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HomeMy WebLinkAboutSub-Contractor Agreementl PERMrrM I I ISSUE DATE PLANNING & DEVELOPMENT SEF e ]T Building & Code Compliance DiJ I , BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 1 (Company Name4ndividual Name) the P'0,rlSub-contractor for Ads", (Type of Trade) rp.;..,a.., r For the project located at /- //- _ have agreed to be Keivr MFioric ,tra trrojea weer Address 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. CO IGNA ual a) 'anntlalneca NaONRst tblide, tIIG PRINT' NAME COUNTY CERTnrICATION NUM ER Slate of Plorlds, County The fotesting lunnwomt war siped before m this day of 20_6jt.' William BryanAomsl who Is Personally known =fir has Produced a u IdeotlOeattey._._. STAMP Slrulure of Notary Puhu r SHELLEYA SEPULVEDA Print Name of Notary Public SHELIEYAL. SEPULYEDA „ 0i, WOOMMISSIONOG0262074 f EXPIRESAMIJ811725.2W ��.• a ,` apldkTivuNomry REhcUnOerWRen Revised 11116CO16 Asu4cron SIGNATURE© per) Geol��e �. C't'uic.k5%1anIL PRMf'NAIgE Statror Florlda,C000ry or, T UAGE The furefnlng lutm Tel wn aligned before see "_day of _10L,byrT"e R_Cr..tick Shcnl< who Is per unAlly anovn ✓or has produced a as Identification. RCHARO OOUGIAS JOHNSON Notary Puhaa - Stale of Florida Cammtsswa d GG 081821 I4Comm. Expres Mar 20.2021 8o eda W0e2ba N'Wq Am STAMP I the PERMIT # ISSUE PLANNING & DEVELOPMENT SERVICES ® - Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT, n1'sAMIPJ 17D_c'T.J 5 f foritljfnJt) D,7—AW _SCWf4—c. •r.f. (Company Narpe/Individual Name) (Type For the project located at have agreed to be Sub -contractor for Adam HmlasafNaEwedFlodOa,bw (Primary Contractor) I 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 filing of a Change of Sub -contractor notice. CONTR=OR SIGNATURE (Qualifier) Admra Hol or No trnest Rodin. by-, PRINT NAME COUNTY CERTffICAT�1ON jNUMB�ER Slate of Florida, County UEs The foregoing instrument was signed before me this N_ day of erdly by William Bryan Adams who is personally known ___�.r bas produced a as identification. STAMP LE r t fif bs 7 P hi SHELLEYA. SEPUL VEDA Pnat Name of Notary Public :':�^••'C�•, SHELLEYA SEPULVEDA N'--& MY COMMISSION#GG 262014 PEXPIRES: January 25, 2023 Bonded ThnJ Nalay Public Urdarwfilma Revised 1111620 SUB-CONT SIGNATURE (Quit fiery -�G+.1S,rt.trr 5,.f•,.tr.1t PRPfr NAIVE ag c� COUNTY CERTIFICATION NUMBER Stateof Florida, Cuunlyof ST.WGe I The foregoing Instrument was signed before me Ibis /C/day of NBvewtbt/ 20&br�Ps�Vr 12r1 jimefneZ I who is personally known ✓ or has produced e as identification. ;oia•oia ., RICHARD DOUGLAS JOHNSON '��.r NolaryPubf¢-Stale afFlonda ' Commission#GG084021 ;'oa..oad,- MyComm.Eaµtes Mar20.2021 Bouts wa*N6na1No1aiyksa STAMP PERMIT p COUNTY F L O R I D A the (Type For the project located at ISSUE PLANNING & DEVELOPMENT Building & Code Compliance Name) (Project BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for PdeBpHadesdNatAwptFlatd0.htc (PrimAry Contractor) or Property Tax ID 4) 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 (Qualifser) Adams Horse$ of Ndrl1twnt Fla1du, In. PRINT NAME a9J. 9 COUNTY CERTIFICATIQ NUMBER State of Florida, County P'So The foregoing instrument was signed before me this /'7J day of tin vat. zo-L by William Bryan Adams who is personally known •' or has produced a as identification. Signature of Nolary Public STAMP SHELLEYA.SEPULVEDA Print Name of No LLEU�'. SHELLEYA SEPULVEDA .:MYCOMMISSION p GG 262074 EXPIRES; Janua 25, 2023 '�`• Bonded Thor Notary Publle Underwriters Revised 11'16 2016 y SUB CONTRACTOR SIGNATURE (Quabfier) 13rz 1� e_y PRINT NAME t Cc� 'I 1 •J o � 5 3 COUNTY CERTIFICATION NUMBER State of Florida, CLnly of r1}{C1L i The foregoing inslrlumenl was signed before me this day of NU .2e19,by P7f(QYn:JfYi41on v who is personally known ✓or has produced a as identification. lCu&,.( Ssgmtureof Notar >oDnA�hl STAMP YRubhe U .,, ,�.. e,0-�47`7 RICHARD DOUGLAS JOhhSOP, Notary Pubm-Stale ofFlorda CanmissionfIGG084821 Np Comm ErpdtsNor28,2021 6:,.ae imo,ga www xewyAw. PERMIT # CGi='&:;°.id?Fai"'�'••:!t�rs+ P.t:.�:ay;;L; ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be the _ MAC— Sub -contractor for Adam HommofNwutrestl Wida,irte. (Type of Trade) (Primary Contractor) For the project located at (Project Street Address or Property Tax ID q) 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) Adam; Hares d Naftest Florida bte. PRINT NAME COUNTY CERTEFICAT10N B State of Florida, County oSA The foregoing instrument was signed before me this 1 day of X6Vefn6P.0"_ .20l� by William Bryan ams Uq(yl who is personally known or has produced a as identiri STAB Signature of Notary Public SHELLEYA. SEPUI.VEDA Print Name o(Notar) k.,• SHELLEY&SEPULVEDA ��t,l •'' MY COMMISSION # GG 262074 •"'•;G'i�;;'•; EXPIRES: January 25, 2023 ,eoti�?:' Bonded fire NotaryPublic Vnderm0en Revised 11110016 _C19C©o�(37�i COUNTY CERTffICATI N BER State of Florida, County of t Ly ore /'/ The foregoing instrument was signed before me this IV day of Nlweonhg.ol 20l9 by &_sc •y Z;vv% ,u rMah who is personally known Zor has produced e as Identification. ta' Pi STAMP Si elureof af Notary �l5lblic �IL`sand Uauw�h3 �0vsulev Print Name of Notary Phblic ••:w: P„'•:. +°.�:I RICHARD DOUGLAS JOHNSON Notary Pubhc-State of Florida Camaissan r GG U4e21 pS My Comm Expires Mar 20, 1021 mnyA r Mary Nsn.