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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMNTPLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 'Aunoo a1anj is 'As 03NNVOS have agreed to be (Co parry Name/Individual Name) the C. lec " r , z e / Sub -contractor for t4 ,i n t Ae c e_ 1 �^ r'� % Co •�/� (Type of Trade) (Primary Contractor) For the project located at C_ (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) 4WCOWRACTOR SIGNATURE (Qualifier) PRINTNAME PRINT NAME ZY COUNTY CERTIFICATIONNUMBER COUNTY CERTIFICATION NUMBER State of Florida, County of , l� State of Florida, County of rLA e. +*� The foregoing instrumen�tywas signed before me this da The foregoing instrument was signed before me tbi (I day of �iti 20� 1, hy\kGa"C �uvt7�]Pt' .20 , by_ I�AVJ'4t''co � � who is personally known Y—or has produced a F:, : who is personally known _or has produced a as identification. as identification. STAMP STAMP Signature of Notary Public \Signature of Notary Public Print Name of Notary Public Print Name of Notary Public 500 P N(*Wy Publ� W_ 0 oi: Fbrida , ;►ii ..'' WPM R. CUbSEDGE '- Kern Budke. �.Ccmm18s1on,#GG022076 i My Comrolsslop F978 F 543 fires Revised ] 1/16/2016 wo Expires 0512512020 ' �� oRi. ,, P WOW 21; 2020 „t� BandadTh%TWyFshhlnsur�nte10D3851919 pir4*0410m vot-aw-pro . Jog j@&W4 at 116114hig Jk Cod@ Cr mpliangg 1XVINJOU 60.1wo Ing, f6r. Wynn@ ftyplopftnt ................ undm000d Owt, J f ikew-b my 'rbmg@ of w, A@ Am wagomml 00094 tjw lRaiming md Cod@ aEpwjon Division of Ot, Lmig County witho Wvl.§gd puromant to ft sing of a-chgogoof sub�pwwgmr notlo, 'MAT 1=91-,T*� ......... ------------- - �memijwcw YjfjV(Xjim of Natoxy V#b* 10620 .Tim Of Robert Ludlum UAW ---------- Rtyandq. .044mo-ir DOROTHYANN BASKIN My COMMISSION # dG 030145 October 2020 affkq HIM)"M .Bonded Thru NOtary pubkc-Un .. F EXPIRES: RHONDA LAFFIWW UAW PERMIT'# ISSUE DATE h PLANNrNG & DEVELOPMENT SERVICES iluildiig & Code Compftuce Division 11MD*.G'PE1tMIT SUB-CONTRACT0R AGREtEWNi' Comfort Control of St. Lucie County, I;ic.* have'agreed'to'be (Company Namelfndividual Nance) the HVAC Sub-cixttaotorfor Wynne Development Corp. (Type of Trade) (Primary Contractor) For the project ideated at It is understood that, if there is any change of status, regarding our participation with the above mentioned.. projects the Building and Code Regulation Division of St. Lucie =County will be adirised pursulant. to the filing of a Change'of Sub -contractor. notice. CONT]gACTOR S AT`URE (QheliSer). Matthew Lyle Wynne PRINT NAME 08898, 8288 COUNTY CERTIFICATION NUMM COUNTY C1:RTWCA.TION NUN WR State off torida, County of CEsk 1),V C 11'01 StAilof Florida. County of 1 AA e+C The foregoing instrument roves dzued before me thkA day of The foFegoinginstrument was afgaed before me thfsday oY c�,Qc 4 r:io t? by�Cti a • zV. by � ��l ��wl nH•ef'vK4.t> who is personally known _;or has prodneed a who Is personally known has produced a as ident'dicado . as iden0i8estion. )OXAOT� .: 0. STAW STAW gnature of Ritaidume Signature of Not9ty P 1b1 Q12 ftM_y J0NN 914SC�tn") oRo-n� y _ gA(A,' BASK V printNameoflVota :1'vhlic'.. 1?eintName ofNotaryftbife ,•t;s�;?y"a•. DOROTHYANNBASKIN MY COMMISSION # GG 030145"�ii��t!�� DOROTHYANN BASKIN ,r. EXPIRES: October 2, 2020 MY COMMISSION # GG 030145 Bonded Thtu.Notaiy PubficbndeMriteis % �c`: EXPIRES: October 2, 2020 „,...- '•�$oe,�R..;, BondedThn�Notary.PuhlicUndenvriters Revised 11/10016 L66-d 3000/Z000d tLO-i 999L8L9ZLL d.io0 Gu i p,l i ng auuAM -WOaA g L: Z L 9 L 60-Z L :--PERMIT'. P—M MAW. `Fay ... ft Go epm-rffa bliftem A Aww"�.: S.-regae- u Ifs . . ... ..... a- t-h B pursuanf&tk:. QD Elie•forcgaingiiramen.assign;kgi[grc DOROTHYANN BASKIN MY COMMISSION # GG 030145 EXPIRES: Odtober 2, 2020 Sond0dThru Notary,Public Underwriters C7.0.1 orggRfri iafticptoot. Wtorett.-.thit. 4U.Y.lbf sfgwao bw DOROTHYANN BASKIN My COMMISSION # GG 030145 EXPIRES. Octobier 2Z, 2020 -L Bonded ThmNo�ryPubIk:Upd.ewm