HomeMy WebLinkAboutSub-Contractor AgreementPERMIT p
r
;COUNTY•-�`
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
RECENED
�g 121010
permitting t: 1p FeH rvenc
fl
i ozAtN S
(Company Nafpeylndividual Name) C'Lt)'CCS -,WC, have agreed to be
the 2� (l "I N Sub -Contractor for
(Type of Trade) J'�H°mes of t7atlrvtpl F{onrd46ye
(Prlm;ryy Contractor)
For the project located at
Sheet Addressor 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 Change of Sub -contractor notice.
CONSr USURSIGNATURE(Quohfier)
Adam+Hanes d Ndlttlxest Radde, lra
PRINT NAM1IE
COUNTY CERTffICAT10N
S0tc.I Florid,, Cal uary
The f.regoiog instrument was Signed before me Ihis3-0 day of
mug aoap, by Wiliam Bryan Adams
who is personally know. �r has produced a
es idmfi0eatioo.
STAND?
SHELLEYA. SEPUL VEDA
Prior Name of N.-ry Public
:'�+!"!'•.. SHELLEYA. SEPULVEDA
MY COMMISSION N GG 262074
f' '=:` EXPIRES; January 25.2023
Revised 11/1620
..•`ro. !`.°�` Bonded ThNNofary PuWcUnddwrilers
SU&CONT RSIGNATURE(Quai rrer)
Sv,r Sti+ttr.)t7
PRRJ"f NA htEAKE
COUNTY CERTffICATfON NUM1IRER
slate or Florida, Cauatyor 3Ti._"ae
T1�hefortgol.g loslrume.l was signed ber.rcmefhls 30 dayor
, "An�o0?-Qbr�'2�+'a��/wa7n l��mevteL
who is personally known ✓ or has produced a
as identification. ,{J�
Sig.elur puyl,c `Lnq.gynJ STAW
Kic.h_rrd U.h,sc q
Ynot Name.f Notary PbLla
._new,.
•�`
• •�'-
',;ya.n r`npr+,'
^-
RICHARD OOUGLAS JOHNSON
Notary Pudlic-Slaledl Florida
CommiSAOn# G0004021
My Comm Erplres Mar20,2021
emae0woryn Nsfoml Nolayksn.
I
t
'COUIVTN�Y"��
fwl L�`42r)3�HINe)�I ypV? �I1ttr...
(Company
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUBCONTRACTOR AGREEMENT
have agreed to be
the (Type of Trade) 0 Sub -contractor for AibMWi tfit NoMW0ditE7ptPJa,keC
(Pnmary, Contractor)
For the project located at
Address orfroperty 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 SL Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice..
1ii1���+.'. i s an [cp v V f usA/ i ]M19 Ri ifSOr�
AQmU HWfta N%Qwftt Flaidq Irlt
PRINT NAM¢
COUNTY C¢RTffIGT1ON NUM 6R
State of mrldr, County
The forci laatr>troml wu 98,ad be(., me thl, M day of
�r.kYn=ate//by William Bryan ms,
who 1. panowllY tmown! arho pradoeM•
u idmanraa
Sltmtvee or Nanry PoDUe STAMP
SHELLEYA SEPULVEDA
Pr1a1 Neme of Notary PoWIc
SHED EYA.9EPUWEDA
MYCOMMISSION g0O252070
.�•. EXPIRES: Janutry25.202'd
••5�
•• °„M1.•' ldlndw lMu Namry PtEtk lAdentMerl
RcviRdllllhrJ016
SUR-CO CT otISIGNATURE(Qu.Uner)
PGeov-ile (2ru'lek� tole—
M kj
w tan x y t,e.a t 1PIG710N NUMa¢R
State of Florida. ConoJy or TT. lfA 6
The
r<Lulur lo+bvaieolwn elrerd heforc ne lLy 3O myof
ah CtXCU xo2UM G�e 2 C__ tichcr)1<
who V persmllly Yaawa ✓ar Me produced • _
u IdeotlaeatIm `
a.E /�.�p�[i'r\ STAMP
arrytoeeofNahry Pohtle 17
lee,
�0i1Y�Cr�ri
Prlol Neme of Notary Poh
i
I
;, �bp^•ao�; ;.
+ ``�•
•
RICHARD DOUGIAS JOHNSON
Nalary Public - Slate of Florida
Cuoan.sslua l GO
'•}tar rya>'O:`
084021
MY COM Expires Mai 20. 2021
Y.•••••••.. ••
BaneeOwwgn Niliayl HolaryAy�
PERMIT N
'T•��:•U�FE �w
COUNTY
P L O R 1 0 A
(Company Namelri,
the
(Type of rode)
For the project located at
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for A"Hanao(HWr ll9rNctcta,AVc•_
(Primary Contractor)
•1 LirIt—UI r- 3402 - (POq -p
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.
CONTRACTORSIGNATURE(Qualifier) _� p
SUB-CONTRgC RSIC p. IZE -�
Menu Hofml of NaNwest Plald0.lnc• (Quacfier)
PRINT NAME _- 3,/L i A.N'
PRINT NAME 1�^hi fj,wa C�
COUNTY CERTIFICATIOO NUMB/E�R
State of Florida, Count' o('y}sy rise
The foregoing inslrument was signed �before me this O
J day of
J :off by William William Bryangdams,
who is personally known ✓ or has produced a
ai identification.
4gn.P.ttty Public � STAMP
SHELLEYA.SEPULVEDA
Print Name of No
.'•.... • SHELLEYA. SEPULVEDA
MY COMMISSION # GG 262074
.,srv. EXPIRES: January 2.5. 202J
•° J. Bonded IbmN afary PuMc Undelvrtllers
Revised 1 116 2016
COUNT CERTIFICATIONONUMBER
Sraleof Florida,Counlya( 3yL%q .I t:
The foregoing inslrument was signed before me this 3d
aay nr
ttiva! .20�6 by�CCV-) ylGl ovyPOv�P
who is personally known ✓ar has produced a
as iden fificatioo.
" ""'J' A,Ci�XI A ^ R� h,
S g t f N t ry Pubbc V STAMP
I \(ohar� e.a
La
Prins Name of Notary p lic
Lroltns0 ✓1
NAR000UGLA6JOhHSOP.eary Public -Slate ofFblidaommissim
Y GG 0d4821OMM
=:4
Expires Mar20,2021pa�xmyn
wrnwNawyu„
PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/1 ividuul-Name) �� have agreed to be
the —HA hanit.tl Sub -contractor for Mcfi0vf1dc of IU�ri:.t dff F r (Type of Trade) (primary Contractor)
For the project located at
(Project Street
Property
si42 "Wq "60`qD0,
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 CAME CIA.L11 1
�9�39
COUNTY CERTIFICATION NUMBER
State of Florida, County of ()( qa,e
The foregoing instrument was signed before me this iV day of
JQ4QQXq,2020,by4Ll11;Av &7( 4 4dam
who is persona v 'n ✓or has produced a
as identification.
Signature of Notary Public STAMP
4 n C ACJA
Print Name of Notary public
PATRICIA ANN GRIFFIN
_ MY COMMISSION # GG137624
Revised I I/1l2016 EXPIRES September 26. 2021
a4/(F)
COUNTY CERTIFICATION NUMBER
Stale of Florida, Count. of , SQ0
Th1e_f.o.r—gnin� instrument "as signed before me this 90 day of
by' ROhpZJ P, ZC (,o RuSSo
who is perso hall rn t�or has prpduced a
as identification.
Sig^nature�of R'otarthc STAMP
�a ar ll /fin l�r Il
Print Name o, Notary Public
:'�"'•� PATRICIA ANN GRIFFIN
t'= MY COMMISSION # GG137624
%frd,� dj?• EXPIRES September 26, 2021