HomeMy WebLinkAboutSub-Contractor AgreementpyCOU NT.Ys6�
AFLslrl()�,AH�dI�U?s``/_1_i�.o:-.,
(Company Namdtnd
the �)
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for 1*mNon)wolNaOnvoriFlatdtilrt�
(Primary Contractor)
or Property Tax
- 0130 - oe
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
tiling of a Change of Sub -contractor notice.
r
(b tGNA ua 1 a)
Att nis Heaven of Nmgwftt FWW&. tan
PRINTNAME
COUNTY CEErrWICATION NUM ER
Slate ofPforldti y� CaantThe foregolag tossr lwu signed berme m Ilts 30 day of
Atan[Ar 2,70, William Brya AttPmst
Who is personally known.,., or hu prodo"d e
Slgmlote of Nofaq PoDUe STAMP
SHELLEYA SEPULVEDA
PAot Name of Nohry PoWIa
SHELEYA.SM ULYEDA
,I tyCOMMISSION0GO262074
EXPIRES:Jhnuery25,2M
• ^ p.••' BadW lMu Naterl'RhEcUMardtrn
Revised 11/1612016
su CTOR SIGNATURE(Quatllkr) '
Geor C.kE4-�n
PRIM'NA11fE :.J ' I
�999
C'O RJi �Y CERTIPI TION NUMBER
Stateor Ftorlda,Couoiyor %T. u-1 GE
The rorcgobg lmwmen[wnsigaee Oefare Tee the 30 day of
�ahUGt•( 2o,2t)byL,� e 2
who is penoaaly Ynogo ✓orhu prodaaWa
-
Q; uw fO �NA4)✓L STAMP
]lryalore of Nohry Pahtle� ---- .
EICWD DOUGLAS JOHNSON
Notary Publx - Slate of Florida
Coo arMsion d GO 084g11 '
MY Comm. Expires Mat 20, 2021 '
aaxea Wnyp NnaMNOW.kv,
the
PERMIT p
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
® - Building & Code Compliance Division
• s
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
VV S
kc ulnpany NaglellnOsvrdual Name)
PI tI "I NT Sub -contractor for
(Type of Trade)
I Al D RJ---E J 5 f
have agreed to be
AAame Namasd Rolimasl leladda, b)m
(Primary Contractor)
For the project located at 812q PMOIFI C1(-1311
(Project Street Address or Property Tax ID k)
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 Change of Sub -contractor notice.
CONtrsi t uRSIGr4ATUPE(Qualifier)
Amm Hanes of Nathwed Haute, 1=
PRINT NAME
COUNT 1: 11: Tffi AT1ON NUhIRER
State of Florida, County 90
fit
The foregoing instrument was signed before me this _& day of
kkrl xc• 20gQ by William Bryan Adams
who is personally kauwn �r has produced
as identiGcafin..
h 1 STAMP
SHELLEYA. SEP1.11YEDA
Print Name of Notary Puhlic
;v."•"Pt;�; SHELLEYA SEPULVEDA
MY COMMISSION O GG 262074
EXPIRES: January 25, 2023
Revised II/I6120 Bonded Thru Notary PuMc Underafilers
Lucie County will be advised pursuant to the
SUR-CONTRAer, R SIGNATURE (Qual tier)
PRINT NAME
aG c0
COUNTY CERTffICATION NUMBER
Slate of Florida, County of 'ST. U_,Cke
Thcrorcg.1.gloslrumcotwa3sigoc4beforcmethls 30dayof
At1UQW xoftby +�je Men Lei mev eL
who is personally know. ✓ or bat produced e
es identification. /_
�'^^�"� (/t3'fL AC40 STAMP
Signature of NotaryPublsc
1`ic.h ra Q�-1103 t7oha•tSe/1
Pn.t Name of N.lary Pbblic
RICHARD DOUGIAS JOHNSON
'��•�' NalaryPublic - Stale Ofnarida
Commission p GO 084021
';va.o rcoPaf My Comm. Expires Mar 20.2021
••••• aoiCeOwauga Nf4wd Nalaryksn.
0
k.
PERMIT #
i°-
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the t1kLA(L- Sub -contractor for Adam tfomeso(NorthredFlorida.br-
(Type of Trade) (Primary Contractor)
For the project located at `61aCi 1HMQ Hit i r. i 31I "
(Project Street Address or Property Tag 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)
AdaM Hutrsol Ncrtlneat Florida. br-
PRINTNAME
COUNTY CERTEFICATION B
Stale of Florida, County aSA
The foregoing instrument was signed before me this 20 day of
SPntraY 2D2.0by VVilliamBryanA amS
dAC7s'e
who is persaaally kaowo _or has produced a
as ideatifi
STAMP
Signalure of Not2ry Public
SHELLEYA. SEPUI.VEDA
Print Name of Nous
SHELLEYA.SEPULVEDA
MY COMMISSION # GG 262074
s + ' EXPIRES: January25,2023 .. .... ,..?: Sondod Tbru Nawy Pudfe Underwriter!
Revised 11/162016
C77L- IV (3_;I
COUNTY CERTIFICATION NIUMBER
Stale of Florida, County of I L Cte.
The foregoing instrumentU
was signed
c before me this ,—dayof
f1U�x 2010by C. fry/ ZM.n'�f (Y1n0.s't
who is personally known Ar has produced a
as Identification.
9 STAMP
Si I]]ature of Notary P4,blic
t�IL`.rsRd 11n�wIb1 �0Y�uld.r
Print Name of Notary Public
;. •�:a�; •�..,
•*.�s=,
RICHARD DOUGLAS JOHNSON
NalaryPubOc-Seale alFlOdda
_ A•g •
Commssmn A GO 084621
`;� ,""�
My Comm. Eepoes Mar 20.2021
8avk,larwan WLMxNooryksn.
the
PERMIT #
(Type of
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
For the project located at (& )2. C1
(Project Street
have agreed to be
Sub -contractor for MangHofoadNathx�tFlalda Ufa
(Primary Contractor)
't-At. I311-100- 0130
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 SIGNATVRE (Qualifier)
Adana Honmd NWm*dt PwkW. by-,
PRINT NAME
COUNTY CERTIFICATIOO NUMBER
Stale of Florida, County p( Tdt�p. asp
The foregoing instrument was signed before me this
312- day of
JC1C 20- by _ William Bryan Adams,
who is personally known ✓ as has produced a_
as idenffcation.
S.gn.mre at Neta ry Public �— STAMP
SHELLEYA. SEPULVEDA
Print Name of No
d.'"'`6•Q,. SHELLEYA SEPULVEDA
MY COMMISSION p GG 262074
t; „�': EXPIRES: January 25. 2023
•' Pr'S Bonded Thm Notary PuWlcUMerwrXers
Revised 11 16 2016
„J&C4O �
RACORSICnA-r siRE(Q..Irt rI
32;
PRINT NAME
C-� C ,I J o e- 5 3
COUNTY CERTIFICATION NUMBER
Stateor Florida,Cauntyof T-t—x:(C.IIS
The foregoing instrument was signed before me this
30— day of
'>M•=tXIX—�—=• a090by _brigyi —j 141r 1
who is personally known ✓ar has produced a
as identification.
LsoO s.
S g t of Notary Puhhc STAMP
RICHARD DOUGLAS JOHNSON
Notary Public - Stale d Florida
Commission g GG O84821
My Comm Expires Mar 20.2021
F' =lea Worya WIiaW NaWyksn