HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT ERVICES
(Building & Code Compliance DWisio �`ioi
Fa
BUILDING PERMIT °9 O`P
SUB -CONTRACTOR AGREEMENT �co O
o o
car%`00
r
the
tt-ompany Name -Individual Name— have agreed to be
���
(Type of't'radev ) �--
Sub -contractor for Mant}HaaaatNorthwroftFlaW0.Ma
(Prim, ry Contractor)
For the project located at Jr313__IrC�7 �r `%3 L►(17 _ pp _
(Project Street Address or Property OG 00 9 �� p rty Tax ID #1
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St.
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualiner)
Menu Rams of NaMwest rake, Ina
PRINT NAME
COUNTY CERTI FICA It O�NUMBER
Stale of Florida, County pT `/st{,yb. 011ie
The foregoing instrument was signed before me this
day of
20.20,,by William Bryan dams
� 1
who is Personally known " ar has produced a
as idenlificafion.
S•a.,.mre of Notary Public �— STAMP
SHELLEYA.SEPULVEDA
Print Name or No
SHELLEYJL SEPULVEDA
MY COMMISSION # GO 262074
:'r nEXPIRES: January 76 2023 Cfe'r.�;."•:' Ocnded ThaiN ry otaty PuNlc Underxsnars
Revised 11 16 2016
Lucie County will be advised pursuant to the
SUB CONTRAC R SIC RE (Quahrier)
V Val
L^,,t es, e_>1
PRRVT NAME I
Cu I T
CO3oe-
UNTY CERTIFICATION NUMBER
Stale or Florida, County of T—Lqc—le
The foregoing instrument war signed before me this+: day of
.20,74CJb1126QVs IV1C.L0YSp.f
who is personally "1n 11 ✓or has produced a
as identification.
irJ�an eL than x A a
Signalure of Nolary lPublic r' STAMP
RICHARD DOUGIAS JOHI+SOP.
Nolary Pu6hc-State of Flwide
00mmi5simNGG084021
Mr Comm Eapaes Mat20,2021
F.:1odwoo0 W1km1NoWykm
PERMIT #
CIO,
.UNTY,
F 1 D R d D R
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/1 1viduat Name) have agreed to be
the-gChan;rcl _ Sub -contractor for
(Type of Trade) mQ 1.61a s ^C A[b(yt.WA I pt T
(Primary Contractor)
For the project located at _ 013 itck Dr. 3402 -
(Proiect Street Address or Property Tax ID #)
Li -000 - rl
It is understood 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.
77
CONTRACTOR SIGNATURE (Qunlilier)
Adam s
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 0 (lui
The foregoing instrument Ias signed before me this 20 day of
d�'YV ,zoo by.(� t/L If_Avt �xf ilJn d_�A�S
whn is personal y :n ✓or has produced a 7
as identification. I
Signature of Notary Pubic STAMP
Print Name of Nclary Public
:^:z<'•, PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624
Revised 11f 1Grz016 """°'p` EXPIRES September 26, 2021
,::Pl-7/?I
COUNTY C6RTIFIC TION NUMBER
State of Florida, County of —air F �circtj,
The foregoing instrument "as signed bet'ore me this 3 Way of
aehUCY-Y r , by Rabe leiio kksso
wha is persopall vn f or has produced a
as identification.
Signature Nola,
uhc STAMP
�ofbry�k�
u
"'•°�: PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624
•"3av EXPIRES September 26, 2021
II PERMIT # I �s1.J�
f � y ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
® Building & Code Compliance Division q
• r A 10� <
BUILDING PERMIT s�i�',, 60O�``FO
SUB -CONTRACTOR AGREEMENT
�9 1
4.ryPdp@� O?0
oG h,
6ErQ:S0Milli l7Rt'W 5 fit yhOln�� � �ZAtN S�,Jlcr`—S N
(Company Naroe/Indlvldual Name) C have agreed lobe
the PP t2 "I�JT Sub -contractor for
(Type of Trade) Adams do dNotH'Ialde, free
(PnmaryCoContractorlr))
For the project located at
(Project Street Address or Property Tax ID #)
It is understood 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
tiling of a Change of Sub -contractor notice.
COIN HA RSIGNATURE(Quallner)
Adli Hanes d NaEnreat r1li lne.
PRrN r NAMe
COUNTY CERT 6ICATI0N
Sul, of Florida, Canty
The foregoing instrument was signed before me Ibis;30 day of
30t•S;ajrt.�, roan, by William Bryan Adams
who is personally.kAnowo �r bas produced is
-3 iide�.fificati... JJ
Q STAMP
SHELLEYA. SEPULVEDA
Prim Name of Notary Public
w'•'!%t;�•: SHELLEYA. SEPULVE.DA-
�' p%L MY COMMISSION# GG 262074
EMPIRES: January 25. 2023
••'�0"`°"•`' Bonded TArvN
Reused II/1h20 aiafY PubIIC Uldaxfilars
SUjBB--CCONT�RA2r SICNATURE(Qua�fier)
PRINT NAIs1E
ag V!5 to
COUNTY c`nlfffCAIAUN NUNIBER
State of Florida, Caur of 7-u_sexe
The foregoing Instrument was signed before m, IhlsX day of
340L'i 2o1APby2nj� e,M:a t"SimC.+nBL
wbo is personally knowa If —or has produced a
asp�iidsaeatinutioo.
.iCu�u,w Ql1 (IC/'gc ^n J STAMP
Signature of Notary public��
I`i C. yxCc!.` 12 +-Jt4s f7o hvt�U'1
P nnl Nameof N.lar,y PvNUc
RICHARD DOUGfAS JOHNSON
Nalary Public - Slate of Florida
Commissmo 0 GO 084921
e,;yra ra„A?
My Comm. Expires Mar 20, 2021
.:..,
emcM Waugn NsliaalkoWyAssn.
M6,61T�aY,,�r`��,
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the 1 Sub contractor for IWfm4,tigneadttaWwe>tFbddgltla
(type of Trade)
(Pnmary Contsacbr)
For the project located at 5313 13 it Ch or 3402 - (008 - O 39I OOO i
(Proge4:t Street Address or Property Tax ID a)
It is understood 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,
r
M IGA•e ui I er) _
PdmxHocnted t1a0N2est tlaidy tdC.
Plurrr nANte
C01JNI'YCEKTMCATIGNNUM gR
stare of Florida, t:ooaq
TherorqulatIwtw iw 9p,db.f.,.,kL,,
30 day of
William BryanImsl
wha !, peraaully anowo _or bu produmd a
u ldmdaaa
SI[mtureof NouryP W' SCAMP
SHELLEYA SEPULVEDA
Prlot Nertat orNobry Podl[
; %% •: SHELLEYA. SEPULVEDA
,I MYCOMWSSI0HNGG262014
s.
EXPIRES: Jumq 25, 293
..�!�•^!BerMM rMrNamtY P66c lNdarq@n
Revised 11/16 22016
102
su C (W sICPWMPJC (QuaUneri `�
�'-,,eC)rrsP �. (°rutck nIL
Palrrr NAn� �(
Grigg
CO s r �callr1GT10N NUMBBR
Suit of of Floride. Coao.iy of Ty. Lt A
The r mt.#o[li,t oeatwnrlyatd bdm tee ub 1q-0 day or
),N(l 2420,MLE�e R Crirkclxnt<
wba u penoedly known bu produed a
u Ideatlautlon _—
/LrfkWd•rYl't STAM
S118 ureorNuhry Pahae Q ,
RICHAND DOUGLAS JOHNSON
Notary Public _ Slale ofFlorida
Comm3sna a GG 004621
My Comm, Erpoes Mar 20.2021
-1 1Nmg4 Nib" Nea),gai