Loading...
HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# — ISSUE DATE }ram;, : , :: Fy v FLA►NNII�TG & DEVELOPld . NT SMVICES s Building & Code Compliance Division p. g - -.,u;, - IBUl•LDING PERMIT SUB -CONTRACTOR AGREEMENT the (Co miy Name/Individual Name) f� r , z / Sub -contractor for (Type of Trade) For the project located at ,—�A (Project StredYAddress or Property Tax ID #) Contractor) 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) O RACTOR SIGNATURE (Quardier) A�W ��e COUNTY CERTNICATIONNUMBER State of Florida, County of The foregoing iustrument was signed before me thisdayof 20\1 by"� who is personally known or has produced a as identification. 16 k C STAMP Signature of Notary Public cc,, 6- uz )r--iq Print Name of Notary Public ,zcti TLX G hs PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of-� �i'e. Thhe foregoing instrument was signed before me this\_ y of �J ESL : 20s4by I'al1ll,l'Q *1 u V A--�-0 7 who is personally known -V--or has produced a as identification. STAMP Signature ofNo�ryOuhl�ic��� Print Name of Notary Public ubllo te.4;Fbrida N:rS;:.": t r Notaty ? ? : , .�+q•'3 " ., LA.0 A R. Wftel)GE Kerb BudM% ,. My. Commisslgil hF. 97es43 8 ; mmiss10*# GG 022076 Revised 11/16/2016 o Expires 00512020 •�'h',oRi 1 •a- 6er21r.20.20. „N TMY WIlrtaul =800.3S769 PERMIT* T ISSUFDAT E A g :b -'& e. iCompYi4laee,Dh4stia1R SM-CONTRA TOIL AGI&WMENT Comfort ort..0o. trol of St. 1 M . ..n . - 1AC.. have agreed to:be the, H-VA-C Sub-c6ntmotwfor Wymme Corp. (Type of tidde) Forthoproject ideatedat\" ��a _R\ clipw It is tiidirstb6d'thit, if there is any cliange -of status regarding our paftipation'with the above mentioned -prqjeot; the Bufidft -and Code Replation Division of St. Lucie County will W advised pursuant to the, filing of a Changib-of Sub -contractor -notice. IGNAT (Gumer) -hew Lyle Wyhae 'erman PRINT'NAME PMNT NAMN COUNTY CERTIFICATION NIMElt The h"hig fiistradiiitwas slEued hefdri me tms62_v Of i 1204 by\40"&", who ispersonoly Imown _!!f'.or has prWo'ced a STAW K I 64 Firilawame ometsq public 'Hy D ORoT. . ANN BASKIN MY COMMISSION # GG 030145 87' EXPIRES:* October 2,.2020. Por*&Thru., Revised 11116 alllO r4f W , - W* COUNW CERTWCATION NUMBER State of Florida: County of S—, &L, e. The foregaimginsbmmentwas slpedbefafrL me thb\-x a2yof by2 � W'. Z U q V, e a LOWN who iv pirsoway mown h" poducto-A as identification, STAW SWAtur"J'Notiou"", _b:vAoTl l•y Nj,4 v Print'Name of MmT Public P, Ds DOROTHYANN BASK.IN j. MYCOM.MisSION . GG 030145 EXPIRES: October 2,202O 7MMOVIN L66-J W00/3000d VLO-i 999L8L83LL dj oo Su i p I I no auuAM -wo8j 9 L: 3 L 9 4 -60-3 4 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & CO& Compliance Division p MUMbIn. mpany Name/Individual Name) the (Type of Trade) For the project locatedat BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Project'Street have agreed to be ictor for (Prim ry Contractor) 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�e—W LLAP. W U T\-� NAME — � 7410- COUNTY CERTIFICATION NUMBER State of Florida, County of ST. LUC The foregoing instrument was signed before me this \day of 20Q, by`�0.j who is personally known or has produced a as identification. Signature of No Public Print Name of Notary Public :. •<M::;e••., DOROTHYANN BASKIN o.• ��.; MY CdMMISSION # GG 030145 c.• ,�• - EXPIRES: October2,2020 Rev /SUB-iN&WPA1CTOR SIG ATURE' (Qualifier) "_gobese LU d l M PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was sign d before me this^ay of ,Zo_U,b©berg LLTJu6,-'. who is personally known or has produced a as identification. STAMP h(ASTAMP Signature of Notary Publi riot Name of Notary Public E(407)398-0153 ONDA LAFFEkTYCOMMISSION # EE854297PIRESJanuary 08,2017 FloridaMot, Servic3.com -S It 1. :the ove. in ik46 a.b isetpursaadt.,46:1 1 ,e: CIOUA-W T-.*h'o i8agoin bytkk&t s A ��,v -Q Print Piari�> of 1114t8iv:PiitiTie DOROTHY ANN BASKIN MY COMMISSION4 GG 030145 EXPIRES: October 2, 2020 CO o4ry.Fub4qKerw*rs .3 who'i .per w.w... r. as produced PAvini Lag sm1"w DOROTHYANN BASKIN My COMMISSION # GG 030145 ,i roc EXPIRES: October Z 2020 W. Bonded lbru NotaryPublic UnderwMm JcIeq i m Wit, writm