HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTS# I L I �q r d S13 I ISSUE DATE
.: PLANNWG & DEVELOPMENT SERVICES
Building & 'Code Compliance Division
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BtUILDING PERMIT F RECEIVED
SUB -CONTRACTOR AGREEMENT
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(� Lucie County, Permitting
Lude County
-c- have agreed to be .
Co pony Name/Fndividual Name)
the Sub -contractor for CA-) = A e? ge.' tr f e✓ e'.�
ype of Trade) (Prim Contractor)
For the roject located at 2 � -1\, \.N,- iz S
(Project Street Address or Property Tax ID' #)
It is und erstood that, if there is any change of status regarding participation articiP ation with the above mentioned
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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.
CONTRACT OR SIGNATURE(Quanfrer) O RACTOR'SIGNAT (Qualifier)
PRINT N PRINT NAME
COUNTY RTIFICATIONNUMBER !COUNTY CERTIFICATION NUMBER
State o#Flo da, County of m 0 _' State of Florida, County of
The forego instrument wag signed before we this day of The #oregoing instrument was signed before me this�day of
. "C 2&Wpy��:w�s2L, zo by I�RWd2V�C4`7�0%
who is per so i any known Kor has produced a who is personally knows _V__or has produced a
as identifica 'on. as identification.
'6 STAMP
Signature o Notary Public Signature�NoQy�ftbllc STAMP
PrmtName ofNotary Public Print Name of Notary Public
Notaty.Pupul; Pam ; , �°. "�,y LAURA R CUNPEDGE
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PERMIT # 1 O q c ISSUE DATET_
omfor•C
(company
(Type of Trade)
PLANNING & DEVEL' OP'MENT SERVICES
Building & Code Compliance Division
RYi -DING PERM17 is ti
SUB-CON'TRACTORAGREEMEN'Y' y �v
ST. Lucie County, Permitting
Lud e C����dl
of oT St. Lucie County, Inic. have, agreed to'be •.
For the project Ideated at
N=e)
Sub -contractor for Wynne Development Corp.
01mary Coxitiactor)
Street Address or Property Tax ID ##)
It is i I jnderstoodthat, if there is any change of statusregarding our participation with the above mentioned.
prof ct, the Building and Code Regalatio l Division of St. Lucie "County will be advised pursuant. to the
filing of a Change of Sub-cortfiractor notice.
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"CERTIFICATION NUMBPTt COUNTY C=TWICATION•N�,UMBER
lorida, County of ,�Qe-, i^�[.',�State;of Florida, County off �� L
Diing iustra4th��t••//Was sthed heNre me this( dray of The�foregoing instrument was signed before me this` ilay of
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sonaliy known V or has Produced a who is personalty known —ZOr t►ag produced a
cation. as identification.
1a7 STAMP• STAMit
of Nora J ublic Signature ofNouq Fnbl
y AA/d
e of Note `Pubtie Print Name of Noiaty Pubife
"'� DOROTHYANN BASKIN
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MY COMMISSION # GG 030145 DOROTHYANN BASKIN
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•°` EXPIRES: October 2,'2020 . ' ;
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RECEIVED
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EXPIRES: Odtober2,2020
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