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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTSPLANNING & DEVEL®PNmNT SERVICES . Building & Code Compliance Di vision . BIALDING'PERMIT SUB -CONTRACTOR AGREEMENT Permitting Department St. Lucie County CANNED CC,I BY J vi� Le[ 7ft c- t-.4 & St Lucie C0UWe agreed to be I ff mmnanv Noma/fnd....d...il is--, the i c- tec-r f , z ,./ Sub -contractor for (.cJ ,� n c D��, /ul✓,.� � Ttc s/� (Type of Trade) Contractor) .or the project located at. S (Project Street Address or Property Tax ID #) It is uliderstood 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. I CONTRAUXORSIGNATURE(QUailer) > O .RACTORSIGNAT (Qualifier) 'Mill LWYM I — _ 9 PRiNTNAME The foregoing iostrsmeatwaisigned before metids+lj day of 2 mil. 11 who is pen nearly known-y—orhasproduceda asideatifieaion. Revised 1111 2016 a 9 4/11-1� COUNTY CERTIFICATION NUMERR State of Florida, County of\-. Theforegoingiostrumeot//wassigis gnedbeforemeth, J! 'dsyof .2&iSCCby Who fs personally!mown -V—_or Ins produced a as identification. u STAMP 11 A Ds t�.�()�ap STAMP Signature ofNotaryPuhti9 -V�— PrmtName of Notary Public 991 31e1oa F12tt2a "" fAURARCU6BEDGE C= ,�Commtsslon#GGG?2076 5��+.P,j,�, r�.Bonded11w7ioyFaBlGktlii�ee555857019 PERMIT# r J r© ,y,r—y ISSUE DATE PLANN)N'G & DEVELOPMENT SERVICES REOFItFo Building & Code. Compliance Division Pe Nov 3 01V.18 STIB CUIVTRACTORAGR E111ElVT �'�'ns! C N ryeryt SCANNED BY 8tLucie County of St. Lucie County, Iric. have agreed' to be the! HVAC Sub-contractorfor Wynne Development Corp. I (Type of Trade) Oftary`Contraetor) For the project ldcated at �Q �e \ iz, '(Project Street Addressor Property Tax ID #) I It i3 understood that, if there is any change of statusregarding our partioipation with the above mentioned. project, the Building and Code Regulation Division of St. Lucie County will be advised put uantto' the of a Change of Sub -contractor notice. Ma 08898 8288 COUNTY CERTincmwNy(R ER COUNTY CE@TWEATiONNNUMBER Stateiplor.5 \,ida,Countyof Qe'.,\P� StateoSFlorida.Couutyof�<•��G�'� The fotegoingimtruninctwas dared heforemethis day of The'fo'RsaiaEinstrument mssipedbalers methis 0 r day of wpoispersonally(mown \ /or has produceda who is personally Imowu ✓rhsaprodaeeda as idenhYicatioo, as identification, STAMP• �oiyN C"STAMF 'ypatdre ofN'ot : tthlic�,/� —,,//�� Sigoatura ofNofary Pnbl,Q _I_) .QoTIl�1 HNN UASKla �ORO'77•l 6 LrJ&iiJ Pr nfNama ofNofa Aeblm. —not Name of N�abut DOROTHYANNBASKIN ?•j '; MY COMMISSION#GG030145 DOROTNYANNBASKIN .. rI' ` E><PIRE5:Oclober2;2020 MY COMMISSION # GG 030145 FF' +05 EXPIRES: October2,2020 „p.•• Boded Thry Notary Publlc,Undeiwdters ",' Bonded Thor Notary Public NMenwhers L66 I9 Z000/3000d tL0-i 999L8L8ZLL d, 00 tau i p [ i ng auuAM -Woad 9 L=Z l, 9l t-60-Z I, f Ian . . 4 l � !/t�0 5'7�j i� a ��r � 3 . .. .... . C. SCANNED eP�eAa isCIO WAOim Am BY St Lucie County A�ping sari a, Inn _._ havvwind to W .0 for. Wynn@ AMiOMM is 19..0.0im"d tbaa ffw y p4g4o tip'Dwidlog ad CIO& RopJaJon D1vjis1Ah of st, wo ftnty Od*ajwswtfo 4 oftJ�rrstl. �rnfIof3?1Ar14s,.d'umly.a �'�@1A$'ilAk#'8iP#RISIt�.@AIp08A 6RfNF4fi4fihJ6� � �ayRf v UAW Lt DOROTHY.ANN BASKIMYCOMMISSION#GG030145 EXPIRES: WO O2,2020�a4,JUifdiii99b .`g� BOndedThiunftY?ub1MUndeM1sllers VAN 76616 Brareof#'JOYM1�6 1MIYA6bit � 'fAt44jSR�BJil�1A�4IRAWRAfbY�SSJ•N&fA/R.IAR OrmArivabAg VY)?9as.P8F3sAOJly l;4lRF/0 }1[,,,9i1i7S pFB�AFsdA RRJdi4A�J��RA. • � ' ' $a§WFRAERtsFy3aA . ��A99 =3J3Jd��S7J�, . SCANNED BY St Lucie County tOr. or- (`�fi41FTrati"e� �_ T •T€ ��?un�exs��aeiti� ��'tlxer�.:irx srt3t cb�lii�e.ss€ sta3�is:z�gusiii�:�°�gst�i�%pa�il5� C+Si,#�i tl�t✓ �boire m�ntt�et�' of"eGtBtijodettlarn Zi�y�Si�SiX #f.:L io Coun�li advsekpursaano 4ie. i , g 3sf°�,;�l��zge,��:$3tt�-�gi�n'a�c��•`1�.oJ6i�e. �INTNA'M�,:an lxwrTo�t4aa4YRi s%uuC �ipe(roRegmda�ush�!wRdtgvassigned:ry',ero>�ti.dt0�tiiq a�!�sy.g . ' .. T :PrioY`N9tiu:6f WAiliry:Pu1ilie .+F�'R?!!:�. 7.Y,sl2i1'•ib.';:%,";`%S cmfF.`.�.�+�,• BandedD'OIhRNOtTHfarYyANN BASKM PCOISSIOG03N#G0w 145 SOto2020,MEXPIRE: ceer2 oPuWU;dm 5[ill¢ClUil: G0:IIGPFTF Rro CA . M1r U1 AT BERR SFa't8btletorid& edd�C./C T6e:£Orc;¢rd�apstsuoient�9sSjgatdke£ore''dte'3tii�� d4ybf. . wfircis;pcY�edsVylgidrr�,�8itias'�it'uHifc'Yd'�e` o-,�,6c10 lP ,53'k"iIYP 67\Ana(urcotilQota dbug, •P.rurA'aRe'SfApfaipFu'llhc ;•got °:add, DOROTHYANN BASKIN MYCOMMISSION#GG 030145 Bonded.;ThmNouryPubfic.Und EXPIRES' Maber2 2020