HomeMy WebLinkAboutSub-Contractor AgreementPLANNING & DEVELOPMENT SERVICES
Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the LIgchati; «l Sub -contractor for mQ � a or-fr i:.w r t Gr
(Type of Trade) (Pinnary Contractor)
For the project locatedat—DWi9mal h GY mo 0
(Project 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)
kdam s
PRINT NAME
COUNTY CERTIFICATION NUMBER
State, of Florida, County of
The foregoing instrument syas signed before me this L day of
YIL pa,QbY�»iI1 �rY1/2�
svhn is persona yn ✓or has produced a
as
identification.
Signature of Notary Public STAMP
4 t<� .f t� /ihri(Q
Pnnt Name of Notary Puhl¢
% PATRICIA ANN GRIFFIN
o MY COMMISSION # GG137624
Revised 1 I/ll2016 EXPIRES September 26, 2021
COUNTY CERTIFICATION NUMBER
State of Florida, County of , S0w �l(ut
The Ibregoin� instrument was signed before me this—(—Uay of
1 �9f17k)b1.Robed 8 Clip kiziso
who is personal) rn 1 or has produced a
as identification.
n.�^/��7
Ssg/nat.re Public STAMP
P ml Name of Notary Public
PATRICIA ANN GRIFFIN
MY COMMISSION # GG737624
EXPIRES September 26, 2021
I
Lid
Coi
-11
NIZ; La�e5', f ) p} H �71 {H. 1""A'drn-,.,'-..
(Company Namrdlnd
the P
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Subcontractor for Ad*ml•Hp^ (ANoNNlorinodltabe.
(PnmaCc Ccntmctar)
i Pit Y I311-100- ui erg- ooao
ss 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 SL Lucie County will be advised pursuant to the
filing of a Change of Subcontractor notice.
N 7GNA uil u)
Admlq HWM at Norem"t Florida trio
PRINT NAME
CUUNTYCeRTffiEA710NNUM ER
Slue of Florida, Coeaty
The raryotot Ivetrvmml waa Al Ware me i lr_Wdayof
I L 3a2ahy William BryanA(Pmsl
who h penovally know. oehu Produced
u
ldevtiarad
Sl�arate of Notary Pupae STAMP
SHELLEYA SEPULVEDA
Print Name of Notary Publr
r
!T!!. SHEUEY0. SEMVEDA
,l MY COMMISSION 0 GO 262074
t;• EXPIRES: Jammy25,202d
•�` ^.,!b..:/HaWdilw HomtY PlbBc 1plOarnMrn
Revised 1111612016
d
A CfORs1GNAlURE<Qu.a(kr)
P�1�101�n'2 � �°,ruIck�1�c>rnlL
G999
ro wT10N NUMeeR
i
State of Florida, Coaoty of SAC. UA CAE
i
tie roreroin lmtramevl was r
al(eed Were aoe Nh day of .
1 L 2�b by G(arwe 2 QV - it chxratIdeatificailm
i
who h penmalry luowo ✓or paa prodxed • �
�""—' ' -•'""' ��rn STAMP
aravatore oflYohry Pabtle Q .
i
'Pi rk=yrr4 Ilea ar•.le.S �Ohv�er•� r
Prlol Name of Na1ary Pvh
1
i
�bo"••o4n; RICHARO OOOGUS JOHNSON
` `�•• NolaryPuhllc-Slate afFla.ida
• Camm:5919GGG81021 `
My Comm. Eepres Mar 20. 2021
�,.........•• eo•ae0 urv,gn Nrupryt Nobykm
i
PERMIT #
COUNTY
F l O R I D R
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Name -Individual Nan
the
(Type of trade)Q� /�
For the project located at n 0
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Ada" Ro olNWk*WFbltkbA
(Primary Contractor)
r
ect 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)
Adams Rotnesot Nmemed Flodda, Ina
PRINT NAME
COUNTYCERTIFICATIOO NUMBER
State of Florida, County of Tdr�q. P-W
The foregoing instrument was signed before me this I
day of
�Dtl :off, 6y William Bryan Adams
who is personally known ✓__�or has produced a
_-
asidentificafian.
.,•6nalurI of Notary Public STAMP
SHELLEYA. SEPULVEDA
Print Name of No
�........ ;e•., SHELLEYA. SEPULVEDA
MY COMMISSION # GO 262074
EXPIRES: January 25. 2023
o Bonded Thm No" Public UndetwMers
Revised 11 16 2016
sue coNTRACgR s�O/uahRcr)
PRINT NAME I
Ii3oe-53
TY
COUNCERTIFICATION NUMBER
i
Stale of Florida, County of 7LctCl6
The foregoing inslrumenl was signed before me this \ W day of
it t- . za, by �iGr :j 1�)C l On
who is personally known ✓or has produced a
as identification.
[\IAy I I..Cle shD A el.A /x
S g t e or Notary Publ STAMP
RICHARD DOUGLAS JOHriSor,
Notary Public - Stale of Florida
Commission p GG 084821
My Comm Expires Mar20,2021
F..o?eEWo19h NailmWN1U7AM
0
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 Sub -contractor for Adams Homes of Northwest Florida, Inc
(Type of Trade) (Primary Contractor)
For the project located at 1604 fi m G I f i G I Y 10,
(Project 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.
—"GUN'IrRACTOR SIGNAT (Qualifier) SUIrCONTRAC7 ATURE Qualifier)
Bryan Adams
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Saint Lucie
The foregoing instrument was signed before me this a day of
�r►L 20Qgby kpi.,N,! ftdctms
who is personally known x or has produced a
as identification.
A tx6l0 STAMP
Signature of Notary Pub'
glchard
DouF+lctVuy„1so�1
Print Name of No[ary
Pubes
RCHARD DOUGIAS JG: NNSON
,
>a,,°:
•;:•=
NblaryPobOc-Stale otrbdda
Commission#GG084821
;n It, ,
My Comm ExpiresMar20,2021
eade04eoigN Natlma NuayAsm
Bevis
Mark D. White
PRINT NAME
19769
COUNTY CERTIFICATION NUMBER
State of Florida, County of Saint Lucie 1
The foregoing instrument was signed before me this 1 Uday of
i Y l l 20 9by 51 J Q& 1f��iY1/ls
who is personally known for has produced a
as identification.
4� STAMP
Signature of Notary Public
UC. a)t& Z)OSL�►ca 'Tv►SatJ
Print Name of Notary Public
N
Httary
;moo
r
No PMc 51al oll Florida
Commission # GG 084821
@. ay i '
My Comm. Expires Mar20.2021
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