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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # AAPEX Electric ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company Name/Individual Name) ' - — - - -have agreed to be the Electric _ ^ Sub -contractor for Adams Homes of Northwest FL, INC (Type of Trade) (Primary Contractor) For the project located at �_� ee �+ddre � D 9--1-n � 1 13 I I _ ,. (fin t 1 _ _ oo� _5 (Project Street Address or Property Tax ID r) --U—_ �. L�' I/ V '1_I 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 filling of a Change of Sub -contractor notice. (QualifieQ SU&CONTRACTOR SIGNATURE (Qaalificr)� - - W. Bryan Adams PRINT NAME —' --' 29179 COUNTY CERTIFlCAT10N NUM1[BER - — State of Florida, County of St Lucie The foregoing instrument was signed W.. nU, this 4 dayof Jl1 ho 20alr-by W. Bryan Adams who is personally known _or has produced a as identircation. Sfppamre a(Nobry pub STAMP llch r�d�JWntzoN Prsnl Name of Notary Puhlsc I RICHARD DOUGLAS JOHNSON NblaryPublic-Slate of Florida Commission k GG 084021 'a o; Revised 111612016 My Comm. Fxpres Mar20,2021 Boded Pmugh Na tigW NobryAsm. PRIN� — -- — COUNTY CEft7'p(Cq�NUMBER - State of Florida, County of-z& U.xie. The foregoing instrument was signed before methisU dayof —O W�-Q . 20iiby C Q_. Vk_IC / m who is personally (mown �Lor has produced a_ as identification. L>,,.,, a„ IA A el JPJME LHARNER i orate of Notary PublicRA/ys �J *s My �AWON a GG 089 I22 _ a EXPIRES April 2.2021 s�VL YEDAi e1F Bonded M% Budget Notary Senaces Print Name of NotaryPu Ise PERMIT # COUNTY t ,t ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division i.JE'ISAM I/N% l7 Rc_--L'i 5 p (Company Nattse/IndMdual Narl-0 the D11 . , _, ' A of For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT roject Street s have agreed to be Sub -contractor for Memaiia asd Kati rresl FlorYJhha (Primary Contractor) Tax ID A) s- QDUq- ()DD-5 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 tiling of a Change of Sub -contractor notice. CONS raa� s uR SIGNATURE (Qualifier) Adam Hm>es d NN*A*M Raids, krc. P RfIVT NAME COUNTY CERTCFICAT1ON NUM1IeB�ER� suits of Florida, County CJ-=A The fnregaiog inslrumcnl was signed before me Ibis 4 day of _Ji1�l..-e Qp by William Bryan Adams who is personally known �or bu produced a as identifice Noo. Ir O STAMP SHELLEYA. SEPLII.VEDA Print Name of Notary Public :' "'fit;;,•; SHELLEYA.SEPULVEDA .. MYcoMMISSI, Np GG 262074 EXPIRES: January 25, 2023 . ••'r":,"g'•�. Bonded Thru Notary PuNlC Undtsrwfilars Revised 11/16/20 SUB-CONT S ICNATURE(Dual fief) PRINT NAME ag c� COUNTY CERI ICAT1ON NUMBER Slate or Florida, County or 37—u_,ae The foregoing lustrumeol was signed before an, Ibls U day of �i•L17�0 Zftbr 1�'2P.s't �r✓h:n �l�mGngZ, who is persanaly known ✓ or bas produced a as identification. . Ci.civan..�., p� dA An�.:.J STAMP Signature of Notary public & Lba d OCLggg ijo h"Sc'q Pnnt Namc al Nola, Psr61¢ RICHARD DOUGLAS JOHNSON • Nolary Public -Slate of Florida •' commission p GO 0BCO21 My Comm. Expires Mar 20, 2021 Bonded Nmugn Nmiovl N01aryAssn. 0 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be the Sub -contractor forarlj�Q (Type of Trade) f� �r (Ptnnary Contractor) For the project located at� (PtoJect Sheet 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) PRINTNAME A'IY1S__ r,IIUNTY CERTIFICATION State of Florida, County of (f( F act i The foregoing instrument it as signed before me this day of JLU_R y who is personal y :n or has produced a as identification. Signature of Notary Public STAMP 4 F�' �• 4 Print Name of Notary Public .�•. PATRICIA ANN GRIFFIN o - MY COMMISSION # GG137624 Revised I1/I6/2016 EXPIRES September 26, 2021 "�"° CVUNTY CERTIFICAT ON NUMBER State of Florida, County of , 4( F of cm t. V The foregoing instrument n'as signed before me this day al' %J I J2ohv.! �' el(a /2ussn whe is persogall vn f/or has produced a as identification. S g attire of Notary Public STAMP �cta A �� Pont Name of Notary public PATRICIA ANN GRIFFIN .....,, A.: MY COMMISSION # GG137624 EXPIRES September 26, 2021 PERMIT p T;Ll�'FE 'w COUNTY. F l D 0. I D A ISSUE DATE PLANNING & DEVELOPMENT SERVICES (Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company e the te )-- P y Na me'Individual Nam -- (Till' lade) Sub -contractor for For the project located at have agreed to be AdvnkHanesofNaUtxlytfgdda 9ia (Primary Contractor) or Property fax TiDV) 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) —� Ad=$ Hanes of NorlImese Merida. hvc PRINTN MME COUNTY CERTIFICATIO NUMBER -� State D(Florida, County Qy The foregoing instrument seas signed befarrr mr this Ll day a! Zo?b/y Will Bryan dams who is personally known ✓ Or has pro Jured a _ as iJ en lirica Nan. Stgn'Care or Notary Public --- STAMP SHELLEYA. SEPULVEDA Print Name or No er '•-SEPULVEDA MY COMMISSION N GG 26207J � ia: EXPIRES:Janua 75.2023 •2(p. F„r+: ry. Dended Thni Notary PubIle Under Mem Revised 11 16 2016 o r SUB-CONTRAC RSIC i A' RE (Qualificrj �— 32,Swlnlr c� PRfN7 NAME CO UNTYC gTrp� gT13OO r`jMBER �— Slate of Florida, County of T-1,-q(rslti The foregoing instrument was signed before me this �,srs, day of —•=�rbr_�[i4ya 'j IYlGlon who is personally known ✓or his produced a as iden Nf ca tiao. -- 0-S .I �.Nr1'Vas ACf 0 n S g t f N t y P bl STAMP Print -LTohnSo ns Na Nme of NobryP tic h '1.......•."` RICHARD DOUGLAS JOHn5Or. Wart Publm -Slate of Honda COMMIs5ld1 0 GG ONO21 My Comm Expires Mar 20,2021 •..• E.dulluougn NaloUN.Ul Ao.