HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTi^u?;i1.T:;,
the e'/e c—Ts
(Type of Trade)
For the project located at
PLANNING & DEVELOPNENT SERVICES
$u»i�ing &•.Code Compliance Division
e./
$UH DWGPERMIT
sm_cOm'T Cwk AGRFmzmzNT
Sub -contractor forJi
(Primary Contractor)
have agreed to be
(Project Street Addressor 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 wall -be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATU= (QoaliSer) 04RACTOR SIGNAT •(Qaali6er)
PJMTNANE PRINT NAME
COUNTY CERTII!ICATIONNUMBER COUNTY CERTIFICATION NUMBER
Slate of Florida, County of t, State of Florida, County or ve_
The foregoing instrument wat signed before me this � day of ,,..-s r� The foregoiaginstrumentwas skne�d before me this d y of
\NAQ 20 , by �-\ 0.�r� c��,:J `Q `-� y� � 20 , by 1�SJlU.Ykt U
who is personally known or has produced a who is personally Imown _V__or has prodaced'a
as identification. as identification.
C STAMP
STAMP
Signature of Notary PahGe Sigdature'ofN�IP*hh�fic���
PriritName of Notary Public Print Name ofNotargPublic
' Florida .. �L,�
. f� N'
�sr •o yotatY Fabric St te. i ,��*i �"'%"w LAURAR:'CUbBEDCiE
'� Kerb Bq�lku 978i4 °» �mmissiorr_#GGQ29ft
My Commiss[att Ff< %'t o�• %PIfeS O tOi)erft'
Revised 11/16/2016 '�qo' Uptres'45�2 2c o, '',; o�, w"; • 2020. .
„�� ilwTrogFairri�gnnte1Ga3851019
RECEIVIM �Ay 31 M17
PERMIT:# ISSUE DATE
------------ PLAIN'S A 1JkVkL0PM-9NT--9kP-"ES
-
, OLIN. I
m1iiatag c6a C010�01,
StW-03NTRACTO. R AGREEMENT
CoMfort .Control df St. 'Lucie County, Inc..
have agreed- to 'be
the HV A Q Sub-abnkietbr-for Wynne Deveig-p-m-ent Pori).
(Tye of Trade) othnacoamtor)
For the project located at Zx Q
,%zN_S !C•
—
Street Address '6rPmPerW Tax ID 0)
It is understo6dthit, if there is any change -of status regarding our participation with the above mentioned..
project,- the Buildmig and Code RegWation. Divisibn of St. Lucie County will be advised puisuant to the
filing of Changb of SUb-coftractoriotice.
CONT"CrOFt SIGNAT-M (Oiagr1r).
;KA.*tthev Life Wynne
PRINT NAME
COUNTY CERTMCATIONDIM011
state ofrfAda, county of S7 --1,"c f-
The foriping rostra deutwas SL-hed lbefiiie me thh_day of
Who is personolyknown -Zor has pro", ecd a'-
C KI AvA g 4
DOROTHYANN BASK]JIN
PW 301
*VS MYCOMIM19SION# GG030145
EXPIRES; October 2,.2Q20.
to
Bonded lbu .M. F�t)
Revised
COUNTY CIRTWCATION NU3=R
State of Florida; County of Sir k.:;!,cci
MA
The farexaft incitement was slp'ed Wake me t1&JLV by of
-1 hy W
as identification,
STAW
rmn—atuR of Not"I UK
_b,.4 7-W..y .4,vV
Print 'Naine of Notary Fabile
H N BASKIN
DOROT - YAN:
My COMMISSION# GG DW]
30145-.
OCI 0
ES: October 2,2620
EXPIRES: W
'ayp. no U6mte
Bonded 7hn1:NotkiyN b9c . UnderAtem
L66_J U7000/WOOd VLO—i 899L8L83LL
di oo Su I p I ! nq auuAm -woui 1 9 V z L 9 1 6-60-Z L
RECEi'.'7-D MAY 312017
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
p Mumb-In-CA
mpany Name/Individual Name)
the-
(Type of Trade)
. BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
for :n..e..�e �1Q-6me n s Co. R P
(PrimAry Contractor)
For the project located at
(Project Street Address or Property Tax ID #)
_1�' -
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)
VRINr NAME
Q SSG "8
COUNTY CERTIFICATION NUMBER
State of Florida; Comity ofST. LU C .e
The foregoing instrument was signed before me this& day of
20\3 by't"`� �Sm\• _ %"Dk_t �
who is personally known or has produced a
as identification.
Signature of Not& Public
�mr2crMy 64N+J /J/4SK�ry
Print Name of Notary Public
win..
D(5ROTHYANNSASKI
MY COMMISSION # GG 030145
EXPIRES: October2,2020
Bonded'Thru_Notery Public Underwriters
Rev
SUB-C CTOR SIG ATURE (Qualifier)
obeC4 l..v d lLtM
PRINTNAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was siged before me this—�P�� day of
a 20P y eQher' �.1�[GtII,CG,,-
who is personally known or has produced a
as identification.
STAMP STAMP
Moab of Notary Pabli
Jc. t
Tint Name of Notary Public
t
& HOND� d. A�l'ERTY
.tp,n,?Je r
:2a Le's s
k *: MY COMMISSION # EE854297 r:�
A�: 08 2017
�';cFrQ:, EXPIRE January
" FloridallotaryService.com
(d07) 3@&0153 t
RECEI%"-7D MAY 3 12017
T'L Dl�
uitcim t* ob
-h
0
14OW pffi d--At.
A
4q. , lwmlpwumww. nor: aw-pred
A 62,10 . p
Ninffthedf NOtery'NhHe
DOROTHYANN BASKIN
.'lj *--
MY COMMISSION4 GO 080145
t' EXPIRES: October2,2020
L
:the above
m
4 ou gar r-.,.p
be;. d.pursuad.'----'tq---
w N
uv
Qv ;2
.who jor. wpto iie# A,--
2s-id
ao�t.o4111 avtv6 G d -,STAWR
s"thle W
PhAtNW"b
DOROTHYANN BASKIN
1 F My COMMISSION # GO 030145
• EXPIRES: October 2,2020
Bonded 7hru NotaryPubl!c:UnderwTjLm