HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTthe
For the
It is unc
project,
ISSUE DATE
iPLANNmG• & DEVELopts ImNT SERVICES
BuRding & Code Compliance Division
(e.e=,r.r , Z e.
of Trade)
located at
Name)
. BUILDING:PERmu
• SUS -CONTRACTOR AGkEEMENT
MANNED
By
I
.� St. �Luds cowl,
RECEIVED
AUG 0 6 2018
�M Lucie County, Permitting
have agreed to be
Sub -contractor for Litt av,I I .e �� �, �v�� �, / 2C Y&
_ (Primat'y Contractor)
(Project Street Address or
lax lip #)
:ood'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.
CONTRACT R SIGNATURE (Qualifier) W—WcONTRACTOP. SIGNAT
(Qualifier)
y PRINT NAME
COUNTX CE
i State of Florid
I
i The foregoing
Who is personal!;
as identification.
i
ATIONNULIR;ER OfQIJ1yTY CEitTIFICATION NUM—BER
"� "
� of ' �'• y,� Site of Florida, County ofs��,�^t,
eat was signed hefore me tbiss day of The foregoing instrument was signed before me this rla of
vn or has produced a who is personalty !mown _V__or has produced a
as identification.
STAMP11�
!bite Signature of Notary Public STAMP
�a
'ublle Print Name of Notary public
to p, lyp�ty Pubttc
Kerri Budka
Revised 111 6no16
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• �. tAt1iZ4R, CUbi3EQGE
:.? Commissfmi#GO0ZZ076
•zy , �,•-ExPlres:0�to6erZ1, 2020
-N�'�;�' BOndedihNttoyFalnitaur�nPslllr}38S�fOfS
POW# 09191®AT'9
F A VF F •6 CES RECEIVED
AUG 0 '6 2018
ull 19 ��� � � ST. Lucie county, Permitting
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6j Wynn@ 000d��r��
Ot
1 1 i aAj@ Rogowpo I)Ivj a of St, Iwap Comy wj')l bp w� t'ft
_ bTAW
Od
p,uq
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
Bonded.ThruWaryPublicUndefK4. s
RNOW
1sole
itse Ala a, anal e1F LEI; Wall
Tft fo rooft il"f omfif.ma §4a dff of
by
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PERMIT* ISSUE DATE
PLANNING & DunopmENT sExvicE
J �X Building & Code Compliance Division RECE7�j
i3Ux..D*G:PERMITA SUB-CONnUCTOR AGREEMENT
ST. Lucie Couny,ermitting
omfort Control. o'f St. Lucie; County, I4c. haveagreed'ta'be
(Company Name4ndividu4 Name)
For L(Type of Trade)
e project located at
(Project Street
Sub.-c6n raetor fbr W .nne Development Corp.
(Primary Contractor)
Cl\-(
or Pro&M Tax ID #t)
It is derstood that, if there its ahy change of status regarding our participation with the above mentibned .
proj ; the ]Building and' Code. Regulation Division of St. Lucie -'County will be adirised pursuant, to the
filin of a Chaage'of Sub-coiitractornotice.
Mat hetr LirXe W
0886 $288
COUNT r CERTMCATION NC1mk COUNT' r�T= TZON NUNBER
$tare of I I Ioridaj CQUItty.of Stat 'af Florids. Colonty of
The Abiv oSng instrument was sued >befor'e me thk day of The 4gre�o109 instrument was Oiled before me thins day of
LA ,
WAO is P aauy known V or has pro8uced a who persouariy known �r has produced a
as fden ' ation, as identification,
gnatnr fN uliilC STAMP- � STA?Ji
feature of Notary Peal
ASK, ^11J o Ro`7-1 yN1�L �Ain1
Ptiht Na ' of.Nofa " ;Pablic' . Print Name of Notary Public
DOROTHYANN BASKIN,
`*: MY COMMISSION # GG 030145 "►ji4?�'0�. DOROTHYANNBASKIN
s%` EXPIRES: October 2, 2020 MY COMMISSION # GG 030145 ;
',4 �,.' Bonded Thru.NotajyPublic Undenvnters V T^, ��;c EXPIRES: October 2, 2020
�'•F;oF_� 0g '', .Bonded Thru Notary.PgbHo Underwriters
Revised I1 r 612016
L66-d 000/W00d tL0-i 999L8L8ZLL dA 00 6u i p j i n8 euuAM -W08d g L: Z L 9 L ,-60-Z L
t, �hq
. . . . . . . . . . . . .
Div
DoRoTHVANN BASKIN
MY COMMISSION # GG 030146
EXPIRES: Odtober 2,2020
'—b
I
RECE-1- . V-ED
AUG 0 6 2018
ST. Lucie kting
40011m,01mc
On
C44 -AMP
i cr T Atim ,5,4. s Act
DOROTHYANN BASKIN
My COMMISSION# GG 030145
EXPIRES: October Z 2020
Bonded Thru Not ry—PubkM