HomeMy WebLinkAboutSub-Contractor Agreement1
PERMIT#
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(company Name/IndividuaI Name) have agreed to be
the _ n►i t4oma of Nol*wW, Roctdo, hr.
(Type of Trade) t ��`` -----Sub-contractor for
4 (Primary Contractor)
For the project located at 330v i f
(Project Street Address or Property Tax ID N) 1, D O ` DID�
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.
CD IC;'NA 7 ui 1 er)
Addtq Hw4s of Nwhiii st ftorirta, tnG
PRINT NAME
COUNTY CERTIFICATION NUM' ER
Slate of Flortda, Coontyq;
The r*"g"n& lo"""nenl was Aped before me jhL, l D day or
W 20b l William Bryan Adams,
who is personal) known✓ Y _or hu produced a
as ldeu5l-a�
S�t.--IfN-tl7poue STAMP
SHELLEYA SEPULVEDA
Print Name or Nomry PaWle
+.,. SHELLEYA.SEPULVEDA
.l MY COMMISSION GG 202074
'• EXPIRES: Jatluary 25, 2Tn
P.,►t.•'' SW" Thm Nomry Mk Wow* l m
Revised I II161201t,
%ff
d
. SU CTOR SIGNATURE' - (QuaUlk►)
PRnY ME U 1 c kd� � 0IL
rigs
CO tM1t Y CERTIFICATION NUMa6R "'-- "
State or Florida,cooa'ryor. '`, u cke
The for"S" lutrnmeol wan signed before me Ibis A day or
C .try e0r e
Who 4 Dersop.lty, Yaown ✓or bu produced a
a+ ItleoHtlatloo. -� +—"- --
-#�6di�•SX
Syw.ure of rromry Pabtle Q - STAMP
• ,.G►'`Grri D � o� In c �T.,t_
Prta1 Nsme orNota -sue, e�,�Lcr,
ry Pnblld
;'oi."`' °� "'••
RICHARD DDUGIAS JCIHNSON NolaryPublic- SlaleofFlorida
=• _=
-'Y
Comm.sslon a GG 084821
My COMM. Expires Mar 20,
'^"
2021
Banded lhrarghNahaylNalaryAssn
COUNT:
Y _
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SE�1S114 M I n1 l7 Q..L"t�..l S I l W'''��trJ{
_ otZA W Sca.J
(C:ompany Name/Individual Name)
the (Type of Trade) t" � IA nh ri Sub -contractor for
-ZNC. have agreed to be
AdaH
Adam wos of Nmerw*st Florlda, lnG
(Primary Contractor)
For the project located at 13 9 GY a u n i C � kI I - 1 DQ- p t D9 Qoo
(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.
CO R SIGNATURE (Qualifier)
Mama Hanes of Noll to est Roddlk !rim
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County w
The foregoing instrument was signed before me this day of
Inn 01, z,` �, by William Bryan Adams
who is personally known ---.,r has produced a
as identification.
e a•"""�a�i`utilsc STAMP
SHELLEYA. SEPULVEDA
Prior Name of Notary Public
;;LpV°y •: SHELLEYA. SEPULVEDA
:+ MY COMMISSION # GG 262074
EXPIRES: January 25, 2023
•'�,OF �OP,.
Revised I I/16/20 Bonded Thru Notary Pubflc Undlxmilan
SUB CONY SIGNATURE(Ouaffier)
S��"L 1tf S M•��.1� �
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, Countyor 3'r. U_AGe.
The foregoing lostrumeot was signed before me this _L day or
May ZX by '1�ar✓y1?r, !i►.-Y�-p Z
who is personally known ✓ or has produced a
as identification. n
" 'yU STAW
Signature of Notary Public
Ki ('_ yw "� 96_411cz "hlnsc✓)
Pnot Name of Notary Pitblic
RICHARD DOUGLAS JOHNSON
_ • = Notary Public - Slale of Florida
Commission # GG 084621
My
Comm,
for F�oP�; Expires Mar 20, 2021
Bonded Wougn Nalional NolaryAssn.
PERMIT #
ISSUE GATE
----�--- PLANNING & DEVELOPMENT SERVICES
COUNTY ]Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name. -Individual Name) �—
the
have agreed to be
(Type of 1'rade)
Sub -contractor for AdamHoinesatNofttlwtstftatda,hl�
(Primary, Contractor)
For the project located at "K'� 1 X r v l .f � pit n r I t n. t,
(Project Street Address or Property Tax ID #)
0
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.
f,
CONTRACTOR SIGNATURE (Qualifier)
Adams Homes of WWI Florida, by —
PRINT NAME
COUNTY CERTIFICAT=NUMBER
State of Florida, County
The foregoing instrument was signed before me this
day of
Zi, by William Bryan dams
who is personally known ✓ or has produced a
as identification.
Signatur!tfNw.ry Public STAMP
SHELLEYA. SEPULVEDA
Print Name of Na
:;�" "�.: SHELLEYA SEPULVEUA
JALMY COMMISSION # GG 262074
EXPIRES: January 25, 2023
,.PF....... Bonded ThRI N otaty Publle Underwrfters
Revised it 16 2016
Lucie County will be advised pursuant to the
i
sus-CONTRAC R SIC A, RE (Qualifier)
PRINT NAME i
Circe .I "3 3 O e- S 3
COUNTY CER l ICATION NUMBER
state or Florida, County or �: t-.k4t_) e
The foregoing instrument was signed before me this AB day of
2011D• by�flgv� �41G1otnP
who is personally known ✓or has produced a
as identification.
signature of Notary;rublic � r STAMP
t Name of Notary P tt,
RICHARD DOUGLAS JOHtrSpr,
�'
Notary Public - State if Florida
• `
Commissii # GG 094821
'• � '•.
My Comm Expires Mar 20, 2021
o. �s"
F.._-'bd Ihicugh National Notary Assn
PERMIT At ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
o
Building & Code Compliance Division
-- - - BUILDING PERMIT,
SUB -CONTRACTOR AGREEMENT
A) 4 have agreed to be
(Company Name/Itidividual Name)%
the _ - _ Sub -contractor for Aft= lip a Notlhwest FkWk hr
(Type of Trade) (Primary Contractor),
For the project located at Y 1,1V A i l J C i 1,� 1 1- 1 7 0- D 1 D 9- (O DO- I
(Project Street Address or Property Tax ID N)
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.
_ r
CONTRACTOR SIGNATURE (QuallOer)
talorasaest aft
PRINT NAME
COUNTY CERTIFICATION B
State of Pbrlds, County o-PJHW n...Slp
The foregoing tostrument was signed before an this A day or
rysl � J 2u , by 14 William Bryan A ams
uAc,irt
who.6 personally known zpr 1w produced a
is Ideotlll
STAMP
Signature orNotary Public
SHELLEYA SEPUlVEDA
Print Name of Note
:fn�?:'• SHEu.EYa sEFULVEDA
A MY COMMI9SlON # GG 282074
' P•, EXPIRES; January 25, 2023
'.R h°�' 0onded Thru Notary Public UMetw*ara
Revised 11116.2016
SUB•CONTRACTTOR SIGNATURE (Qualifier) L
PRM NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S i Ly a l e
The foregoing Instrument was signed before me this -L�i day or
rin 014 20 D by Qtt�•ae� 1� v 110
who Is personally mown ✓r has produced a
as Identification.
UJ STAMP
Slisatureof,Nots.SkPub e
RIL`•ARQ �O„t_IAd . J O,+NSoH
Prlut Nanie of Notw bate
`1.,µ'r'i•.i9(�;;
RICIIARD DOUGLAS JOHNSON
Notary Public - Stale of Florida
Commission # GG 084821
ue W
My Comm. Expires Mar 20, 2021
„ ,,
Bonded through National Notary Assn.