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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# ISSUE DA'M PLANNIIVG &DEVELOPMENT SERVICES Building & Code Compliance Dilisl RECEIVED BUILDING PERMIT SUB -CONTRACTOR AGREEMENT DEC 17 2019 ' ST. Lucie County, Permitting e- 0 I VI (Company Nae/Indlvldual Name) I have agreed to be m the o� Sub -contractor for �u1gllttntlwWNaut"°ushle (Type ofTrade) (Primary Contractor) For the project'lacated at S: O '(3 I S kill / 1311- irjOb - DI OS• 00(>- (Project Street Address or Property Tax ID p) 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 Si. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. r- V(QuoUdGe4r) SUBCO CrOR SICNAIURE PRINT NAME NAa�NsdNotaxRstME Fblidq tl� Geolr': E' R. (�ru•I o— aI, PRINT NAME kJ i i 0.e cir79 g COUNTY CERTMCATTONhim sR N Co It—YCXI•rri<IC�TIONRUMiiER —' l State of Florida. County State of Florida, Coo lry of_VC. WGE The foreaoloa lmtruoeolar sApnd bebrem aA dsyof The bretelojlu6omleelwn ataeed 6tfore e:IMrr��day or 4061VIIU/ .3o1dihj William BryanAems,� ,/' .:ojg, hr Getsre,e 2 . Cr..i:r ti c t1cr11< 1 who topenaoallY hnowo =or hu Produced • who ta penoedly Yno a ✓er hu Produed a i an ideaa0ua uldeotlnotim C,�. ,i , t� e Slputueeof , Wypulft STAMP S�l n,n,�_ ..tl• /Lr>•Yr>Kn.m1 STAMP locators of Notary Pahtl< i I � � SHELLEYA SEPULVEDA P�Ca\^cer� Dcterle� �oh.�cr� I Prlot Narne of Notary PaWlt Print Name of Notaryl ah ;AtICt1¢: SHEtLE7AL. SEPUWFDA e MYGOMMISSION#GG252074 I,.••.••••••. . eonv no4•�s RICHARD DOUGLAS JOHNSON IJNIRES:January 25, 2025 e. N Ic - Slate of Plonda elary Pub ��•„°„�h.••' apAWTMu NotarrlMBoUtdenMne ComMmoorGG084821 i to n=^•"" j` My Comm. ErPires Mar 20.2021 ' Revisedll216R016 j eaaedomgn Nnm. NougNm ` I f I PERMIT 0 �FraLxO'iAR&•'I:=:.D+`A'. -`s� ISSUE PLANNING & DEVELOPMENT SERVIC Building & Code Compliance Division "Am w a cL�—w 5 f (Company Narpe/Individual Name) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT', z the Pti (A "I NGI Sub -contractor for (Type of Trade) For the project located at (Project Street Address or Property Tax ID DEC 17 r'9 ST. Lucie County, Permitting 'vl✓f,�—S -'Nf have agreed to be I AdamsHaresd stfialde,61G (Prtma(y Contractoractor)) 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. COM1tAiI R SIGNATURE(Qualifier) Aftm Hanes d Not>ttived Ronda. The PRIM' NAME a4?1 --19 COUNTY CERTIFICATINUMBER " Slate of Florida, County The foregoing instrument Lwas =signed �before one lhig/ day of 1/ �201g1 by William Bryan Adams who is personally known V�Ior has produced a as identification. s1 STAMP �tiotary-PuM SHELLEYA. SEPULVEDA Print Name of Notary Puhlic SHELLEY& SEPULVEDA MY COMMISSION GG 262074 EXPIRES: January 25, 2023 •:`•"r; °'• Revised II/I6/20 Bonded Thru Notary Pubac Urdaxnlars SUB-CONT SIGNATURE (Qual Der) ��V.r 5, fYt r• �t PRBYF NAME I COUNTY CERTIFICATION NUMBER Stale of Florida, Cguotyof 137.t_s_aae The foregoing Instrument was sigoed before me lhls3r day of %ki9ill/ 20n by ✓I�gy✓I:rl t�:mev ez who is personally known ✓ or has produced a as identification. a �f`>uan�QIJ (I(yIc ^n�s.J STAMP Sagneture o I Notary puhhc Pr,ol Name of NotaryP Irc ;•`'rn�>ia RICHARD DOUGLAS JOHNSON Notary Public - Stale of Florida Commission d GO 084821 tea;;' My Comm. Expires Mar20,2021 °•• Bmee4 Waugh NaIWW Notary Am PERMIT!! s�a:hrr—'- ., .�•�-•,:F.=. '. mow-, COUNTY �.:. ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company Name/Individual Name) I the E-tt/AC_ Sub -contractor for (Type of Trade) For the project located at =RECEIVED have agreed to be Adams Homes at NotttlWest F7odda. Inc. (Primary Contractor) or Property Tax ID N) 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. CONTRACTOR SIGNATURE (Qualifier) Adana Homes d Northwest Florida. Inc. PRINT NAME 0191 5X 9 COUNTY CERTffICATION B stale of Florida, County oSA The foregoing instrument was signed before me thi.(3f day of OCAn , .20Iq by William Bryan A am8 YqU l who is personally 4nowh _or has produced a asidentin STAMP Signalure of Notary Public SHELLEYA. SEPUI.VEDA Print NameofNatarl „ SHE LLEYA.SEPULVEDA MY COMMISSION 0 GG 262074 EXPIRES: January 25,2023 Bonded Tbm Notary Public Underwriters Revised 11/16/2016 C14G©o�t'7al COUM•Y CERTff'ICATI N BER State of Florida, County of 1 L CiQ The foregoing instrument was signed before me this 3 ) day of 02M kut/ . 20 I9 by gcrr.J e- via n who is personally known V/or has produced a as identifacation. Desm L STAMP Si lature of Notary Fulblic -•� —iNIL`srwRd �duwlhJ VO�wsaJds Print Name of Notary Phbllc , •';i::a„••.,, o` +.�.: •. PERARO DOUGLAS JOHNSON Notary Puc-Slaleol Florida Commosse I GG 08021 H-" My Comm. Expires Mar 20.2021 Bmaea Nroyh Nauoi& Nwury Assn. PERMIT # ISSUE PLANNING & DEVELOPMENT T Building &Code Compliance am BUILDING PERMIT SUB -CONTRACTOR AGREEMENT I the (1 ype I of Trade) _ Sub -contractor for For the project located at Street Address or Property Tax ID #) VICES DEC 17 :�?g ST. Lucie Count , Y Permlttfng have agreed to be NaUlxeftfhdd0.lflR 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. CONTRACTOR SIGNATURE (Quallher) Adam Hmftd NmOmmat Flddda, i PRINT NAME �/� T / COUNTY CERTIFICATIOO NUMBER BE State of Florida, County u(�d}syp.{Cw The foregoing instrument was signed her.. me IhiscJ? � day of 4/ 2o_L William Bryan Adams who is personally known �. has produced a as identification. Signature of Notary Public STAMP SHELLEYA. SEPULVEDA Print Name of No Ll� SHELLEYA. SEPULVEDA YCOMMISSIONk GG 26207J EXPIRES: Janua 25. 2023 on ad TDm Not, PuNIOUMetwdlers Revised 1116 2016 I I SUB-CONTRAC RSIC A• RE (Qualifier) 3>z; s V✓l n 1 rz� e.� PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, Count' of 3T—L_4.C,(t5 p The foregoing instrlument was signed before me thi,L day of 00:ol9,br_I'xicn 5 tYlr[pyt u T who is personally known ✓or has produced a as identification.' Signature of Nolary;Public r STAMP . lw�&1&,, RICHARD DOUGLAS JOHNSOP. �U•r )(h,1: ..�•. •i Notary Public - Slate Of Florida CommissionpGG084021 •.;. ,,. My Comm. Expires Mar20,2021 f•......... F;:.VCWWgA WIaWNolaryAtsn