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HomeMy WebLinkAboutSUB CONTRACTORS AGREEMEENTSi P RMIT# r "" ISSUE DATE PLANMWG & DEVELDPAMINT SERVICES BURding & 'Code Compliance Division Name) the I (Type of Trade) i For the project located at . BUILDING: PER- mrr SUM -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for ('tJ '-i ri n Ae eee— /Oyf^ (Prima r Contractor) (Project Street Address or.Progerty Tax ED #) It is understood'that, if there is any change of status regarding our participation with the above mendVeilcie o �ntJ, 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. COIVTRACI'QR SIGNATORE (Qualifier) O RACTOR SIGNAT (Qualifiet4) ate, .2c�. �✓ r -r.-r c.. hs I PRIlVT NAME COUNTY CERTIFICATIONNUMBER COUNTY CERTIFICATION NUt4ISER State of Florid County of VjLgqState of Florida, County The foregoing instrument wwas signed before me tbiar day offt The foregoing instrument was signed before me this2� day of ?A\ , by11Jd i1%CO�0 who is personally known has produced aowho is personally known j-or has produced a as identification. as ideatifcation. Signature of Notary Public STAMP STAMP Signature�Nta Public PrmtName ofNotary Pabhc ' Q�"� 01 Print Name o€Notary Pnbllc NotatY.Pnpttc LAU; R GUbBEQGE "cat; Kent Budka _"' ' ' � • MY CdMWO-Off 978543 oR Cammissfon# GG 022076 Revised ll/16 ��o.� Explresa5l2 2020 tig•"Fxpires:()*ber212020 BontladlhruTJXWY <nGbuir al003810f9 somigm, Ing, MM For owprojot - 146w,4 gf 0& off-MOrm" SERVICES b9n,amw 011W I Wynn@ Doolopmmt, Oil 'Miiiiim .......... .... u tood fbito 10 My. 'Obiansg d 49i.O. i-004rdlAgour -w,- A tb@ A0o 6woomd pfoj:t� tb@ -,Bwjjdjhg w Cod@ uq�pjgfjoo DivioJon of st, W- @ Colwywjjl IV advlwd PW§** aw to ft 11016 C, n6tiege, 01,17ty A State af Fiarids. 0. twagmt.-Lurd" kA\ Wp,§kw bef9ro, ae U d "Of 4zs ROWLY UAW ju h R d&q on 'L.Oft. -.. * . ]Poo DOROTHYANN BASKIN EVIRES- 6ctober 2,20 Bonded-ThruN&rypubllcUnds MYC6MMISSI.ON#dGO3O-j45 20 - t Hem wil PERMIT # I 1 ISSUE DATE PLANNING & DEVELOPMENT SERNgCES Building & Cody Compliance Division ]I1UZ-D1*,G PERMIT SM-CONTRACTOR AGREEMENT omfort Control o•f St. Lucie Count (Company Name/IndividtW Name) the I HVAC (Type of Trade) For the project located at •(Project T«:r. sq ljok have agreed to'be Sub-contraotor for Wynne be v e t o Lament Corp (Primary Contmmr) Address or property Tax ID ##) It is understood that, if there its any change of status, regarding our paaucipation with the above mentibned . � project, the Building and Code Regalation Division Of St. Lucie'County will be advised pursuant. to the Fling) of a Change of Sub -contractor notice. Matihew Lisle Wvnne 0ts 8288 COUNTY CERTIFICATION mjrvmFTt COUNTY F=— TIFr ATION MJMSER Stare ortorida, Gounty of .���, �� State?of Florida, Cahttty of �^C a�� �� The fore I going instrument was a' ned before me tbis�� V� g'g � daY of The instrument was Ogned before me this��' day of K�A C- (�� � .2ou\�by�4�� ���y�.e� . aobr � �� we.�•�..�� who is peIg pnally known Vor has produkeed a who is porsoually known —Zr kiss produced a as identification. as identiication. STAMP- � STANIIi goatnre'ofNata ttblic StnatureofNotaryPubl �nut1V'aoleoflYota A=6yic.. � O AQO`T%'� Frin Name ofNotary'P bUi .,� DOROTHYANN BASKIN „ MY COMMISSION # GG 030145 �t;P: Yo4 DOROTHYANN BASKIN EXPIRES: October 2, 2020 MY COMMISSION # GG 030145 Q� , Bonded Thru.Notary PuWic'.Underwriters ° � EXPIRES: October2, 2020 r Bonded Thni Notary Public Underwriters Revised I II16/2016 L86-d Z000/Z9U9d tLO-i 999L8L8ZLL d.100 Suiplino auuAM -Wpad 9L:ZL 9L -64-Z S#i%ror Wy:rt .•I;e rr:e a tl;i~ ' r'x : ;:' '''1��a-������:rr.'';I�;v�:�. �:�v�.nc�..•�::r'�a�n'••l��a:�:.a:>s����*. ,o<►;l...e�,, DOROTHYANN BASKIN MY COMMISSION# GO 030145 �o`: EXPIRES U :Odtober2 2020 �'%;A �°`'�, BondBd;Thni;tyota Publkrlderwri�s ry, c.U,�•fGl�:�'Y":S:iUK�JAC, •t�,IO�f•�fMBF�' . Site.At'�7oiaila;•"Culirit�y6�'• C/C T�e:��`p,•r"�c�,o�iri�•�iastietrineht�i!'sssig�;'iitfts%re:'riie'#tii��.�f.• :Wlia�s.p�ofi�'UykriuiXn:✓ bMlias>prada TAT as,iIttjtiolli `6igtiaku'feofil�d:>*�ty utiLs: . i'rinflk°ariii of \ Yjr;'nbh ��o;••••.a��,, DOROTHYANNBASKIN #; MY COMMISSION # GO 030145 EXPIRES: OctoberZ 2020 %soF:6��:•` 8onded,TFirallota..Public:U.... ••�fit• ` . ry ndenvriters ".