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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTi PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT C— G. SCANNED BY' St Lucie County have agreed to be (Co parry Name/individual Name) the L le c- Sub -contractor for CA.) t4 fi ,7 -e Qe e�' (Type of Trade) (Primary Contractor) For the project located at C%\ 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) O RACTOR SIGNATURE (Qualifier) PRINTNAME COUNTY CERTIFICATIONNUMBER State of Florida, County of The foregoing instrument wag signed before me this dayof KI who is personally (mown �or has produced a PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed � before me thisl� �` day `off `►•� t c sLv-kl,&r : 20 , by- ISAWyi 1{`CD qtptY) � who is personally known,V_or has produced a as identification. as identification. elf 'C-C' C STAMP STAMP Signature of Notary Public �Qui SignatuofNotary PublicE-, 6 �� ILA k. 0, Print Name of Notary Public Print Name of Notary Public ' Fbrida a.,M.,�,, �v. Nota:11mlijo t 18,,,.!AURAR. WaSEDGE Kern ;; �; C.ommiss(on:# GG022076 My cFF 978543 -.. .co� Expiao20 •s, Expires Wober2t, 2020 Revised ll/16/2016 oFw 'a,'- f5F0 B�ndedilwTroyFainlntur�rtrslp�3g5.7019 POINT FLAN MG. 111EVE LIDOWNT - SERVICIS ftwim, Ing, For ft pr,<4@4 W&WA, at A@ ff"MMUNT Wynn@ Dayplopftnt VD&CY,00 Owt, i iffhOmb wky Amp d §fms- ww4ft Liar pAftmpqtw W, J* tb@,gbpv@ mnowd pfqjm4 dw DaUding md Code, F,,�.SaWJPA V1,40104 of st, W.&, Comy W01W WAwdpugaw 10,ft filing ofg-Cimpgo. of notice, mmom Lyle Wynn@ Tww"NA.559 I = I-E CA< T1W f9fWft 14*60*91 WN. §*W WON W W,$2--Z&Y Of -Robot Ludlum' ftfgqffjormm, county od—!, Tim RobortLudfum UAW !6-% ---q --------------- Rhonda Lefforty INN BASKIN - G 0 DOROTHY ANN BASKIN My COMMISSION # GG 030`145 ON EXPIRES. ctober 2 2020 6ctober 2, 2020 NOW tj I U derm vs b 'Underwitem Bonded Thru NOW public ftyiwl JI/J6)WJ6 LffFwV -1 STAW PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division $MDWG PERMIT SMS-CONnUCTOR AGREEMENT Comfort Control o'f St. Lucie County, I;ic.' have'agreed•to'be ' (Company Nanie&dividual N=e) Ow HVAC Sub-contfsctorfor Wy.nne Development Corp. (Type of Trade) (Primary Conuutor) For the project 16cated at Tax ID #l) It is understood: that, if there is any change of statua regarding our participation with the above xnentioned,. project, the 13ui1ding and Code Regalation Division of St. Lucie=County will be adkised pursulant.toi the Sling of a Change 'of Sub -contractor notice. CON UACTORS A —TORE. halifiek•). . Matthew Lyle Wynne PRINT NAME 08898 8288 COUNTY CERTIBICATION NUMBER COUW Y• CERTIFICATION NUMBER $tate ofplorida, Coumty,of E �LV �+ �`� ststgf morids. County of The foregoing idstrnmeht WAS siEhed before me thk Jr day of The-`#iag instrument was signed before me this day of C1L.aa�r�.1a :20�7by� Q x w,ho is personany known \ or has produced a who is personalty known ✓r Las produced A as identification. as identification. )OXA041-a"�STAMP adz STA11 'gnatnre of N'o teblic D Signature of Notaq P1 1 1 1 ,p 1 )aRo7N-y � nl�v J(7Ast<<n.) oAo`m y . Oda pn�kitlVameoflKota :I+ublic:.. Print Name ofNotagPublic 11r'pv ,, ,•<;�.,,8 DOROTHYANN BASKIN ,�; '•:,: MY COMMISSION # GG 030145 ',��gL�.,_ DOROTHYANN BASKIN e;` EXPIRES: October �2, 2020 MY COMMISSION # GG 030145 ;,!If Q •' Bonded Thru.N0,* Pu11,, Underv+rllers - �' P EXPIRES: October 2, 2020 ..�.•�`. �'',; d Pao. Bonded ThruNotaPublloUnderwriters RcvNed 11116016 L66-d ZOOO/ZOOOd tLO-i 999L8L9ZLL d,l o0 Su i p,l i ng euuAM -WOdd 9 L:3 L 9 L 60-3 L ttuS.DA. M`: . ..PERMI Of .m :1(p.d 4 -S s"T wi I: e abavemen� qgar g. th toll If " f If vifl! h -h un te.: iq 04th le: VVrme... PAP. Thar ;Stay a �.O�Wwq* S-n-Luc'e— �77 DOROTHYANN BASKIN My COMMISSION #GG 030145 EXPIRES: October 2,2020 _pbW Underwriters T T. Won idt thig&f_ day.Of. S-*Batlw ulic a?c7' e-u-n4y....Agm DOROTHYANN BASKIN ION f, . ' Gj My COMMISSION # GG 030145 EXPIRES: October 2,2020 yp ul U Thru Notary.Publlc:U