HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTthe
For the
It is
project,
ISSUE DATE
PLANMWG & IDEVELOP&MNT SERVICES
Building & Code Compliance Division
BUILDING PERMff RECE7D_�����® SIJI3-COIiI�`RACI'OR AGIPIuE�V1(B VT
�� JUL 2
St. L.Ude MAY ST. Lucie (County, Peemitting
of Trade)
located at
C_
Name)
have agreed to be
Sub -contractor for �it� ,� ,.1 Qc �, f W�/✓�,, �,� j �G �%�
(Prima Contractor)
,-s � S t - �,q \-
(Project Street Address or Property Tax ID #)
S
nod that, if there is any change of status regarding our participation with the above mentioned
Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of # Change of Sub -contractor notice.
q:UivrxAU; VKSIGNATURE (Qu"Iier)
PRINT
COUNTY CRTIFICATION.NUilISER .
State of Flo I a, County of=.
The forego' instrument was signed before me taus, day of
ilk z
who is perso�lany known —Kor has produced a
as kdentifiica on.
STAMP
Signature of Notary Public
Revised l
t4ota1y Pubtk M.5p q ftdda
Ke
myCE611
ommis8 FF 978W
inlies 0545/2020
4RAI IGNAT (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County OfbUwot-t.
The foregoing iustrument was signed before me this da of
A, by
-was e�co��5
who is personally known -V--or fins produced a
as identification.
STAMP
Signature ofNotary Pubfie
Print Name of Notary Public
3 �'` i LAURA RCWBEDGE
:•;A �.,,Cammissimi#GG022076
sy 07ExOr"Oct ill'21,2020
„IL4t ' Bontledi�ii FaUiGq
�Y u>ante!l0038�1019
r
i�RA9�i' del ®��g
i -
.�
ST. Lucie County, Permitting
Aq`ping Ino, 3ve mr 0.,
' '/per, •/��• � ... .: .._... ... �cn. ... .. .,..x ...�x.�.. ..
J b ' rid Aftf, frWea. b y4ban-so d
PTo)
�aaAe� a is
fiff
wAg -Of Sub-conlypor notice,
' 4���'�Jt��eOi'ifd71.��(tS,�tNR#!�)'-_..__....._-.._ � . Si�li�:: • �'iUl�i�'�(Ru�tifxx� ,.....,.,...
7.6006i ! I'
l�EAl3 ��8F1 s.�rAkPi$ ®f �i.�i �sef tBtl�1 +)Al@P1�4 Af , Lurie �
'fly • fA,gjRm#kfiS,pwpsfAmyUt&oj$k Of "TOiifi w. 19'sll��tA1ARkE3YP..4��NB!$%7R�9Fi�D� �k9\ &YOf
.-.. .. ..__.- _
�9R+?p3' # 1�1� w 9111�rS tgE9AdIRdi !_ _ _ 9➢3pt'a9mw Awgwg �4# w promo i@ �
STAW
F iuraa€ Ate' AsAie—ory"W—Tu
-
U,
DOROTHYANN BASKIN —
�,z MY GOMMISSI.ON # GG 030145�'LAPP
2y �'�. f�'t�NIM1�f9At�t7Zfl
. �7��, - EXpIRES:October2,2020 -
�vi�c ,41/�6i�93� %;oFt�q. .Bonded•ThruMuharyPublicUndetwliters
r
ERMI"r# ISSUE DATE
PL"VM+G• mWLOPMEra SERVICES
)Building & Code Compliance Mision
RECEIVED
IgMb P6 PERMIT
SUB-CONTRACTORAGREEMENT J 8'
ST. Lucie County, Permitting..
Go,Lfart Control oT St. Lucie County, Irx'c. have agreed to'be
'(Company Namellndividual W=e)
the VAC Sub-contracter for Wynne n e v e I o me nt C o r .
xType of Trade) Olkl2ty CaxlMMr)
For tht ,project located at _ `.�� C�
I, '(Project Street Addressor Property Tax ID #)
it is understood that, if there is any change of status regarding our pu icipation with the above laaentibned .
project,' the Building and' Code.Regalation Division of St. Luck -'County will be a& ised pursnatlt. to the
Fling o a Change 'of Sub -contractor notice.
Matti lew Lyle W
0889
8288
COUNTY' RTIFICATIOhT N014f8 COME Y C ATWCATION M MSER
State of F1 rION C0111 0 � A Qe1 ve. state of Flel ids, Cotonty of
The Aorego g instrument//-w as sieved 6oiore me this day of Theforegoing instrument was slued before me tluy of
}
who is pe Ilnally known _V or has produced a who is personally known has produced a
as identific 'on as identification,
STAMP- STAW
'gnnture o 1V ablic Signature of Notny P11b1'
46,4srctPrint Name of Notara of
Y►nnt1V'amel'flVota :public`., yl'nhtic •
YP✓'•• DOROTHYANN BASKIN
. MY COMMISSION # GG 030145 j11YP/ , DOROTHYANN BASKIN
':e=€ EXPIRES: October 2, 2020 ;�; MY COMMISSION # GG 030145
pF €' Bonded TWNo" Publla Underkters %"%• :sae EXPIRES: October 2, 2020
.Bonded Thru Notary.Public Undenvdim
Revised 111 12016
•
L66-A oo/Z000d tLo-i 999L8L$ZLL dA o0 6u i p l i ng auuAM -Wod.� q �= Z � 9 L ,-6o-Z
JAM& of
JUL 2 9 20118
ST. Lucie County, Permitting
ON 6
i-for
;foaci'Ca :Jf
he AbaOeo#qz4w
�eddvfted..-'
.'t 41
Tursm#1
of $0
14 r. 0
xle. Vt.vn;
coapty. 9_-r.'.LUC_'
on
ito*wu: _vZoolkswaboa-lik,
DOROTHVANN BASKIN
MY COMMISSION* GO 030145
EXPIRES: Odtober 2,2020
Wd behaVide.thi
a
,-STA3W
DOROTHYANN BASKIN
My COMMISSION4 Go 030145
EXPIRES: Oalober2, 2020
uun
N01 fyftbl Un.demnWs.