HomeMy WebLinkAboutSub-Contractor AgreementPERMIT#
COUNT�Y,��.iaw
A. -
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
me _ I ° Sub -contractor for ��;fiN4tVori%kXItla
(Type of Trade) .
(Primary Cantractnr)
For the project located at 5,2 A q \ I 0 f r) D v/`I (-.l- a -) a a � A
Street Addlese 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 Sub -contractor notice.
A4&m Rwft of NwOMedt FwKa4 Ina
PRrNr'NAME
-------------
COUNTYCERTD+ICATTONNUM 6R
State of Florida, County9 p The forgoloo lorin—t— alaraed before. tit, V day of
- Q�IGN ,(ljpt,y William Bryan
Who L. Porrooally tanowa _er hu p radoeM a
n ldmtlflu
Slprta
re of Notary Ptabtlrr STAMP
SHELLEYA SEPULVEDA
Print Name of Nobry Pabllr
Ar
?':'•: SHELLEYA.SEPUWEDA
,I MY COMMISSION 0 GO 202074
E)0)IRES: Jwf&wy 25, 2M
,,,,n.•^ Sw" TNu Noted PW90 Urdetarlrera
Reused I II16r2016
d
SUBCp CrORSIGN2
ATURC (Quatllkrl _
n1201r�e PRIIVr NAME
CO CERTD7GTION NUMaRR .--"
State of Florida, ConeFyer %T. WGE
Thefore"".lutrvmeel waa -tp d before arc th4 1 (J day of
r
—`nckq — 3Y. by Crir` e_2 �T
who 4 Mroeeelty Yaowa ✓er hu prodaeed a
�w aom of tvohry Pabtle Q STAMP
_']tGhCwr.-t n!'f e..ln
Pr1o1N ap of Notary Pull
o ��11Y1C1�
---"'—'
i
;rp�a"'^c4n•
aI WO GOUGUS JOHNSON
NolaT PuNic-5lale al%jda
Comm.Ssmnd
GG08a021
My Camm Eapfes MarI0,20I1
i"'•'-"'
BmOer Puo pNali
9 oW Naiary pyy,
PERMIT #
COUNTY �''
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
�tf.)SI�M lnl 17 fL�f.l S f i DR-At-V SCJWICCS N
(Company Narpolndivldual Name) �- have agreed to be
the B tt yv�h� N� Sub -contractor for
(TrPe o f trade) Mena Hotrres d Ntx0lweot Prates. hIG
(Primary Contractor)
For the project located at
9
Street Address or Property Tax ID
I--�DI-
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.
CON R SIGNATURE (Qualifier)
Adams Hanes OR NaUrAted tacltde, be
PRINT rvarde
COUNTY CERT(FICATIONN NUMBER
ial Sc of Florida, County 1=�_ 1'Q
The foregoing instrument was signed before me this l U day of
MGy I5�vby. William Bryan Adams
who is personally known _--or has produced a
es i—denuli ncaho�a.
fl STAMP
SHELLEYA. SEPUL VEDA
Print Name of Notary Publse
:'''!% SHELLEYA. SEPULVEDA
a..
MY COMMISSION If GG 262674
EXPIRES: January 25, 2023
..fie•"•'.`.°t''. Bonded TNnl Notary Pudic Undelmilals
kcvncd 11f16R0
SUB -CO NT SIGNATURE (Quit rieQ
NA
PRfM NAAO:
ag c'0
ffICATfO
COUNTY CERTN NUMBER
state or Florida, County orWCA2
The fo rtgn lag lostrbmcot wes signed before me this kUdayof
M1�1 son, by_Zeyl ,M:hy-SjmCyiCL
who is personally known ✓ or has produced a
es idcn Nfscalioo.
. off ch (ICY/UyL�r.Y.J STA NiP
Sigoalure of Notary Public
Ri c.hac a Vc.- Itcks To h"C'g
Prior Name of Notary Ploblic
RICHARD DOUGLAS JOHNSON NolaryPublic-Slate of FloridaCammissmn
R
A GG 0SE021 My Comm. Expires Mar 211, 2021emded wcugn Norma Nmaryksn
PERMIT ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
the Kk/,AC. Sub -contractor for tdmm Nomes of NortMedlPlmrlda hit
(Type of Trade) (Primary Contractor)
For the project located at _ J J "I yy S
1-1
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)
Ahmms umga of writmest Plorlk br
PRINr NAME
COUNTY CERTIFICATION B
State of Frorlda, Couory o %P
The foregoing Imtrumeal wu signed before me this Aday of
MCA _=pby William Bryan A ams
�� 1—�t
who is personally known ,ar bar used a
u Ideotll7 a .
ea_r!i� D STAMP
Sigoalure of Notary Public
SHELLEYA SEPUIVEDA
PNaI NanmofNob
=Ayfi!ety�;, SHELLEYA.SEPUWEDA
j MY COMMISSION # GG 202074
'•' •p ` EXPIRES: January 25, 2023
'••�0�h4`" Bonded ThrvNohvy Public UnderaMare
Revised 11/16/2016
x4z��_Z7_,_
SUB -CONTRACTOR SIGNATURE (Qu�alijfi/er) G
PRNr NAME
a9�a ;t
COUNTY CERTIFICATION NUMBER
State ofFlodda, County of $ 1. Lvc ie
The foregoing Instrument was signed before methis \ Vdayof
1 y-N Ct QffP by Nlr. d " V F1 1
wbolspersonllyl•Aowa ✓ orhuprmdueeds
u Identification.
STAMP
SFgastareol'No b Pa c
gIL,ARA ')o.x.`AS �O``NSOH
Print Name of Nob blle
RNolaN
�:'�`:
p
ry Public Sla!e of Fbrida
Comm' sSion #GG0Bs021
T Vr
"••ewe..
My Comm. Expires Mar 20,2021
Elided Aroyh Nava NolaryAnn
PLANNING & DEVELOPMENT
Code Compliance
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the
tu.ompany Namdual N
e'Indiviame
���
(Type of 7•rad.) —
For the project located at
Street
have agreed to be
Sub -contractor for AdanT{NanesaNallnrestFlaW0.hfC
(Primary Contractor)
G L t IL II-1D1-Db3 0o0
SS or Properly 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. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRAC70R SIGNATURE --�
IQualiner)
Adams Hmfascat NaNwCst Fw,:w. NL,-
PRINT NAME
COUNTY CERTIFICAT—IO NUMBER
Stale of Florida, Count' �t`o
The foregoing instrument was signed before me this
day of
m�+�,'—�:,b, William ryan dams
who is personally known ✓/.1 has produced a
al i denu titan,
n. --
Signalu re of Notary public STAMP
SHELLEYA.SEPULVEDA
Print Name of No
i,.. SHELLEVASEPUlVEOA
MY COMMISSION # GG 262074
EXPIRES: January .
25, 2023
`e•°' iS;> • Ocnded ThorotatY PuNl
N c UMerwtXars
Revised 11 16 2016
O
A•7RE
SUB-CONTRAC R StC (Qualificrj �
32 S Y�L�Ip"c�
PRINT NAME
COUNTY ERTIFICATIONN NUMBER
Slate of Florida, County of T-Ls{CI Le
The foregoing instrument was signed before me this ��
_]_c���{y� day of
�
1—'Z�by Tan ItilGlr� a
who is personally known ✓ r has produced a _
as identification.
S g t f N t y Public STAMP
RICHARD DOUGLAS JOHNSor,
Notary Public - Stale of Florida
COMM155im C GG 084821
My Ce— Expires Mar 20. 2021
F. 'ed I*o,h Wiiovl N,47km