HomeMy WebLinkAboutSUB-CONTRATOR AGREEMENTPERMIT# ISSUE DATE
PLANNWG & DEWLGPWW
SERVICES
Building & Code Compliance Division t� i EC '_A
g
r u e..W .m• ..� BUILDING PERMIT JUN 1) 9 � 6'
SUS -CONTRACTOR AGREEMENT
PEHI.MmNG
St. Lucie County, FL
5 l� � /if�. ?r r r- .4 e- have agreed to be
(Co pony Name/Individual Name)
the `lec- r, � , z / Sub -contractor for e)ee, e- f u ^
(Type of Trade)
• (P ry Contractor) .
For the project located at
(Project Street
a r\C'<:Sq `
or Property Tax ED #)
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 wf'il be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Quaiifier) O RACTOR SIGNAT (Qualifier)
PRINT N �
COUNTY CERTIFICATIONNUMBER
State of Florida, County of 1 V '
The foregoing instrument was signed before me this d of
Q .21&a by�
who is personally !mown —y—or has produced a ..,:.
as identification.
STAMP
Signature of Notary Public
J4 crzrzr c,, b uz r
Print Name of Notary Public
pill
u NotelY Publ State: pf Florida
'r Kern Budka,
My Commissigfl rF 978543
Revised 111162016 poi Expires osn51?020
1'C.,/f--r.-) f- -C V. 5
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of c b�i-2.
The foregoing instrument was signed
� before me this`' da �YJ Of
�
P : 20� g
by aw'4'Cui V t
who is personally kni►wn,V_or has produced a
as identification.
STAMP
Signature ofNotary Publie
Print Name of Notary, Public
*• LAWAR.CMEDGE
?; CPmmission#GG 022076
;o::Expires October2!• 2020
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ISSUE DATE
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FAMTKIPSK,
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JUN 9.20IT'
Cq>ifort00ptroldf St. 'Lucie -County, 11m. have agreed-to'be
the H-VA-C Sub-obinktotbr-for WymzeDev'41omi'mant 'Corp.
(Typ* of thfde) PVhn&7 Convaabr)
For the project Ideated at t3�
It is 6&I;Wdfhat, if there is any. bhangwd fttlais. re�iing Wk p0doiPation. with the move mentioned.
-prqject; the Buildhig -and Code Re&1ad'oh Division of St. Lucie County will be advised pursumt to the
filing ofa Chan& of Sub-cobudatormotice.
CON TUCTORSIGMT=(0fianeir).
;Mottvhew L Y*le Wynne
PPJNT NAME
COUNTYCERMCATIONNUMM
State of MiAlt% Cimaty of —2f:,—Lm--J 0-
The forigoing Wtr*61 at"oLmmabdireZue t. 42 Of
who ispeMnally-known-Zorhagp"awd,
as fdairia2don.
AQ-64-1�—' STAMP'
sign -stare orNot"ONC
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of Notaryphblic
DOROtHY-ANN BASKIN
MYC6MM19SION#P0-030146
WIRES, October 2,2020
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COUM CrWWWATIOX NUMBER
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PERMIT # ISSUE DATE
F L ,O R 1 D AJ
IL
the
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name/Individual Name)
(Type of Trade)
For the project located at
BUILDING PERMIT.
SUB -CONTRACTOR AGREEMENT
(Project Street
PR'`E�ii moo;
f'Eh'rfiI1 IF;G.
Ci•• LUCle l:CiSf1t�,, {_(_
have agreed to be
Ib-contractor for
(Prim ry Contractor)
6A
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)
W�
NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. LU Gr
The foregoing instrument was signed before me tliZ16 day of
who is personally known or has produced a
as identification.
Signature of Not Public
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Print Name of Notary Public
0*1,+Y::fs�•� DOROTHYANN BASKIN
My COMMISSION # EXPIRES! Octobe 2�5 , 2020
Rev
SU"CTOR (Qualifier)
obe a-4 - Lu d l u. M
PRINT NAME
3/ , •
COUNTY CERTIFICATION NUMBER
State of Florida, County of�c.j 4a,
The foregoing instrument was signed before we of thhis 5 day
who is personally known or has produced a
as identification.
STAMP ON STAMP
Signature of LNotaryrRPuu_b_Htt-�0"\
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riot Name of Notary Public
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EXPIRES January 08, 2017
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EXPIRES: October 2,2020
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