HomeMy WebLinkAboutSub-Contractor AgreementJ
PERMrr •
ISSUE DAM:
Ntr �''ikPL".h:4Y!TiiA°h.
.COra IV.TUY'� i x ,w
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company NameJlndividual Name) -
the I �n Sub -contractor for lWann,HpllwolNaUlw44tHoctdtl,IaC
(Type of Trade) (Primary Contractor)
i
For the project located at a o �m u l f l y- n —Do - a
(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 SL Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
r
N IGNA ua I er)
A%=HwAr,ofNt 0weu:f'bfida,ItsG
PRIM NAME
COUNTYCERTIPICATIONNUM ER
State of I%rldy County 11 •
T➢e rorgolor lmerweml was alyrsed before a t►is L!' day of
iY a y6i .2a� by William Bryan A&Sl
who Is peranulty known arbu prodacM■
as IdeotlOtatt
SlttmkafNIbly
Pont
STAMP
SHELLEYA SEPULVEDA
Pnal Name orNatary Public
EorgSaHdrENUaENYaA.SPMrUVEDA
MCOMISSIONGM0202074
E1�25223
a6k utdanrran
Revised I I/16n016
lSUBCO CfO1�SIGNAd
ATURE(Quaulkr)
a ruickl nle-
FRPrr NAME U � i
g999
CO GERTEn TION NUMBER
Slate of Flarlda. Coaary of %T. W GE
The forerolap lubvouof."011aad before slhb A day of j
MQYch �!sp
s!SiIt,M-e�ne R CCr�.ttrLchcealt<
who la PC ally laaowo Zor hu produced ■ 1
u Ideadflan bless AA n — ---- r
turn
ryPublic
/Lr>,ISWa-o�v� STAMP
RICHARD DOUGUS JOHNSON
Notary Pubfic - Slate of Florida
Camm;sslon 0 GG 064821
MY Co m ExPres Mar I0,2021
emaea hMA Nifg lNQury 4sm ,
SUB -CONTRACTOR AGREEMtNT
(Company
have agreed to be
Name/1 lividual Name)
theH tiQniCc1 _ Sub -contractor forQ1(ltynQFbwtes or- fU1ri 4f F T (Type of Trade) (Prunary Contractor)
For the project located at a a D fl m a l f; C I Y 3 i- -i DO - o 1 a t-1- D 00 - a
r...w caa m rs Uperry IaX W #)
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 (Q mlilicr)
GlL S Adam
PRINT NAME 99
C�fCAl ION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this U day of
who is persona y :n ✓or has produced a
as identification.
��l_e
Signature of Notary Public STAMP
Print Name of Notary Puhhc
PA=ANNMYRevised II/Ifi/2016 "!!`EX
COUNTY CERTIFICATION \UMBER
State of FloridI a, County of , -aL F �L(%l<_
The foregoine!instrument vras signed before me this —uL,day of
i:1Q rC Ya_by Robed ifi aelfn Puss0
who is person tf�or has produced a
as identificat( In.
I
Stgntardtc STAMP
�I
i ,a uhli
Print Name of Notary Pc
;�;:'s"•`•'D�; PATRICIA ANN GRIFFIN
_ MY COMMISSION # GG737624
i
%;+a OtW, EXPIRES September 26, 2021
PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ameri-Tech Plumbing, Inc. have agreed to be
(Company Name/Individual Name)
the Plumbing
(Type of Trade)
For the project located at
(Project
Sub -contractor for Adams Homes of Northwest Florida, Inc
or Property Tax ID
(Primary Contractor)
oo- ola,y- 000-91
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.
l CONT ICNATURE (Qualifier) SUSCONTRAC'IFiAj.WrATURE Qualifier)
Bryan Adams
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Saint Lucie nn
The foregoing instrument was signed before me this W day of
MC11"Ch .2Daoby 5NCXt,3 rrdarv\S
who is personally known X or has produced a
as identification.. _
b4 dater Q y�y.q�e f R r , STAMP
fSiignature of Notary Pub
1,\char d DOL1Q\CGS JWr)11$OiJ
Print Name of Notary Public
,,�W`'P„
>+•�•o:
RICHARD DOUGLAS JOHNSON
NolaryWbric-Stale of Florida
Rev
€' •
`:;�,+r+s`•'
Iry9)° 016
CenNiu'sslm#GG084821
My Comm. Erpires Mar20,2021
8aNedit*NaWNatayAm
Mark D. White
PRINT NAME
19769
COUNTY CERTIFICATION NUMBER
State of Florida, County of Saint Lucie
The foregoing instrument was signed before me this __U_ day of
MQ Y c h 20AQ by gr� aunt_ L2yd CLrns
who is personally known _X_or has produced a
as identification.
dJt L%W 4 STAMP
Signature of Notary Public
9ICMarCk DomkotS jahnSat3
Print Name of Notary Pubic
io+��^i .; RICHARDDOUGLSJOHNSON
.0. NaWryPublic-Staleot Florida
• Commission#GG 084821
i. oar MyComm. Expres Mar20.2021
O.d,d O.,, NalbnalNabryAw.
PERMIT #
COUNTY
F L O R I D A
(Company Name.'Inc
the
(Type ofTrade)
For the project located at
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
\_ 2_
Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for A4afl}H0mdNorVr*WRatdkh.A
(Primary Contractor)
0 M-MQlfi C)r
sect Streel Address or Property
13I1- �Oo- oiaL4- 000- a,
to a)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
Ad&= HwmoI NotNwest noddo, Inc
PRINT NAME
COUNTY CERTIFICATIOO NUMBER
Stale of Florida, County, p("(dNyp.l[p$P
The foregoing instrument was signed before me this
day of
>7l2 rr h m'h, by William Bryan dams
� I
who is Personally known " ar has produced a
—�
as identification.
..•a.an�01-1-ryle�-- STAMP
SHELLEYA. SEPULVEDA
Print Name of No
[�7PubIkU,d,r,m.,,
LEYA SEPULVEDA
MISSION# GG 262074
ES; January 25,2023
ruN atary PubIk Undmwthers
Revised 11 162016
Lucie County will be advised pursuant to the
0
SUB-CONTRAC r RSIC & RE(Qualirier)
3�i�� s3Nlklcaa c�l
PRINT NAME
C1JoL53
COUNTY CER�TIFICATION NUMBER I
state of Florida, Cuunryof 5T-L4Gt3
The foregoing instrument was signed before me this
�o(] A day of
nems—•zQA, by �i ayl `� Y41r1
who is Personally known ✓or has produced a
as identirie,tioo.
A\Mrl'1/4 I f�C}l shO A
aignature of Notary Public v STAMP
RICHARD DOUGLAS JOHNSCP.
Notary Public -Slate of Florida
Commisslon#GG084021
My Cc= Espites Bat 20, 2021
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