWRACTOR SIGNATtJRE-(QuaNer) PRINTNAME COUNTY CERTIFICATIONNUMBER State of Florida, County The foregoing iustrumentwai signed before me this d. Of 2�- by tub who is personally knovm Y—or has produced a as identification. ALt C4- STAMP Signature of Notary Pahlie Print Name of Notary Public WI�- WtFA 1040 Notary FKern SOO. i43 My CoMi�tsjj�n Ff. 978 Revised 111162016 E-APIMS 05461202o. PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of-�' �LUL% 4" The foregoing instrument was signed before me ADM. day of .20a by JaW1Jt*J who is personally lm6wn_V_or has produced a as identification. STAMP Signature of Notary Public a Print Name of Notary Public AMR,ft LAURA.R.CUNEDGE Wq0MM19s1DnWGGQ22076 Ofter2li 2020 Is' I PERMIT* ISSUEDATE LOPW N. r"91-E)OT b1LA'N1 C-Es ., . '1000740P N 911-911EW .&Oidd CompY uWbfi �:COUNT F L R I D a ­D GTE Comfort of St. 'Lucie -County, Zinc.. haxic ageed- to'be '(Coma mnywamwindividuaName) the. H-VAC Sub-c&iftotbrfor wymaie. D.84.010mm.ent 'Cori). (Type (Prraiaz3► C0302Mr) For the project Ideated at It is u'nd6rstb6dfhit, if there is any. chang64ft'id's. regatdini 0& pawdPaflon. with the 6 ove-monfibned.. -project, the Buildifig and Code RegWatim Divisibn of St. Lucie County will be advised puisumt.to fling of a Chan& -of Sub-contractornotice. ;O--XACTOPE SKGRATEW LY*l.e Wynne PR1NT.WANZ COUNTYCERTInCAT10NNUMER Stun omorlda,Comity of 9—Ilklepo, The forigo'lig fdqtr*elit"s dZiled beftiri me It &3±4�ay f who is . Fem1w] . 1Y.knowD_t�_*rh"Prw9DCda as 18entificatiom STAW A VJV Agg K, a ramtWoute ofr46" ftbilis DiiROTHYANNBASKIN MY COMMISSION # GG 030146 0z EXPIRES, October Z.2020.. f".Pu !�]J�." Po*dTn J 1k. N I W.. ., COUNW =TWCATION NUMBER state of m6rift. County of Si Clir The foreL'muz mAmmem t was shpod -bef6kb me th Of byk�95" Z who asidebdrutim. STAND PrintName of Notmy Public DORO THYANN BASKIN 1. WCOMMI$SION 46GO3045 OPIRES: October Z .2620 dAoD Suipl!nq auuAM L66-A Z000/Z000d VLO-1 SIMLKS&L SLC-60-ZL PERMIT # ISSUE DATE COUNTY F L 0 R l D A PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT, SUB -CONTRACTOR AGREEMENT �bmpany Name/Individual Name) the Lxmh (Type of Trade) For the project located at \� (Project Street Address have agreed to be for e Y�..n m e try CO. rz f (PriniAry Contractor) or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of.a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qualifier) NAME T o 19$C, -3 COUNTY CERTIFICATION NUMBER State of Florida, County of 5T . Gt N The foregoing instrument was signed before me this da of e who is personally known or has produced a as identification. Q a Signature of Not& Public Print Name of Notary Public `"v vu •• DOROTHYANN BASKIN ?'*s MY COMMISSION # GG 030145 � = EXPIRES' October 2 2020 Bonded 7hru Notary Public Underwriters Rev SUB-C CTOR SIG ATURE (Qualifier) _gobe r LQ d I Lt M NAME S6a'E COUNTY CERTIFICATION NUMBER State of Florida, County of - .�C.j e,� The foregoing instrument was signed before me a this 7�� ' ddy of -u-Q , 2k 1, by © Ue c4 Lu A 1 i.0 G� who is personally known or has produced a as identification. STAMP M STAP 2hft'Je'_ature of Notary Publi riot Name of Notary Public �� �„� ` �� ,�.W..r p�.;N' yam'' ...�.� ,._xC:_�-..}•..... .:"�, a RHONDA LAF17ERTY � •:�pR,'�,aoe4�' r v MY COMMISSION # EE854297 c ���- EXPIRES January 08, 2017 (d07) 3d&0153 FloridallotaryServic2.com{ `� 1}�,,ii!•"��pp��, ��.J!�tuiuYl'(��•�Leiy-y+l�..w+�+�`�_) te. V �ls.4L4"Yl�t�l7r e�:MM1 '��P�Put-' t•4AC�T—..v.--..ti..-..� .r��+''e✓ RWT SUI Qrf. pi-, .1he above. in ismado oil -Pr.- iuVOct owAy gefpnttq-� me.. 44U.;4. -. '' �Xl as . 00w*. 010 kz;= FiidrMMW6(N6t1ry.PubHC DOROTHYANN BASKIN MY COMMISSION # GG 030145 EXPIRES: Odtober2,2020 �be;&V.BoflfI9dThru Nptgy.PuW UndWabm 00-0. WT'VERTM C- AX-104,11W MIgIr" be need'a ;STAW Prinfltrip:bf DOROTHYANN BASKIN My COMMISSION # GG 030145 ..... . EXPIRES: October Z2020 80*d:t rU Notary ftfic:Undewftm