HomeMy WebLinkAboutSub-Contractor AgreementPERMIT* ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
� 1 .11 " C✓ I L C I VI C, have agreed to be
(Company Name4ndividual Name)
the �'� o of Sub -contractor for AlrlmpHelawalNtxatalestnatdkhra
(Type of Trade) ,t, (Primary Contractor)
For the project located at Rev ,/YI2ragol D ;4ypyI /3//- 3c0.O - 000 4o
(Project Street Address or Property Tax ID d)
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
CCRC�IGNA UREj ua 1 erl )
AdnnsHWMkOf Noretwest paddy tn�
PRINTNAME
,,211 7- 9
COUNTY CERTIFICATIONNUM ER
State of Florida, Coaoty
The foregoing Imtrunrat was aligned before oe t1I day of
&VII,:o�g/by William Bryan Misr
who la personally known or has produced a
a tdestlautl
$CAMP
Slgealoro of Notary Pahlle
SHELLEYA SEPULVEDA
Prlst NameorNot@ PoWIc
iP lg?: SHEUEYA.SEF%%VFDA
Lty XPIRE& Jailor 25 282074
E7�IRE9:Je0wty15r'CO2e
'6 8aAr07 a Way PEOelfMastlRs
Revised l I116/l016
NOR
`'SV CrORSIGNATURE(QuaaOer) K..
Ge01r4(!R. aruick4) nlL
PRINTNAME
cagr199
COUNTY CERTIRCATION NUMBER
State of Florida, Coady of -SC. W CAS
The foregoieg Intrunent was rigsed before ne tMa day or
( tBG.e/ .2ollbyGEMI:%e 2_Cr..i:rLs}xrlt<
who ta penoeany known Z.r has produeeda_.,__._.._._.
d Ideatlaatlon
SS.I`Xn.n.OL. W /loPdCAb✓� STAMP
$ hrro ofNohry Pabtle `*'
'Pi:G�y.A Zmkas zoh A�� Print Name of Notary Pub
RICHARD DOUGLAS
JOHNSO
Notary Public -Stale oflaida
G OAar2I
9COMM55100rG
ALy Comm. Expires MR202N
lAordeto`PNalmeI
PERMIT #
ISSUE
PLANNING & DEVELOPMENT Si
S Building & Cade Compliance l
. t
BUILDING PERAIIT
SUB -CONTRACTOR AGREEMENTI
i)t�tSOmrfJ {7R4z__1JS �Ifrwt�reJ{� D2ApVSdifJil
(Company Name/Individual Name)
the P1 t, "I
NI
(Type of Trade)
For the project located at
ion
have agreed to be
Sub -contractor for Adamstt14 clItIotBlwesttIorfdQtna
(Primary Contractor)
(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 St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRAZT�R SIGNATIniE (Qualifier) SUB-CONTRAC+i SIGNATURE (Qual r,,,,)
Arleen Homes d NortmestSottdQ trim �;\j 'r
PRINTNAME f"Ct4g'k'M� '51 M. L`_.JCL
a`9/ 749
COUNTY CERTIFICATION NUMBER
Stale of Florida, County
The foregoing instrument was signed before me lhisIA07 day of
G / 20lG by William Bryan Adams
who is personally Nnowa . 'ur has produced a
as�-id��e..ntifcari��oo. jj
Q STAM1ff
SHELLEYA. SEPLIL VEDA
Prior Name of Noary Pubbc
o':i^."!%g;:,s SHELLEYA. SEPULVEDA
_1'` t,A, MY COMMISSION# GO 262074
.
`4;' EXPIRES: January 25, 2023
f?�^°�' Bonded lhm Notary Pudic Undtamilers
Revised 11/16/20
Stale of Florida, County of
The ffoo�rreegoing lloslrumeot was signed before me this day of
em
ys�a&_ I. lo1.br e, ws:n t1jrrCyseL
who is perso� oally Mn own ✓ ar has produced a
I
as ideolifieatioo.
rl Cu�en'„rJ (Il7'rL A r�ssJ STAMP
$igaalure of Notary I Public Q
Ki - -ty 8 QCs-t91o3 7o hvx CJ'1
Pnol Name of NouiyP tic
RICHARD DOUGLAS JOHNSON
Notary Public - Stale of Florida
CommissionA613084621
`4;y4,nanoPP:' My Comm. Expires Mar 20,2021
^ •• BonaM acwgN Nxlovl Nohryktn.
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
I
BUILDING PERMIT
SUB -CONTRACTOR ACREEMiNT
(Company Name/1 livididual Name) have agreed to be
the to aa; c a i Sub -contractor for yn Q /b d � 'p At�u�: d r L
(Type of Trade) F %r
(Primary Contractor)
For the project located at
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
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME �'t�QmS
COUNTY CERTIFICATION NUMBER
State of Florida, County of ((f a4C1,e
The foregoing instrument was signed before me this4O
_day of
s�.2019,byJ III IIAvt &Y A dJ,mr
srho is personally :n ✓or has produced a
as identification. -
Signature of Notary Public STAMP
. frin &' an: 64
Print Name of Notary Puutic
-. PATRICIA ANN GRIFFIN
- MY COMMISSION # GG'137624
EXPIRES September 26, 2021
Revised 11/I6/2016 ,r�r
1�1) O
COUNTY CERTIFICATION \UMBER
State of Florid la, County of , a_i F tm<.
The foreguine;instrument was signed before me this 01"�' day of
OcFoldei may; ,by200P.l 8 .1folln Russo
s persogll rn f/or has produced awho
as identification.
Signatu-- re a(Notary amPubhcSTAMP
o
PrintNeootary An/
PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624
EXPIRES September 26, 2021
'I
J
the
PERMIT #
(Type
For the project located at
ISSUE DATE
PLANNING & DEVELOPMENT
Building & Code Compliance
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
Street Address or Property Tax ID
u.tamractor)
have agreed to be
kA
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 (Quali0er)
Adams Hwm d NatAwest Radda, by-
PRINT NAME
a9��9
COUNTYCERTIFICATIOO NUMBER
.State of Florida, County asp ��8T The foregoing instrument was signed before me this�d day of
t 2o_L by William Bryan Adams
who is personally known V Or has produced a
as identification.
Signature ar Notary Public STAMP
SHELLEY A. SEPULVEDA
Print Name of No
. 'v^'•°� SHELLEYA. SEPULVEDA
MY COMMISSION N GG 262074
.":'r•'d:' EXPIRES: January 25, 2023
'`OyiF`•�' Dended Thm Notary Public Underwahers
Revised It 162016
— ko j yg��:
SUB-CONTRAC rat SIGN&TURE(Qualiricr)
32i eta S Val cic c/
PRINT NAME I
State of Florida, County of rL�t{CIL
The foregoing mstrlument was signed before me this day of
1��{LL t� 1, 2ot9, by .I_ick', :5 Yh61 o_ nfe r
who is personally known ✓or has produced a
asidentiricatioo.
.r x.ugl V�• a.I 1
I'io� A K ✓ STAMP
Signature of Notary Public
ye.•=,y(,;
RICHARD DOUGLAS JOHNSON
1.
~,' h�;
Notary Publc - Slate of Fbrida
•<
'• 1"'"'
Commi5sionpGG084821
My Comm. Expires Bar 20,2021