HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMETPERMIT # — ISSUE DATE
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guflding & Code' Con pHance Division
BUILDING PERMIT
SUS -CONTRACTOR AGREEMENT
5 I1 (t_J e- / if c ?r `- have agreed to be
(Co pany Name/Individual Name)
the C lec-i r , z e. / Sub -contractor for �iiJ ! ,? � � 14e� e- f w 1h. e .j e- �/�
(Type of Trade)
(Primary. Contractor)
For the project located at S � ",)"'N q, S 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)
PRINTNAMIE
COUNTY CERTIFICATION NUMBER
State of Florida, County ofi`
be foregoing instrument was signed before me this �3� d of
yJ� 20� by
who is personally known _K�or has produced a
as identification.
STAMP
Signature of Notary Public
V,-Izl b
Prmt Name of Notary Public
4MORSIGNATURE-f0u,06)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of���ve_
The foregoing instrument was signed before me this`31 d yy of
5� 20i1 by I AW14'�*J V ���0
who is personally known-V or has produced a
asidentitication.
STAMP
ASign,re ofNotary Public
Print Name of Notary Public
` to pf:Florida
err r Notary Publlc Spa . R ; •:4q ;, LAURA R. CMEDGE
Kern BLOW c
My CommisskM FF 978543 C mmissiom# GG p22078
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p1m 60 on§ plymbing §@Pyjo§, Or,
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with th@ Lqboy@ nwOmd
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mi F�Cgol"Jon Mvipion of St, Ukch; Copoty,41 IV WOW grAwnt wi
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MM#m Lyle Wynn@
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who b wsommy if F bp§ projW41.4
, Robert Ludlym
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5100 of FlOrW Comaw of
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Robort Ludlum
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DOROTHYANN BASKIN IMONDA LAFF90Y
MyCOMMISSION -4GG030145
9. EXPIRES: October 2,2020
Bonded -Thru Notary Public Underwriters
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1fi,,Al l' YI T & AgVELOPME N.T'SI&P.WCES
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1M$-CONTItA 'OR Adiftr )ENT
CQ1Afgrt Ci7nt:raY of St:. 'Lucie -County, Inc.. haveagreed'to'be
(company Name&dMdad Nye)
the HVAC Sub-0bi'tfi0t6r•f0r Wrate Deve.lo:: merit Cor .
(TY0 of Trade) (Priniaiy Conn etor)
For the projeot ideated at
'(Project Street A ddrt ss or property Tax ID 0)
It is understb6d:that, if there is any change -of status. r�g ,diug o& pairtiicipation•with the above mentioned..
'project, the Building and Code Regalatiolii Divisibn of St. Lucie County will be advised pursulatr:mi the
filing of a Change of dub-eontrictor-notice.
CUNT]<tACTOR SIt;�TATURE (Q$aGSer).
M:a:,tt. -hew Lil.e Wynne
1pRIl�'PNAIIIE
COUNTYCERTMCATIONN'C11►7 EA
State ofmorfda, Coulityof Si c e-
he forlgoSng id$hriEht ov93 SiEhetf Before me thi9�� day of }
YN �1 � �� 20 � f►y� . —T :�
who is personally known ✓r Las Pro eca a
ael8entificatiom
• STA.jidp.
9igoature oTl orae� ` lilic
MintNauie of Notaryl'itbhfc
DOROTHYANN BASKIN.
MY COMMISSION # GG 030146
z' t� EXPIRES October 2, 20E0.
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Revised 11-2016
CO>()]U'T`Y• C1±RTllzi4TATIODT NUN MP.
State of Florida: County of si � eci
rr goins instrument was 4 ped before me tf ;2] day of
i �as\—:ao�b��-�ccU.a�n�nrarwa�t1
1vh0'is•petSOhaffgfmowa �rriasprodaced.a
as identification,
STA?6
Signature o Notary rJWd
HNn7
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MY COMMISSION # GG 036145
EXPIRES: October 2,2020
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DOROTHYANN BASKIN
S MY COMMISSION GG 030145
EXPIRES: October 2,2020
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