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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Euflding & Code Compiiance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT t �� L Name) SCANMW BY St Lucie County have agreed to be the -z e. / Sub -contractor for CAJ !i ri ei -e Qc' & e— / ate' (Type of Trade) ( _ 1 (Prinia6r Contractor) For the 3 ro'ect located at V �9� C' � m 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) qWtOWRACTORSIGNAT (Qualifier) PRINTNAME a <z COUNTY CERTIFICATIONNUMBER State of Florida, County of LV The foregoing instrument was signed before me tbik\X1ay of v 20\ who is personally known K or has produced a as identification. 1 _ E, {� f� - Ft .. -• STAMP Signature 6f Notary Public /<—,' i�"P, a.i ,5 , 6 a7c) !( � PriatName of Notary Public PRINT NAME a % . z/,/'02 COUNTY CERTIFICATION NUMBER State of Florida, County of_6 The foregoing instrument was signed before me this `� d'ay of 201�,_by who is personally known,V-or has produced a as identification. &��- f, 0 , & "0 STAMP Signature ofNotary Public 0�,�\ - q.1 Print Name of Notary Public twaty POW 1 LAURA R. CUI)SEOGE �F Kefd Budka FF 97 a My Cummise a5a3 1 =.1 comm1ss10n /i GG 0220y6 Revised 11/16/2016 Expires 054612020,ExpUes October 21, 2020 o�. $� BontladlMiTroyFatnG�ur�n�s1Qa98510f9 — — — - ------------- PgplmtT# Pimmim PLANNING & DEVELOPMENT Wavicys 6wim, Im, .'AmmNam"u, W,g Apm to be -plawny. Wynn@ P@Y@Igpmgnt ............. afF Cif or ow- t ,prqj@&t JO&M, L a R J§ oadmPood Wt, if the'm i§ 4y oboe @f Mu'q T%ardiag our pgjlw, Jpgfipr� W, Ith A@ Am motipmd ib@'0#JJdj"g md Cod@ R�-gljwjpn MAgion of st, ukcjg County,41 W g4vind pmaw to ft filing of a Ownpe of smb-gpntrmw notio, M ag�wpp MW#w Lyle Wynn* Robert LWIum gases Wars" wo�tlooxof IM 1116I.A. ke, UAW b" X--C— Rhonda Lafferty napixam OrNompy primMmorx0torypo Jig ------ - - -------- - ------ -- rLe 001-11-d"Of Robert Ludlum mDOROTHY ANN BASKIN My COMMISSION # GG 030145 NiONDA. LWAFFB�W EXPIRES: October 2, 2020 Bonded Thru 140tarY Public Underwrritefs 'm l '• PERMIT# ISSUE DATE Y PLANNING & DEVELO.PMENT SERVICES Building & Code Compliance Division >f3mD*6 PERMIT SM-CONTRACTOR AGREEMENT Comfort Control of St. Lucie County_, In"r— have agreed-to'be (Company Name/Individttal Name) the HVAC __ Sub-c6n1ractorfor Winne. bevelo meat Corp. (Type of Trade) (Primary con amr) For the project Ideated at _ _ V� `�� MCA_ - Street Tax ID #) It is understood that, if there is any change of status, regarding our participation with the above mentioned. project, the 13uilding and Code Regulation Divisibn of St. Lucie County will be ad*ised pursumt.tti the filing of a Change of Sub -contractor notice. CON ItACTOR SINGRAUTUIE (QuaGffer)• Matthew Lyle Wynne PRIMP NAME COUNTY CERTMCATION NUMER State of ]Florida, County of The foregoing inavadeatwa3 signed before me thbs V ]day of wpo is peno=ny known Y or has praduccd a as idewificatio . STAW gnatoreoflVtita gblic DOROTHYANN BASKIN MY COMMISSION # GG 030145 EXPIRES:.October 2, 2020 Revised 11/10016 COUNTY CERT134CATION NUMBER - - Statklof lRoAda. County of-__ The'fofegoin� insirnmen: was slgued before mo tbis� ]day of �w Who is personalty ]mown ✓r has produced a as identification, STA1V11t Signature of Notary PiA D o R o m y print Name of Notary Public DOROTHYANN BASKIN . MY COMMISSION # GG 030145 ; EXPIRES: October 2, 2020 %Fob , q ,,, .Bonded Thru,Notary-Publio Undenvftls L66-d ZOOO/ZOOOd tLO-i 999L8L8ZLL dAOO Suipling auuAM -Wodd gL:ZL gL e0-ZL . exed= y Fo>ujc<oad::at; it .1 �--*S. 4'o�Ofsau ;Wilhmt. e aove, 0momor Aw.T...oo. x F WIPWv. PAR it ,P.dffN9lft-6f Notary-P.-OW DOROTHYANN BASKIN MY COMMISSION # GG 030145 EXPIRES: October 2,2020 Bonded'Thrd Rotgy. FuW Underwftm id beforedie' tw"f. "M DOROTHYANN BASKIN My COMMISSION # GG 030145 EXPIRES: October 2,2020 Bonded Thru Notafypublic;Under"Iem. SrAWW