HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# — ISSUE DATE
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUS -CONTRACTOR AGREEMENT SCANNED
BY
St Lucie 06urj�y
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St C' count
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have agreed to be
(Co puny Name/lndividual Name)
the E lec. 7, t , z / Sub -contractor for �J -i /yf�/1-�
(Type of Trade) (Primary Contractor)
For the project located at _\I`
(Project Street Address of 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-JWONTRACTOR SIGNAT (Qualifier)
PRINT NAME PRINT NAME
ZY
COUNTY CERTIFICATIONCNUMBER COUNTY CERTIFICATION NUMBER
State of Florida, County of J �o ' t�? State of Florida, County of
The foregoing instrument was signed before me this day of The foregoing instrument was sfgued before me this`- day of
200 byG`,cne�,�X.��-2 �Jt.s��► v���t'" . zo\, by -
who is personally !mown Y—or has produced a who is personally known -V_or has produced a
as identification. % as identification.
STAMP
Signature of Notary Public 4S.,iu1re&of`�Not..ryPubli, STAMP
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Print Name of Notary Public Print Name of Notary Public
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MY COMMISSION# GG 030145
EXPIRES: October 2,2020
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PERMIT* ISSUE DATE
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PLA1rINYiV & DEVELOPMENT SERVICES
oundutg & Code Compliance Division
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SMI-CONTRACTOR AGRUMENT
Comfort Control of St. Lucie County, IrxC.' have'agreed'to'be
(Company Name4ndividad Nartile)
the HVAC __ Sub-contractorfor Wynne Development Corn.
(Type ofTrade) (Pdmaty Contlactor) -
For the project ideated at
Street Address or Property Tax ID *)
It is understood that, if there its any change of status. regarding our participation with the above mentioned..
project, the Building and Code Regulation Division of St. Lucie=County will be ad*ised pursumtto the
riling of a Change -of Sub-contraotor notice.
CONTUAC•rOR S ATURE (Qaaliiffer).
Matthew Lj le Wynne
PRINT NAME .
08898. 8288
COUNTY CERTIFICATION NC7M ER COUNTY CERTIFICATION NUMBER
State oft'lorW, Comuly of %`Q1 Sig t Hof FloriBs. County of�,
The foregoing rostra m t was sizued before me thi A day of The o�eIIoiaE instrume1nt was signed before me tbis� ilay of Q �
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as identification as identi6eation,
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