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HomeMy WebLinkAboutSUB- CONTRACTOR AGREEMENTPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 0 <ve�e Coin S'Li R4 have agreed to be (Co parry Name/Individual Name) the E lec_/", z e. / Sub -contractor for -i fi n -c Aec e_ e_i-Leo,/f (Type of Trade) (Primary Contractor) For the project located at C_ G (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) O RACTOR SIGNATURE (Qualiffer) PRINT NAME PRINT NAME COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida, County of L�r�l� State of Florida, County ofs� �.�- �CL The foregoing instrument was signed before me this • day of The foregoing instrument was signed before me th' � day of �`l .Qatic 2o®� by Cv c za�, by _ I�AVJ'4t4,1CQ who is personally known �or has produced a :,, who is personally knownj/ _or has produced a as identification. as identification. r STAMP &d �_ STAMP Signature of Notary Public Signature of Notary" Public Print Name of Notary Public Print Name of Notary Public ' 1W P Notary Pubib 01.: Flonde ..* � ;,, LAURA R. CU90E.DGE at' `• Kerd Budka �' � My Commission FF 879543 ;=i. ,-Commission # GG 022076 Revised ] t/1612016 �y o iz�2o2o °+ +°,o; PhS Odober2t 2020 po Expires 5 ��,°�N;•` BondedihNTtoyFafilnlunrtrelOD385d019 PgR,MIT# 7P,41-gl F. 09R.-WNTW, TOR AGNMENT pion,flong, 'sub mc "'for, Wynne 09valopr For aw projot WWA o §tM§ YOW&S Our PAJIMP9W W,A A@ AM MONO pr0*4 f1w %jujas Md codo R�-gawpo 1xvioJon of St, Ludo Cgloywin w gdYbodpurg"gro to wh@ - --- - ------- MOW jYj@ *nJI0 - WA F OWN RA. ww is pffoppy baw.9 bo ptoowd g .As fflifftm offtbry Fmb* .,Rob@rtLWlym -W—Iffa-- E- Jg Robert Udlum w w4o WAM --------- - Rhonds Laffe'lly DOROTHYANN B.ASKIN OA. UFFOW MY COMMISSION # GG WOW EVIRES: October 2,2020 1Rayk-01111600 Bonded Thru Notary PublicUnderwriters $TAW PERMIT* ISSUE DATE PUNK NG & DEVELOPMENT SERVICES `1 Duilding & Code Compliance Division RYi i)*6PERMTr SUB-CCfNtRACTUR AGRUMENT Comfort Control of St. Lucie Caunty, Irxc.' have'agreed-to'be (Company Nameflndividuai Name) the HVAC Sub-contraotorfor Wynne Development Coro. (Type of Trade) (Primary Connactor) For the project ideated at ID*) It is understood that, if there its any change of status regarding our participation with the above xnentioned.. project, the Building and Code Regulation. Division of St. Lucie=County will be adirised pursuant.io the filing of a Chain& of Sub-contraetor notice. CON I ACTOR S ATURE (Quslffirr). Matthew Lyle Wynne PRM NAME — 08898. 8288 COUNTY CERTIFICATION NUMER COUNTY CERT�'rCATxON NUMBER $fate ofInorias, coauty of AIQr� i`, Stat Hof Florida. County of� The foregoing idstrudieut was Oiled before me this J& day of The"ins iasirnment was signed before me tlus,G� vlay of C1.¢C1� vuUa : ZO wba is personally known V or has produced a who is peraonaltp known I= Produced a as ideatiitcation. as identification, D,QA.044d STAMP- � STAh9 i `goafnre oiNo ublic ,/� ftature of Notty Pal n/N 64sK, r-� piiritNiameoflVota "Ihiblic . Pilot Name """''• DOROTHYANN BASKIN MY COMMISSION # GG 030145DOROTHYANN BASKIN MY COMMISSION # GG 030145 EXPIRES:October 2,2020 .; . BondedThru:NotaiyPublicUndeMAters %%' roe: EXPIRES: October2,2020 4,9, P �. .Bonded Thru Notary.Public Underwriters Revised 11/10016 LW-d 3000/Z000d tL0-i 999L8L8ZLL d,Ioo Gu i p l i n8 auuAM -WOdd 9 L=Z L 9 L C-60-Z L . .. ...... .... RMIT 5-OATE.- . r di Go mp 1pn 'Wi hthy, above�:�i��xiti�r�: D COWRA .Al C A4 Ann,) DOROTHYANN BASKIN MY COMMISSION #GG 030145 arp EXPIRES: October 2,2020 SondedThru *t@ry.Pub4 Ur4wirftem WwpN L it cvIt IF Ct1 ,lb f lq�jm srA-W. S"tv bui DOROTHYANN BASKIN MY COMMISSION # GG 030145 EXPIRES: October 2,2020 Bonded ThnlN0tq fPublie:Undemitem